Assessment of motivational interviewing with the VASE-(Mental) Healthcare: Mixed-methods study to examine feasibility and validity in the general practice setting |
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| Affiliation: | 1. Geriatrics Research, Education and Clinical Center (GRECC), W.S. Middleton Memorial Veterans Hospital, Madison, WI, USA;2. University of Wisconsin School of Medicine and Public Health, Madison, WI, USA;3. School of Nursing, University of Wisconsin, Madison, WI, USA;4. Research Service, W.S. Middleton Memorial Veterans Hospital, Madison, WI, USA;5. Carver College of Medicine, University of Iowa, Iowa City, IA, USA;6. Health Services and Care Research Program, Department of Medicine, University of Wisconsin, Madison, WI, USA;1. US Department of Veterans Affairs Health Services Research and Development Center for Health Information and Communication, Roudebush VA Medical Center, Indianapolis, IN, USA;2. Regenstrief Institute, Indianapolis, IN, USA;3. Department of Communication Studies, Indiana University-Purdue University, Indianapolis, IN, USA;4. Department of Medicine, Indiana University School of Medicine, Indianapolis, IN, USA;5. Department of Biostatistics, Indiana University School of Medicine, Indianapolis, IN, USA;6. Department of Psychology, Indiana University-Purdue University, Indianapolis, IN, USA;1. Faculty of Nursing, School of Health Sciences, Univeresity of Iceland, Reykjavik, Iceland;2. Landspitali, the National University Hospital of Iceland, Reykjavik, Iceland;3. Department of Cardiology and Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden;4. Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden;5. Department of Medicine, Geriatrics and Emergency Care, Sahlgrenska University Hospital, Gothenburg, Sweden;6. Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden;7. Julius Center, University Medical Center, Utrecht, the Netherlands;1. Faculty of Health and Medical Sciences, University of Adelaide, Adelaide, South Australia, Australia;2. Stroke Research Programme, University of Adelaide School of Medicine, South Australian Health and Medical Research (SAHMRI), Adelaide, South Australia, Australia;3. Department of Neurology, Royal Adelaide Hospital, Adelaide, South Australia, Australia |
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| Abstract: | ObjectiveThe VASE-(M)HC is an instrument to evaluate Motivational Interviewing (MI) skills. We adjusted the previous version for use in the broader (mental) healthcare context, incorporated new MI insights, expanded the scoring system and created a parallel version. Feasibility and validity evidence in the general practice setting was explored.MethodsThe teaching staff of the GP specialty-training, GP-, and PN-trainees (N = 156) completed the VASE-(M)HC. In this mixed-methods study, we examined psychometric characteristics, compared parallel versions, and interviewed assessors.ResultsOur adjustments enable assessment of a wider range of MI skills, and allow differentiation of basic and advanced skills. Inter-rater reliability was excellent and internal consistency of the total scale was good for both versions. The parallel versions are comparable in terms of difficulty.ConclusionThe VASE-(M)HC is improved by our revisions and adds multiple advantages to the domain of available MI assessment tools.Practice implicationsDue to the adjustments, the instrument can be used in the GP setting (instead of sole focus on substance abuse). The parallel version is useful for research (pretest/posttest) and selective assessment (retake of a test). It is promising to further explore its applicability in the broader (mental) healthcare context and as training material. |
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| Keywords: | Motivational interviewing General practice Family medicine Process assessment Formative feedback General practitioners Practice nurses Mental healthcare |
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