title: Development of a scale to measure practitioner adherence to a brief intervention in the emergency department.
abstract: Brief intervention (BI) can reduce harmful and hazardous drinking among emergency department patients. However, no psychometrically-validated instrument for evaluating the extent to which practitioners correctly implement BIs in clinical practice (e.g., adherence) exists. We developed and subsequently examined the psychometric properties of a scale that measures practitioner adherence to a BI, namely the Brief Negotiation Interview (BNI). Ratings of 342 audiotaped BIs in the emergency department demonstrated that the BNI Adherence Scale (BAS) has: (1) excellent internal consistency and discriminant validity; (2) good to excellent inter-rater reliability, and (3) good construct validity, with an eight-item, two-factor structure accounting for 62% of the variance, but (4) no predictive validity in this study. The BAS provides practitioners with a brief, objective method to evaluate their BNI skills and give feedback to them about their performance.
authors.affiliation: Department of Emergency Medicine, Yale University School of Medicine, New Haven, CT 06519, USA. michael.pantalon@yale.edu
authors.forename: Michael V
authors.initials: MV
authors.lastname: Pantalon
authors.forename: Steve
authors.initials: S
authors.lastname: Martino
authors.forename: James
authors.initials: J
authors.lastname: Dziura
authors.forename: Fang-Yong
authors.initials: FY
authors.lastname: Li
authors.forename: Patricia H
authors.initials: PH
authors.lastname: Owens
authors.forename: David A
authors.initials: DA
authors.lastname: Fiellin
authors.forename: Patrick G
authors.initials: PG
authors.lastname: O'Connor
authors.forename: Gail
authors.initials: G
authors.lastname: D'Onofrio
mesh_terms: D000328:Adult; D000428:Alcohol Drinking / Q000517:prevention & control*; D019973:Alcohol-Related Disorders / Q000517:prevention & control; D002983:Clinical Competence; D004636:Emergency Service, Hospital / Q000458:organization & administration*; D005500:Follow-Up Studies; D019983:Guideline Adherence; D006801:Humans; D007406:Interview, Psychological / Q000379:methods; D015588:Observer Variation; D017410:Practice Guidelines as Topic; D011594:Psychometrics; D011614:Psychotherapy, Brief / Q000379:methods*; D015203:Reproducibility of Results