Table 2 Motivational Interviewing Treatment Integrity 3.1.1 score explanation and threshold [27]
| Â | Explanation | Threshold |
|---|---|---|
Global score | ||
 Evocation | the extent to which the practitioner conveys an understanding that motivation for change and the ability to move toward that change, reside mostly within the client and therefore focuses efforts to elicit and expand it within the therapeutic interaction | 3.5 |
 Collaboration | the extent to which the practitioner behaves as if the interview is occurring between two equal partners, both of whom have knowledge that might be useful in the problem under consideration | 3.5 |
 Autonomy/Support | the extent to which the practitioner supports and actively fosters client perception of choice as opposed to attempting to control the client’s behaviour or choices | 3.5 |
 Direction | the degree to which a practitioner maintain appropriate focus on a specific target behaviour or concerns directly tied to it | 3.5 |
 Empathy | the extent to which the practitioner understands or makes an effort to grasp the client’s perspective and feelings | 3.5 |
 Spirit | Average of the Evocation, Collaboration, Autonomy/support dimensions | 3.5 |
Behavioural count | ||
 Reflection: Questions | dividing the total amount of reflections by the total amount of questions | 1:1 |
 % Open Questions | dividing the amount of open questions by the total amount of closed and open questions | 50% |
 % Complex Reflections | dividing the amount of complex reflections by the total amount of simple and complex reflections | 40% |
 % MI Adherent | dividing the amount of MI-adherent statements by the total amount of MI adherent and MI non adherent statements combined | 90% |