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Parallel Processes: Using Motivational Interviewing as an Implementation Coaching Strategy

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Abstract

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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References

  1. Miller WR, Rollnick S. Motivational interviewing: helping people change, 3rd ed. New York, NY: Guilford Press; 2013.

    Google Scholar 

  2. Hettema JE, Steele J, Miller WR. Motivational interviewing. Annual Review of Clinical Psychology. 2005;1:91–111.

    Article  PubMed  Google Scholar 

  3. Institute of Medicine. Initial national priorities for comparative effectiveness research. Washington, DC: The National Academies Press; 2009.

    Google Scholar 

  4. Miller WR, Wilbourne PL, Hettema JE. In: Hester RK, Miller WR, eds. What works? A summary of alcohol treatment outcome research, 3rd ed. Boston, MA: Allyn & Bacon; 2003:13–63.

  5. Williams JR, Tregear SJ, Dusablon T, et al. Increasing adoption of comparative effectiveness research in community behavioral health: methodology. Journal of Behavioral Health Services and Research. In press.

  6. Federal Coordinating Council for Comparative Effectiveness Research. Report to the President and the Congress. Washington, DC: Department of Health and Human Services; 2009.

  7. Cooperrider DL, Whitney D. Appreciative inquiry: a positive revolution in change. San Francisco: Berrett-Koehler Publishers; 2005.

    Google Scholar 

  8. Rogers EM. Diffusion of Innovations, 5th ed. New York, NY: Free Press; 2003.

    Google Scholar 

  9. Prochaska JO, DiClemente CC. The Transtheoretical Approach: Crossing Traditional Boundaries of Therapy. Homewood, IL: Dow Jones-Irwin; 1984.

    Google Scholar 

  10. Miller WR, Sorensen JL, Selzer JA, et al. Disseminating evidence-based practices in substance abuse treatment: A review with suggestions. Journal of Substance Abuse Treatment. 2006;31:25–39.

    Article  PubMed  Google Scholar 

  11. Miller WR, Yahne CE, Moyers TB, et al. A randomized trial of methods to help clinicians learn motivational interviewing. Journal of Consulting and Clinical Psychology. 2004;72:1050–1062.

    Article  PubMed  Google Scholar 

  12. Moyers TB, Martin T, Houck JM, et al. From in-session behaviors to drinking outcomes: a causal chain for motivational interviewing. Journal of Consulting and Clinical Psychology, 2009 ;77 :113–1124

    Article  Google Scholar 

  13. Miller WR, Benefield RG, Tonigan JS. Enhancing motivation for change in problem drinking: a controlled comparison of two therapist styles. Journal of Consulting and Clinical Psychology. 1993;61:455–461.

    Article  CAS  PubMed  Google Scholar 

  14. Martino S, Ball SA, Gallon SL, et al. Motivational interviewing assessment: supervisory tools for enhancing proficiency. Salem, OR: Northwest Frontier Addiction Technology Transfer Center, Oregon Health and Science University; 2006.

  15. Strang J, McCambridge J, Platts S, et al. Engaging the reluctant GP in care of the opiate misuser: pilot study of change-orientated reflective listening (CORL). Family Practice. 2004;21:150–154.

    Article  PubMed  Google Scholar 

  16. Hettema JE, Sorensen JL, Uy M, et al. Motivational enhancement therapy to increase resident physician engagement in substance abuse education. Substance Abuse. 2009;30:244–247.

    Article  PubMed Central  PubMed  Google Scholar 

  17. Ingersoll KS, Wagner CC, Gharib S. Motivational groups for community substance abuse programs. 2002. Available at: http://people.uncw.edu/ogler/MI%20Groups%20for%20Com%20SA%20Prog.pdf. Accessed October 31, 2012.

  18. Moyers TB, Martin T, Manuel JK, et al. Revised global scales: motivational interviewing treatment integrity 3.1.1 (MITI 3.1.1). 2010. Available at: http://casaa.unm.edu/download/MITI3_1.pdf Accessed October 31, 2012.

  19. Moyers TB, Martin T, Manuel JK, et al. Assessing competence in the use of motivational interviewing. Journal of Substance Abuse Treatment. 2005;28:19–26.

