Helping MI Practitioners Grow in Fidelity & Proficiency with Coding
How do we know it’s really good MI?
For Motivational Interviewing enthusiasts (practitioners, researchers, trainers, etc.) who wish to learn how helping professionals’ efforts can be evaluated for fidelity to the relational and technical skills of MI, we provide highly interactive and rigorous training in the Motivational Interviewing Treatment Integrity Coding Manual 4.2.1 ("the MITI”). We also model and practice providing helpful and MI-consistent coding feedback and discuss ways new coders can grow in coding proficiency and reliability.
MI coding is a bit like learning an instrument or a new sport. It can feel complicated and clunky at first, but with practice and time, it begins to “flow.” Also like playing an instrument, practicing with others is helpful to reduce drift from the “tune” of MI fidelity. This is why we invite MITI coders to join our coding Community of Practice, a monthly online meeting gathering we call an “MI Coding Lab” during which we practice coding, evaluate inter-rater reliability, and consult on MI fidelity coding and coaching implementation across settings.
If you are interested in receiving MI fidelity coding for growing your own skills, please see our Coaching services.
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The Motivational Interviewing Treatment Integrity Coding Manual 4.2.1 (Moyers, Manuel, & Ernst, 2014) or “the MITI” is a gold-standard in fidelity methods for MI.
MITI is a one-pass behavioral coding system designed to measure treatment fidelity for Motivational Interviewing. A trained coder listens to a 20-minute segment of a helper’s session and assesses utilization of specific MI skills and relational processes to check for fidelity and proficiency in the application of the technique.
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If you have have completed foundational MI training and now wish to explore how coding can help increase learners’ proficiency and application of MI, we invite you to attend a Motivational Interviewing Treatment Integrity 4.2.1 (“the MITI”) Coding Training workshop with us. This interactive and intensive 16-hour training focuses on the skills to listen to MI recordings and carefully identify MI-consistent skills and MI-inconsistent behaviors and to rate global relational and technical skills. This training also includes guidance and practice for providing coding feedback and 1:1 coaching sessions with MI learners as well as growing a culture of coding, feedback, and proficiency in organizations.
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If you have completed MITI 4.2.1 coding training, you’re invited to join our monthly “MI Coding Lab”! We practice coding including recordings provided by members of the lab, evaluate our inter-rater reliability, discuss coding and coaching skills, and offer consultation on growing a community and culture of MI learning and excellence within practices and organizations of all sizes. MI enthusiasts who have completed MITI 4.2.1 coding training are invited to join our monthly MITI coding Community of Practice during which we practice coding, evaluate inter-rater reliability, discuss coding and coaching skills, and offer consultation on growing a community and culture of MI learning and proficiency in organizations. Basically, we geek out over MI together!
We meet on the first Wednesday of the month at 12:00pm ET / 11:00am CT / 9:00am PT. Register here!
Upon registration and payment confirmation, you will receive an email confirmation with a calendar invitation and Zoom link for the next meeting.
MI Fidelity Research & Articles
(more available in our Resources center)
Beckman, M., Lindqvist, H., Öhman, L., Forsberg, L., Lundgren, T., & Ghaderi, A. (2022). Correspondence between practitioners’ self-assessment and independent motivational interviewing treatment integrity ratings. Frontiers in Psychology, 13, Article 890579. https://doi.org/10.3389/fpsyg.2022.890579
Frey, J. J., Navarro, M. A., Kettle, C. M., & Collins, D. A. J. (2020). Mechanisms of motivational interviewing: A conceptual framework to guide practice and research. Patient Education and Counseling, 103(4), 699–705. https://doi.org/10.1016/j.pec.2019.10.027
Hurlocker, M. C., Madson, M. B., & Schumacher, J. A. (2020). Motivational interviewing quality assurance: A systematic review of assessment tools across research contexts. Clinical Psychology Review, 82, 101909. https://doi.org/10.1016/j.cpr.2020.101909
Moyers, T. B., Martin, T., Manuel, J. K., Hendrickson, S. M. L., & Miller, W. R. (2005). Assessing competence in the use of motivational interviewing. Journal of Substance Abuse Treatment, 28(1), 19–26. https://doi.org/10.1016/j.jsat.2004.11.001
Moyers, T.B., Rowell, L.N., Manuel, J.K., Ernst, D., & Houck, J.M. (2016). The Motivational Interviewing Treatment Integrity Code (MITI 4): Rationale, Preliminary Reliability and Validity. Journal of Substance Abuse Treatment, 65, 36-42. doi: 10.1016/j.jsat.2016.01.001