Motivational Interviewing Assessment: Supervisory Tools For Enhancing Proficiency
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11Motivational Interviewing Assessment: Supervisory Tools for Enhancing Proficiency
RATING ADHERENCE AND COMPETENCE
For all items, supervisors must distinguish between
clinician engages in the intervention) and
the clinician’s (1) Adherence: Frequency and
Extensiveness (i.e., the depth or detail with which
Extensiveness of using strategies, and (2)
the clinician covers any given intervention). These
Competence: Skill Level of implementing those
separate but related dimensions inform each
strategies. The specific system for coding the
rating interactively. In other words, the highest
interview for adherence and competence is
ratings involve clinician behaviors that are both
described below.
high on frequency and extensiveness, whereas
middle range scores may reflect behaviors that
were done less often or with less depth. All
1. Adherence: Frequency and
supervisors use the following definitions to make
Extensiveness
their final Frequency and Extensiveness ratings for
The adherence rating blends together both the
each item.
Frequency (i.e., the number of discrete times the
RATING OF:
1 = Not at all .............
The variable never explicitly occurred.
2 = A little .................
The variable occurred once and was not addressed in any depth.
3 = Infrequent...........
The variable occurred twice, but was not addressed in depth or
detail.
4 = Somewhat ..........
The variable occurred one time and in some detail OR the
variable occurred 3-4 times, but all interventions were very brief.
5 = Quite a bit...........
The variable occurred more than once in the session, and at least
once in some detail or depth OR the variable occurred 5-6 times,
but all interventions were very brief.
6 = Considerably .....
The variable occurred several times during the session and
almost always with relative depth and detail OR the variable
occurred more than 6 times, but all interventions were very brief.
7 = Extensively ........
The variable occurred many times almost to the point of
dominating the session and was addressed in elaborate depth and
detail OR the variable occurred briefly at such a high frequency
that it became difficult to count.
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