title: Fidelity of Motivational Interviewing in an Early Childhood Caries Intervention Involving Indigenous Australian Mothers.
abstract: This paper assessed the fidelity of an early childhood caries MI intervention among Aboriginal mothers in South Australia.
  
  
  
  Four MI-trained staff delivered the intervention and all interviews were recorded. A randomly selected subset (n = 164, 41.2%) were tested for MI fidelity using the Motivational Interviewing Treatment Integrity (MITI) code 3.1.1. A further randomly selected 20 taped sessions were additionally scored by an external expert to assess external reliability.
  
  
  
  Mean scores for evocation, collaboration, autonomy/support, direction and empathy ranged from 3.5 (95% CI 3.4-3.7) to 4.1 (95% CI 4.0-4.2). The mean global score was 3.8 (95% 3.7-3.9). The Reflection:Question ratio was 0.9 (95% CI 0.8-1.0), % Open-ended Questions was 54.9 (95% CI 50.0-59.8), % Complex Reflections was 54.0 (95% CI 50.5-57.5) and % MI-adherent statements was 95.0 (95% CI 92.0-98.0). Inter-assessor reliability was high.
  
  
  
  Beginner to expert competency in fidelity to the MI model was observed.
authors.forename: Lisa
authors.initials: L
authors.lastname: Jamieson
authors.forename: Julia
authors.initials: J
authors.lastname: Bradshaw
authors.forename: Herenia
authors.initials: H
authors.lastname: Lawrence
authors.forename: John
authors.initials: J
authors.lastname: Broughton
authors.forename: Kamilla
authors.initials: K
authors.lastname: Venner
mesh_terms: D001315:Australia; D002648:Child; D002675:Child, Preschool; D003731:Dental Caries / Q000517:prevention & control*; D005260:Female; D006801:Humans; D009035:Mothers; D062405:Motivational Interviewing; D015203:Reproducibility of Results; D013021:South Australia