Motivational Interviewing Treatment Integrity (MITI) code 4.2


Background

Derived from the MISC, the MITI is a one-pass behavioral coding system designed to measure treatment fidelity for motivational interviewing.  It can be used for clinician training or as a quality check in clinical trials.  The MITI is substantially shorter than the MISC and uses only one pass for a 20-minute segment of a therapy session. The brevity of this system necessarily excludes measurement of important process variables, such as client change talk, captured in the MISC and the SCOPE.  The MITI 4.2 is the most recently updated version of and the coding manual is available here.  The MITI 4.2 is also available in Spanish, Danish, Dutch, German, and Norwegian.  The MITI 2.0 is available in French and Swedish versions.  Previous versions can be found on the archive page.

Training materials

Sessions from the 2013 Motivational Interviewing; Helping People Change video series have been coded using the MITI 4.2.1. Video ordering information and download links for the coded and uncoded transcripts are given below.

The confirmed smoker             ordering information    uncoded transcript    coded transcript

Rounder MITI 4                         ordering information    uncoded transcript    coded transcript

My father also hit me                ordering information    uncoded transcript    coded transcript

 

Overuse of directing                ordering information    uncoded transcript    coded transcript

Overuse of following               ordering information    uncoded transcript    coded transcript

The suspicious smoker            ordering information    uncoded transcript    coded transcript

Living with diabetes                 ordering information    uncoded transcript    coded transcript

Orientation to a parenting class            ordering information    uncoded transcript    coded transcript


Because examples of low-quality MI are not widely available, we have created sessions using role-plays with simulated patients for training purposes.  Download links for the audio files and MITI-coded and uncoded transcripts are given below. Because examples of low-quality MI are not widely available, we have created sessions using role-plays with simulated patients for training purposes.  Download links for the audio files and MITI-coded and uncoded transcripts are given below. To download the audio files, right-click with your mouse and select "Save target as" or "Save link as".

Session 1    audio    uncoded transcript    coded transcript

Session 2     audio    uncoded transcript    coded transcript

Session 3     audio    uncoded transcript    coded transcript

Session 4     audio    uncoded transcript    coded transcript

Session 5     audio    uncoded transcript    coded transcript

 

Have you ever been a smoker audio      uncoded transcript     coded transcript

 

Hawaii every month                 audio      uncoded transcript     coded transcript

 

I guess I donít have a choice   audio      uncoded transcript     coded transcript

 

Maybe heíll take my kids         audio      uncoded transcript     coded transcript

 

Should I really be honest        audio      uncoded transcript     coded transcript

 

Emmyís first encounter            audio      uncoded transcript     coded transcript

 

Now I only wear yoga pants   audio      uncoded transcript     coded transcript

 


References

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.