Validity of the EVEM scale in assessing the integri ty of Motivat ional Interviewing del ivered in Primary Health Care sett ings

Manuel Campíñez, Jesús Manuel Novo, Juan Carlos Arboniés, Josep Maria Bosch, Luis Ángel Pérula, Remedios Martín

Communication and Health Group of the Spanish Society of Family Physicians (SEMFYC).

why?

. brief encounters

. nonverbal behavior

. several targets

. other medical demands…

how it started…

one year later…

face, content and consensus validity

. 16 experts, 3 Delphi rounds

. 25 i tems, 0-2 Likert scale

six years later…

inter-rater rel iabi l i ty

Cohen’s Kappa Indexes

Very good (>0.8)Good (0.61-0.8)Moderate (0.4-0.6)

Intraclass Correlation Coefficients

Very good (>0.9)Good (0.71-0.9)Moderate (0.51-0.7)

global ICC was 0.967

inter-rater rel iabi l i ty

. Cronbach’s alpha was 0.967

internal consistency

factor analysis

. 2 d imensions exp la ined 75.8% of the var iance f ound

. 14 i tems , 0-4 l ikert scale

refining of the scale

Intraclass Correlation Coefficients

Very good- moderateAcceptableLow

what i f we train somebody in i ts use?

. g lobal ICC was 0.82 (0 .72 - 0.96)

. in ternal consis tency (alpha) was 0.917 to 0 .979

what i f we train somebody in i ts use?

. empathy, posit ioning, coherence with posit ioning, open quest ions, ref lect ive l istening, summaries, aff i rmation, object ives, act ion plan, avoinding discord, evocation, col laborat ion, authonomy support and compassion

what does i t look like?

what’s different?

empathy,

avoiding discord

posi t ion ing, coherence with

pos i t ion ing, ref lect ive l i s tening,

a f f i rmat ion, object ives, act ion p lan, evocat ion ,

co l laborat ion, authonomy support

compass ion

open quest ions ,

summaries,

thank you!!!

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