Is a motivational interviewing based lifestyle intervention for obese pregnant women across Europe implemented as planned? Process evaluation of the DALI study

Table 5 Fidelity rating on the MITI variables

Overall scores based on n conversations	#1 (n = 4)	#2^a (n = 3)	#3^a,c (n = 1)	#4^a (n = 4)	#5 (n = 3)	#6^a (n = 8)	#7 (n = 2)	#8 (n = 3)	OVERALL	Inter rater reliability scores^b
Global scores										KALPHA
Evocation (>3.5)	3.8	3.7	-	3.8	1.7	4.4	2.0	3.0	3.1	0.76
Collaboration (>3.5)	3.5	3.3	-	3.3	1.7	4.3	2.5	2.7	3.0	0.75
Autonomy / Support (>3.5)	4.3	4.0	-	3.8	2.3	4.0	3.5	3.0	3.5	0.52
Spirit (>3.5)	3.6	3.7	-	3.6	1.9	4.2	2.7	2.9	3.2	0.83
Direction (>3.5)	5.0	5.0	-	4.0	3.7	4.9	4.0	5.0	4.5	0.86
Empathy (>3.5)	3.3	3.7	-	4.0	2.7	4.5	2.0	3.0	3.3	0.86
Behavioural counts										ICC
GI	20.1	30.8	6.0	20.1	10.3	14.9	11.5	16.8	15.9	0.81
MIA	4.9	8.0	4.0	7.3	9.7	4.1	18.5	6.3	7.7	0.80
MINA	0.6	1.0	0.0	1.8	12.0	0.3	14.5	1.3	3.8	0.55
CQ	13.0	18.5	1.0	16.0	8.7	10.2	26.0	12.8	12.8	0.83
OQ	4.9	7.2	5.0	8.3	5.7	6.3	12.0	6.5	6.9	0.71
SR	6.3	13.5	8.0	6.4	2.3	10.1	19.5	7.3	9.0	0.48
CR	0.1	4.7	6.0	5.6	5.7	10.8	4.5	0.5	4.6	0.91
% Open Questions (>50%)	29	28	83	36	41	37	31	34	41	0.64
% Complex Reflections (>40%)	2	24	43	44	68	52	13	7	31	0.85
Reflections/Questions ratio (>1.0)	0.36	0.71	2.33	0.52	0.78	1.45	0.76	0.40	0.94	0.58
% MI Adherent (>90%)	87	90	100	81	52	95	49	85	81	0.46
Number of pilot participants	9	11	14	10	12	12	11	18	97
N recorded conversations/N total conversations	18/47	10/51	1/65	41/42	3/53	44/53	2/44	41/62

Bold values represent scores are above ‘beginning proficiency’ according to the MITI 3.1.1. Numbered columns refer to individual coaches
Abbreviations: GI giving information, MIA MI Adherent, MINA MI non Adherent, CQ closed question, OQ open question, SR simple reflection, CR complex reflection; ^aConsidered high in MI competence; ^bIntraclass reliability scores based on 20 out of the samples of Belgium, Ireland, Netherlands and UK (total of 5 coaches); ^cOnly one session was recorded on the behavioural counts

ISSN: 1471-2393