    Article  PubMed  Google Scholar 

  20. Miller WR, Moyers TB, Ernst D, et al. Manual for the Motivational Interviewing Skills Code (MISC), Version 2.1. 2008. Available at: http://casaa.unm.edu/download/misc.pdf Accessed October 31, 2012.

  21. Tollison SJ, Lee CM, Neighbors C, et al. Questions and reflections: The use of the motivational interviewing microskills in a peer-led brief alcohol intervention for college students. Behavior Therapy. 2007;39:183–194.

    Article  PubMed  Google Scholar 

  22. Moyers TB, Martin T. Therapist influence on client language during motivational interviewing sessions. Journal of Substance Abuse Treatment. 2006;30:245–251.

    Article  PubMed  Google Scholar 

  23. Shrout PE, Fleiss JL. Intraclass correlations: uses in assessing rater reliability. Psychological Bulletin. 1979;86:420–428.

    Article  CAS  PubMed  Google Scholar 

  24. Cicchetti DV, Sparrow SA. Developing criteria for establishing interrater reliability of specific items: Applications to assessment of adaptive behavior. American Journal of Mental Deficiency. 1981;2:127–137.

    Google Scholar 

  25. Cicchetti DV. Guidelines, criteria, and rules of thumb for evaluating normed and standardized assessment instruments in psychology. Special section: normative assessment. Psychological Assessment. 1994;6:284–290.

    Article  Google Scholar 

  26. Tammemagi M, Frank J, Streiner D. Negative values of the intraclass correlation coefficient are not theoretically possible: response. Journal of Clinical Epidemiology. 1996;49:1206.

    Article  Google Scholar 

  27. Randolph JJ. Free-marginal multirater kappa: an alternative to Fleiss' fixed-marginal multirater kappa. Paper presented at: The Joensuu University Learning and Instruction Symposium; October 14–15, 2005; Joensuu, Finland. (ERIC Document Reproduction Service No. ED490661.)

  28. Randolph JJ. Online kappa calculator. 2008. Available at: http://justus.randolph.name/kappa. Accessed October 31, 2012.

  29. Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics. 1977;33:159–174.

    Article  CAS  PubMed  Google Scholar 

  30. Bakeman R, Quera V, McArthur D, et al. Detecting sequential patterns and determining their reliability with fallible observers. Psychological Methods. 1997;2:357–370.

    Article  Google Scholar 

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Acknowledgments

Special thanks to Ali Hall and Robert Rhode for their work in developing and conducting the implementation Webinars and our SAMHSA Project Officer, Kevin Hennessy, Ph.D., for his thoughtful comments and feedback during the preparation of this manuscript. This study was supported by SAMHSA contract no. HHSS283200700040I/HHSS28342003T.

Conflicts of Interest

There are no conflicts of interest.

Disclaimers

This report was prepared under contract by MANILA Consulting Group, Inc., for SAMHSA. The content of this publication does not necessarily reflect the views or policies of SAMHSA or the US Department of Health and Human Services.

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Authors and Affiliations

  1. Department of Family and Community Medicine, University of New Mexico, NM 87131, USA

    Jennifer E. Hettema PhD

  2. Denise Ernst Training and Consultation, 8695 SW 80th Avenue, Portland, OR, 97223, USA

    Denise Ernst PhD

  3. University of Miami School of Nursing and Health Studies, P.O. Box 248153, Coral Gables, FL, 33124-3850, USA

    Jessica Roberts Williams PhD, MPH, RN

  4. MANILA Consulting Group, Inc., 1420 Beverly Road, Suite 220, McLean, VA, 22101, USA

    Jessica Roberts Williams PhD, MPH, RN & Kristin J. Miller MSW

Authors
  1. Jennifer E. Hettema PhD
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  2. Denise Ernst PhD
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  3. Jessica Roberts Williams PhD, MPH, RN
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  4. Kristin J. Miller MSW
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Corresponding author

Correspondence to Jennifer E. Hettema PhD.

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Hettema, J.E., Ernst, D., Williams, J.R. et al. Parallel Processes: Using Motivational Interviewing as an Implementation Coaching Strategy. J Behav Health Serv Res 41, 324–336 (2014). https://doi.org/10.1007/s11414-013-9381-8

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  • DOI: https://doi.org/10.1007/s11414-013-9381-8

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