title: Review of the integrity of a Self Administered Motivational Instrument.
abstract: BACKGROUND
  Motivational interviewing (MI) was developed by Miller and Rollnick as an evidence-based counselling approach for use in supporting people with alcohol problems. Over the years the principles and spirit of MI have been reviewed and fine-tuned and the approach has been embraced by practitioners worldwide and across fields. Since 2001 a number of instruments have been designed to evaluate the fidelity of MI practice. For the purposes of this study, one such instrument is used to assess a self-administered motivational instrument, known as the SAMI, which takes the interviewer role.
  
  
  OBJECTIVE
  The SAMI is evaluated against the MITI 3.1.1, which is designed to assess the extent to which MI interventions perform on five global dimensions. These are evocation, collaboration, autonomy/support, direction and empathy.
  
  
  METHODS
  The SAMI was assembled based on the principles and spirit of MI, problem solving and goal-setting. The targeted behaviour changes were student learning styles and approaches to study.
  
  
  METHODS
  The SAMI was distributed, completed and submitted electronically via the university virtual learning environment.
  
  
  METHODS
  Thirty three mature students of a university which delivered online nursing programme were invited to complete the SAMI. Of these, 25 submitted completed transcripts.
  
  
  METHODS
  Transcripts of a sample of six completed SAMIs were assessed by a group of teachers and researchers with experience in the use and evaluation of MI, using five-point Likert scales to assess the SAMI on the five dimensions.
  
  
  RESULTS
  Overall, an average score exceeding 4.5 was attained across the five dimensions. Conventionally, such a score is recognised as competency in MI. However, on one dimension (empathy), the rating was three.
  
  
  CONCLUSIONS
  This current research confirms that global principles have been observed in the online delivery of MI using the SAMI to probe approaches to study.
authors.affiliation: University of the West of Scotland, University Avenue, Ayr KA8 0SX, United Kingdom. Electronic address: tim.duffy@uws.ac.uk.
authors.forename: Tim
authors.initials: T
authors.lastname: Duffy
authors.affiliation: University of the West of Scotland, Dudgeon House, Dumfries DG1 4ZN, United Kingdom.
authors.forename: Marie
authors.initials: M
authors.lastname: McCaig
authors.affiliation: University of the West of Scotland, University Avenue, Ayr KA8 0SX, United Kingdom.
authors.forename: Amanda
authors.initials: A
authors.lastname: McGrandles
authors.affiliation: School of Business, Enterprise and Management, Queen Margaret University, Edinburgh EH21 6UU, United Kingdom; Hotel and Tourism Management InstituteSörenberg 6174, Switzeralnd.
authors.forename: Russell
authors.initials: R
authors.lastname: Rimmer
authors.affiliation: University of the West of Scotland, University Avenue, Ayr KA8 0SX, United Kingdom.
authors.forename: Colin R
authors.initials: CR
authors.lastname: Martin
mesh_terms: D004506:Education, Nursing; D006801:Humans; D062405:Motivational Interviewing; D015403:Nursing Evaluation Research; D013338:Students, Nursing / Q000523:psychology*
keywords: Fidelity of motivational interviewing; Integrity of motivational interviewing; MITI 3.11; Motivational interviewing