Promoting nurse interventionist fidelity to motivational interviewing in a diabetes self-care intervention
Research in Nursing & Health, 35(3), 289-300, June 2012
Mary Patricia Wall, Ph.D., R.N.
College of Nursing
P. El-Mallakh, D.O. Chlebowy, J.A. Myers, R.N. Cloud
We describe interventionist training procedures for a pilot intervention
study that tested the effects of a nurse-delivered Motivational
Interviewing (MI) intervention on diabetes self-care among adults
diagnosed with type 2 diabetes mellitus. It reports on findings from MI
fidelity assessments. Training consisted of didactic workshops plus
practicum. Fidelity of MI was assessed using the MI Treatment Integrity
(MITI) Scale. Fidelity assessments were conducted on 18 (25%) audiotaped
MI sessions, which were randomly selected from a total of 72 sessions
with 26 participants. Scores of the MITI were in the proficient and
competent range. Results suggest that training strategies were
sufficient to promote satisfactory interventionist fidelity to MI.