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The Motivational Interviewing Treatment Integrity Code (MITI 4): Rationale, Preliminary Reliability and Validity.

Theresa B Moyers1, Lauren N Rowell1, Jennifer K Manuel2

  • 1Department of Psychology, University of New Mexico, Albuquerque, NM 87131, USA.

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Summary

The revised Motivational Interviewing Treatment Integrity (MITI) code 4.0 offers a reliable method for assessing motivational interviewing (MI) skills. This updated version enhances the evaluation of core MI principles and practices in clinical settings.

Keywords:
MITI 4Motivational interviewingReliabilitySupervisionTreatment fidelityTreatment integrity

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Area of Science:

  • Psychology
  • Behavioral Science
  • Clinical Psychology

Background:

  • Motivational Interviewing (MI) is an evidence-based approach to behavior change.
  • The Motivational Interviewing Treatment Integrity (MITI) code is crucial for assessing MI fidelity.
  • Previous versions of the MITI code required updates to reflect new MI evidence.

Purpose of the Study:

  • To introduce and evaluate the revised Motivational Interviewing Treatment Integrity code version 4.0 (MITI 4.0).
  • To assess the reliability of the MITI 4.0 in evaluating MI treatment integrity.
  • To incorporate new evidence-based elements into MI assessment.

Main Methods:

  • Four undergraduate raters were trained on the MITI 4.0.
  • Raters evaluated 50 audiotapes of MI treatment sessions.
  • Inter-rater reliability was assessed using kappa and intraclass correlation coefficients.

Main Results:

  • MITI 4.0 demonstrated good to excellent inter-rater reliability for most items.
  • Reliability was highest with larger sample sizes and more raters.
  • Specific items like Emphasize Autonomy showed lower reliability.

Conclusions:

  • The MITI 4.0 is a reliable tool for assessing both technical and relational aspects of MI.
  • The revised code enhances the evaluation of MI fidelity.
  • Findings have implications for MI research and clinical practice.