1

Figure 2.B-MITaped Interview Scoring Sheet, Part 1: Intervention Content (electronic supplemental material)

CRITERIA

/ YES / NO

Engagement (2 points each) Maximum score = 4

  • ask permission to talk confidentially about sexual practices, condom use etc.
  • ask enrollee about a typical day in his/her life
/ 
 / 

Feedback: Review of: (3 points each) Maximum score = 12

  • TLFB calendar
  • Review any history of STIs –refer back to calendar
  • Reflect reason for ED visit – “What brought you in today?”
  • Explore enrollee’s knowledge of their own HIV/STI risk (ie: is there any connection between their sexual health (condom use) and their drug use?
/ 


 / 



Explore positive and negative things about NOT using condoms, sex while high, and transactional sex (3 points each) Maximum score = 15

  • elicit likes and dislikes about condom use (ask about last condom use)
  • elicit what they like about sex when high and like less about it
  • elicit what they like about transactional sex and like less about it
  • add information from TLFB, Assessment and IDU questionnaire
  • sum up and restate each subject discussed in patient’s own words
/ 



 / 




Readiness to make changes (4 points each) – Elicit reasons Maximum score = 12

  • use readiness to change ruler “How ready are you to make any changes in your lifestyle?” Start general, get more specific about sexual health and drug use
  • decision to change, ask why not less? Follow-up with ‘anything else’?
  • use readiness questions to develop prescription for change. (It seems there are some things you’d like to change. What changes are you interested in making?)
/ 

 / 


Assess previous changes/successes (2 points each) Maximumscore = 6

  • elicit previous changes and personal strengths
  • Sources of resilience:
  • What they did they do, who helped them? (Community resources that helped)
/ 

 / 


Explore pros & cons of change (3 points each) Maximum score = 15
  • review benefits of changing and discuss potential problems
  • envision future (discrepancies between what they desire and current practices) (Ex: If you were to make some of the changes you mentioned today, how would life be for you in the future)
  • sum up/restate in patients own words
  • challenges
  • strategies to overcome challenges
/ 



 / 




Negotiate options/action plan (4 points each) Maximum score = 20

Generate menu and define plan:
  • what would work now
  • who could help
  • which steps could be accomplished
  • develop action steps
  • how, referrals
/ 



 / 




Prescriptions (4 points each) Maximum score = 16

  • review prescription of change
  • review and give referrals/resources and provide condoms
  • negotiate referral to treatment when appropriate use RTC scores from Form A
  • personally introduce participant to Project ASSERT staff
/ 


 / 



Part I: Maximum score = 100 points

Passing score 80% Score

Figure 3.B-MITaped Interview Scoring Sheet, Part 2: General performance Feedback (electronic supplemental material)

  • language inappropriate appropriate

0 1 2 3 4 5

  • reflective listening not at all frequently

0 1 2 3 4 5

  • % of talking by patient compared to Peer Educator:

0 20% 40% 60% 80% 100%

  • respect disrespectful respectful

0 1 2 3 4 5

  • negotiation manipulating negotiating

0 1 2 3 4 5

  • ‘voice and a choice’ dictating change self-change

0 1 2 3 4 5

  • knowledge of facts low high

0 1 2 3 4 5

  • knowledge of resources low high

0 1 2 3 4 5

  • allowing for silence and duration of pauses before jumping in

no pause uses silence effectively

0 1 2 3 4 5

  • listening for cues misses opportunities goes deeper

0 1 2 3 4 5

Part II Scoring:

4=1; 5=2

Maximum score=20; Passing grade =10