1. Validity of the EVEM scale in
assessing the integrity of
Motivational Interviewing delivered
in Primary Health Care settings
Manuel Campíñez, Jesús Manuel Novo, Juan Carlos Arboniés,
Josep Maria Bosch, Luis Ángel Pérula, Remedios Martín
Communication and Health Group of the Spanish Society of
Family Physicians (SEMFYC).

2. why?
. brief encounters
. nonverbal behavior
. several targets
. other medical demands…

3. how it started…

4. one year later…

5. face, content and consensus
validity
. 16 experts, 3 Delphi rounds
. 25 items, 0-2 Likert scale

7. six years later…

8. inter-rater reliability
Cohen’s Kappa Indexes
Very good (>0.8)
Good (0.61-0.8)
Moderate (0.4-
0.6)

9. Intraclass Correlation Coefficients
Very good (>0.9)
Good (0.71-0.9)
Moderate (0.51-
0.7)
global ICC was 0.967
inter-rater reliability

10. . Cronbach’s alpha was 0.967
internal consistency

11. factor analysis
. 2 dimensions explained 75.8% of the
variance found

12. . 14 items, 0-4 likert scale
refining of the scale

13. Intraclass Correlation Coefficients
Very good-
moderate
Acceptable
Low
what if we train somebody in its use?

14. . global ICC was 0.82 (0.72 - 0.96)
. internal consistency (alpha) was
0.917 to 0.979
what if we train somebody in its use?

15. . empathy, positioning, coherence
with positioning, open questions,
reflective listening, summaries,
affirmation, objectives, action
plan, avoinding discord, evocation,
collaboration, authonomy support
and compassion
what does it look like?

17. what’s different?
empathy,
avoiding
discord
positioning, coherence
with positioning,
reflective listening,
affirmation, objectives,
action plan, evocation,
collaboration,
authonomy support
compassion
open questions,
summaries,

18. thank you!!!

19. www.comunicacionysalud.es
llibreteria@gmail.com