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Article

Fidelity of a Motivational Interviewing Intervention for Improving Return to Work for People with Musculoskeletal Disorders

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Research and Communication Unit for Musculoskeletal Health (FORMI), Division of Clinical Neuroscience, Oslo University Hospital, P.O. Box 4956, 0424 Oslo, Norway
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Department of Psychology, University of Oslo, P.O. Box 1094, 0317 Oslo, Norway
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Department of Psychology, Norwegian University of Science and Technology, P.O. Box 8900, 7491 Trondheim, Norway
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Research Institute, Modum Bad, P.O. Box 33, 3370 Vikersund, Norway
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Division of Mental Health & Addiction, Vestfold Hospital Trust, P.O. Box 2168, 3103 Tønsberg, Norway
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Department of Physiotherapy, Faculty of Health Science, Oslo Metropolitan University, P.O. Box 4, 0130 Oslo, Norway
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Nidelv Community Mental Health Centre, Department of Mental Health, Trondheim University Hospital, P.O. Box 3250, 7006 Trondheim, Norway
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Author to whom correspondence should be addressed.
Academic Editors: Denis A. Coelho and Tânia M. Lima
Int. J. Environ. Res. Public Health 2021, 18(19), 10324; https://doi.org/10.3390/ijerph181910324
Received: 31 August 2021 / Revised: 27 September 2021 / Accepted: 27 September 2021 / Published: 30 September 2021
The objective of this study was to conduct a fidelity evaluation of a motivational interviewing (MI) intervention delivered by social insurance caseworkers, in a three-arm randomized controlled trial (RCT) for improving return to work for people on sick leave with musculoskeletal disorders. The caseworkers received six days of MI training, including an intervention manual prior to the trial onset, as well as supervision throughout the trial. The caseworkers recorded 21 MI sessions at regular intervals during the trial. An independent MI analysis center scored the recordings using the MI treatment integrity code (MITI 4). In addition, three experienced MI trainers assessed the adherence to the MI intervention manual on a 1–4 Likert scale and MI competence. Total MITI 4 mean scores were at beginning proficiency levels for two components (global technical, mean 3.0; SD 0.6 and the reflections/questions ratio, mean 1.1; SD 0.2) and under beginning proficiency for two components (global relational, mean 3.2; SD 0.7 and complex question, mean 34.0; SD 21.2). The MI trainers’ assessment showed similar results. The mean adherence score for the MI sessions was 2.96 (SD 0.9). Despite delivering a thorough course and supervision package, most of the caseworkers did not reach proficiency levels of good MI competence during the study. The fidelity evaluation showed that a large amount of training, supervision and practice is needed for caseworkers to become competent MI providers. When planning to implement MI, it is important that thorough consideration is given regarding the resources and the time needed to train caseworkers to provide MI in a social insurance setting. View Full-Text
Keywords: fidelity; motivational interviewing; musculoskeletal disorder; sick leave fidelity; motivational interviewing; musculoskeletal disorder; sick leave
MDPI and ACS Style

Løchting, I.; Hagen, R.; Monsen, C.K.; Grotle, M.; Storheim, K.; Aanesen, F.; Øiestad, B.E.; Eik, H.; Bagøien, G. Fidelity of a Motivational Interviewing Intervention for Improving Return to Work for People with Musculoskeletal Disorders. Int. J. Environ. Res. Public Health 2021, 18, 10324. https://doi.org/10.3390/ijerph181910324

AMA Style

Løchting I, Hagen R, Monsen CK, Grotle M, Storheim K, Aanesen F, Øiestad BE, Eik H, Bagøien G. Fidelity of a Motivational Interviewing Intervention for Improving Return to Work for People with Musculoskeletal Disorders. International Journal of Environmental Research and Public Health. 2021; 18(19):10324. https://doi.org/10.3390/ijerph181910324

Chicago/Turabian Style

Løchting, Ida, Roger Hagen, Christine K. Monsen, Margreth Grotle, Kjersti Storheim, Fiona Aanesen, Britt E. Øiestad, Hedda Eik, and Gunnhild Bagøien. 2021. "Fidelity of a Motivational Interviewing Intervention for Improving Return to Work for People with Musculoskeletal Disorders" International Journal of Environmental Research and Public Health 18, no. 19: 10324. https://doi.org/10.3390/ijerph181910324

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