Measures of fidelity in motivational enhancement: A systematic review

Received 25 October 2005; received in revised form 1 March 2006; accepted 22 March 2006.

Abstract

The movement to use empirically supported treatments has increased the need for researchers and clinical supervisors to evaluate therapists' adherence to and competence in particular empirically supported interventions. Motivational interviewing (MI) is an empirically supported intervention for substance abuse and other behavioral problems. However, for this intervention to work, it must be provided with fidelity and skill. This article provides a systematic review of MI adherence and competence measures that have been developed and described independently elsewhere. Recommendations for refinement of the measures and future research are also discussed.

Keywords: Treatment fidelity, Motivational interviewing, Training and supervision, Substance abuse treatment

a Department of Psychology, The University of Southern Mississippi, Hattiesburg, MS, USA

b The Center for Addiction and Behavioral Health Research, Marquette University, Milwaukee, WI, USA

Corresponding author. Department of Psychology, The University of Southern Mississippi, 118 College Drive No. 5025, Hattiesburg, MS 39406-5025, USA.

PII: S0740-5472(06)00089-4

doi:10.1016/j.jsat.2006.03.010

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