Parallel Processes: Using Motivational Interviewing as an Implementation Coaching Strategy

  • Jennifer E. Hettema
  • Denise Ernst
  • Jessica Roberts Williams
  • Kristin J. Miller


In addition to its clinical efficacy as a communication style for strengthening motivation and commitment to change, motivational interviewing (MI) has been hypothesized to be a potential tool for facilitating evidence-based practice adoption decisions. This paper reports on the rationale and content of MI-based implementation coaching Webinars that, as part of a larger active dissemination strategy, were found to be more effective than passive dissemination strategies at promoting adoption decisions among behavioral health and health providers and administrators. The Motivational Interviewing Treatment Integrity scale (MITI 3.1.1) was used to rate coaching Webinars from 17 community behavioral health organizations and 17 community health centers. The MITI coding system was found to be applicable to the coaching Webinars, and raters achieved high levels of agreement on global and behavior count measurements of fidelity to MI. Results revealed that implementation coaches maintained fidelity to the MI model, exceeding competency benchmarks for almost all measures. Findings suggest that it is feasible to implement MI as a coaching tool.


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Copyright information

© Springer Science+Business Media, LLC (outside the USA) 2013

Authors and Affiliations

  • Jennifer E. Hettema
    • 1
  • Denise Ernst
    • 2
  • Jessica Roberts Williams
    • 3
    • 4
  • Kristin J. Miller
    • 4
  1. 1.Department of Family and Community MedicineUniversity of New MexicoNM 87131USA
  2. 2.Denise Ernst Training and ConsultationPortlandUSA
  3. 3.University of Miami School of Nursing and Health StudiesCoral GablesUSA
  4. 4.MANILA Consulting Group, Inc.McLeanUSA

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