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Validity of the EVEM scale in
assessing the integrity of
Motivational Interviewing delivered
in Primary Health Care settings
Manuel Camp鱈単ez, Jes炭s Manuel Novo, Juan Carlos Arboni辿s,
Josep Maria Bosch, Luis ngel P辿rula, Remedios Mart鱈n
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 items, 0-2 Likert scale
Evem amsterdam
six years later
inter-rater reliability
Cohens 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 reliability
. Cronbachs alpha was 0.967
internal consistency
factor analysis
. 2 dimensions explained 75.8% of the
variance found
. 14 items, 0-4 likert scale
refining of the scale
Intraclass Correlation Coefficients
Very good-
moderate
Acceptable
Low
what if we train somebody in its use?
. global ICC was 0.82 (0.72 - 0.96)
. internal consistency (alpha) was
0.917 to 0.979
what if we train somebody in its use?
. empathy, positioning, coherence
with positioning, open questions,
reflective listening, summaries,
affirmation, objectives, action
plan, avoinding discord, evocation,
collaboration, authonomy support
and compassion
what does it look like?
Evem amsterdam
whats different?
empathy,
avoiding
discord
positioning, coherence
with positioning,
reflective listening,
affirmation, objectives,
action plan, evocation,
collaboration,
authonomy support
compassion
open questions,
summaries,
thank you!!!
www.comunicacionysalud.es
llibreteria@gmail.com

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Evem amsterdam