Die deutsche Übersetzung des Motivational Interviewing Sequential Code for Observing Process Exchanges (MI-SCOPE;D)

Zusammenfassung

Für die Untersuchungen der Wirkungsweise von MI bedarf es reliabler Instrumente. Das MI-SCOPE ermöglicht die Kodierung transkribierter MI-Interaktionen. Die Interraterreliabilität liegt bei к=0,67. Ziel dieser Studie ist die Überprüfung der Reliabilität der deutschen Übersetzung des MI-SCOPE. Die Kodierung erfolgt im ersten Schritt (Gliedern) über die Identifizierung sprachlicher Äußerungen, denen im zweiten Schritte eine von 49 Kategorien MI-relevanten Verhaltens zugeordnet werden. Datengrundlage bildet eine Zufallsauswahl von jeweils 20% aus 78 Sitzungen mit jungen Müttern, die vor oder während der Schwangerschaft geraucht hatten. 3 Kodierer kategorisierten paarweise unabhängig voneinander die Gespräche. Die Übereinstimmungen beim Gliedern lagen zwischen к=0,813 und к=0,951 und unterschieden sich zwischen den 3 Kodiererkombinationen nicht (Kruskal-Wallis χ²=0,704, df=2, p=0,703). Die Übereinstimmungen beim Kodieren lagen zwischen к=0,590 und к=0,788 und unterschieden sich zwischen den 3 Kodiererkombinationen nicht (Kruskal-Wallis χ²=3,594, df=2, p=0,166). Mit dem MI-SCOPE;D liegt ein reliables Kodiersystem zur Untersuchung von MI-Interventionen vor.

Abstract

To investigate the effectiveness of MI, reliable instruments are necessary. The MI-SCOPE enables coding of transcripted MI-interactions. The interrater-reliability is estimated with к=0.67. Aim of this study is to check the reliability of the German translation of the MI-SCOPE. In a first step, transcripts are parsed into separate semantic utterances. Parses are then assigned to one of 49 MI-relevant categories. Databasis is a random sample of 20% each from 78 sessions with post partum mothers who smoked prior to or in pregnancy. 3 coders independently rated the transcripts. Agreements for parsing lay between к=0.813 and к=0.951 and did not differ between the 3 combinations of coders (Kruskal-Wallis χ²=0.704, df=2, p=0.703). Agreements for coding ranged between к=0.590 and к=0.788 and did not differ between the 3 combinations of coders (Kruskal-Wallis χ²=3.594, df=2, p=0.166). With the MI-SCOPE;D a reliable coding system to investigate MI-interventions is available.

Schlüsselwörter

Motivational Interviewing - Kodiersystem - Beobachtungsschema - Rauchen - Schwangerschaft

Key words

motivational interviewing - coding system - observing scheme - smoking - pregnancy

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