Development of motivational interviewing skills in immunization (MISI): a questionnaire to assess MI learning, knowledge and skills for vaccination promotion

Hum Vaccin Immunother. 2019;15(10):2446-2452. doi: 10.1080/21645515.2019.1586030. Epub 2019 Jun 5.

Abstract

Objective: Vaccine hesitancy is a complex problem. We previously demonstrated that motivational interviewing (MI) could be helpful to enhance parents' motivation to vaccinate their child. The aim of this study is to develop a new, simple and robust evaluation tool that is suitable for evaluating MI learning of vaccination health professionals. Methods: We designed the Motivational Interviewing Skills in Immunization (MISI), a short written questionnaire to evaluate the MI knowledge and skills of participants in an immunization context. It covers three key areas: knowledge of MI, ability to apply MI-related skills, participant self-confidence in using MI. Questionnaire content and face validity were assessed by MI experts and internal consistency, reliability and effect size were analyzed using a multiple pretest-posttest design. Results: Psychometric measures showed good to excellent internal consistency of the questionnaire for all three areas (Cronbach's and KR coefficient: 0.70 to 0.88). Test-retest reliability showed good measurement stability (ICC: 0.53). Good sensitivity to change was also obtained (Cohen's d: 0.80 to 1.66). Conclusion: The MISI questionnaire is the first paper/pencil evaluation method to assess MI training specific to immunization. Psychometric measures showed high reliability. Practice implications: This questionnaire could provide a convenient and inexpensive method to evaluate knowledge and competencies following immunization-specific MI training.

Keywords: Motivational interviewing; questionnaire; vaccination promotion; validation.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Cohort Studies
  • Health Personnel / psychology
  • Health Promotion
  • Humans
  • Immunization / methods
  • Immunization / psychology*
  • Immunization Programs*
  • Motivational Interviewing / methods*
  • Parents / psychology
  • Professional Competence*
  • Psychometrics
  • Reproducibility of Results
  • Surveys and Questionnaires
  • Treatment Refusal

Grants and funding

This study was funded by the Eastern Townships Public Health Department. The authors have no financial relationship relevant to this article to disclose. The funding source has no involvement in the study design, collection, analysis and interpretation of data, writing, or the decision to submit this manuscript for publication.