Fidelity of Motivational Interviewing in School-Based Intervention and Research

Jason W. Small, Andy Frey, Jon Lee, John R. Seeley, Terrance M. Scott, Margaret H. Sibley

Research output: Contribution to journalArticlepeer-review

4 Scopus citations

Abstract

Educational researchers and school-based practitioners are increasingly infusing motivational interviewing (MI) into new and existing intervention protocols to provide support to students, parents, teachers, and school administrators. To date, however, the majority of the research in this area has focused on feasibility of implementation rather than fidelity of implementation. In this manuscript, we will present MI fidelity data from 245 audio-recorded conversations with 113 unique caregivers and 20 coaches, who implemented a school-based, positive parenting intervention. The aggregate fidelity scores across coaches, parents, and sessions provide evidence the training and support procedures were effective in assisting school-based personnel to implement MI with reasonable levels of fidelity in practice settings. Further, results suggest that MI fidelity varied between sessions and coaches and that within-coach variation (e.g., session-level variation in the quality of MI delivered) greatly exceeded between-coach variation. Implications for practice and future research are discussed.

Original languageEnglish (US)
Pages (from-to)712-721
Number of pages10
JournalPrevention Science
Volume22
Issue number6
DOIs
StatePublished - Aug 2021

Keywords

  • Intervention fidelity
  • MITI
  • Motivational interviewing
  • School-based
  • Treatment integrity, parent support

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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