Table 4. Correlations Between Overall BECCI and MITI Scores Based on Simulated Patient Performance.

	MITI scoresa
	MI spirit	Empathy	% MI Adh	% OQ	% CR	R:Q
	r	r	r	rs	rs	rs
Overall BECCI scoreb	0.74*	0.70*	0.51*	0.56*	0.33*	0.60*

MITI: motivational interviewing treatment integrity; BECCI: behavior change counseling index; MI: motivational interviewing; Adh: adherent; OQ: open questions: CR: complex reflections: R:Q: reflection-to-question ratio. Spearman’s rho (r_s) was used to assess the correlation between BECCI and skewed MITI scores. ^aRated by an expert MITI coder using audio recording of the session. ^bRated by the simulated patient immediately following the role-play. *P < 0.05.