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