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. Author manuscript; available in PMC: 2013 Nov 21.
Published in final edited form as: Patient Educ Couns. 2010 Nov 30;84(1):10.1016/j.pec.2010.10.029. doi: 10.1016/j.pec.2010.10.029

Table 2.

Standardized patient motivational interviewing performance rating scale items

  1. Did the student use open-ended questions?

  2. Did the student use reflections?

  3. Did the student affirm your efforts to change?

  4. Did the student respond empathically to your emotions?

  5. Did the student avoid using unsolicited advice, direct confrontation, or authority?

  6. Did the student use the ruler technique to assess how important changing is for you?

  7. Did the student use the ruler technique to assess your confidence in being able to change?

  8. Did the student collaboratively discuss with you a specific plan for making a change?

Note: Each item is rated on a 5-point scale with 1 = did not demonstrate the skill, 2 = made a poor attempt at the skill, 3 = perform the skill without any strategy for eliciting motivation for change, 4 = performed the skill at least once involving strategy for eliciting motivation for change, 5 = performed the item 2 or more times involving strategy for eliciting motivation for change. Ratings for item 5 are reverse scored and only based on frequency (e.g., 1 = occurred > 3 times, to 5 = never occurred).