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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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