Treatment Fidelity of a Nurse-Led Motivational Interviewing-Based Pre-Treatment in Pain Rehabilitation |
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| Authors: | Vera-Christina Mertens Lars Forsberg Jeanine A. Verbunt Rob E. J. M. Smeets Mariëlle E. J. B. Goossens |
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| Affiliation: | 1.Research Unit INSIDE, Institute for Health and Behaviour, University of Luxembourg,Esch-sur-Alzette,Luxemburg;2.Department of Rehabilitation Medicine,Maastricht University, School for Public Health and Primary Care (CAPHRI),Maastricht,The Netherlands;3.Department of Clinical Neuroscience,Karolinska Institute,Stockholm,Sweden;4.Adelante Centre of Expertise in Rehabilitation and Audiology,Hoensbroek,The Netherlands;5.Department of Rehabilitation Medicine,Maastricht University Medical Center (MUMC+),AZ Maastricht,The Netherlands;6.Faculty of Psychology and Neurosciences (FPN), Department of Clinical Psychological Sciences (CPS),Maastricht University,Maastricht,The Netherlands |
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| Abstract: | Treatment fidelity and proficiency of a nurse-led motivational interviewing (MI)-based pre-treatment and control condition was evaluated. A random sample was scored by means of the Motivational Interviewing Treatment Integrity (MITI) scale, and a second rater was in charge. MI fidelity was satisfactory for three out of five ratings. Most mean ratings were higher in the MI-based intervention, but differences were not statistically significant. The threshold for beginning MI proficiency was only exceeded for one score and one additional measure. In general, higher levels of fidelity in the intervention condition confirmed that MI was partially applied there. Although the quality of MI delivery as well as mixed inter-rater reliabilities of the fidelity scores leaves room for improvement, robust findings between the two raters were found. These results suggest the need for rigor selection of MI counselors on beforehand, and continuous supervision. Furthermore, fidelity check in studies using MI is needed. |
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