Differences in the delivery of motivational interviewing across three countries

Lotte Kramer Schmidt*, Kjeld Andersen, Anette Søgaard Nielsen

*Corresponding author for this work

Research output: Contribution to journalJournal articleResearchpeer-review

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We do not know if the delivery of Motivational Interviewing (MI) differs across countries. In an international study targeting Elderly people with Alcohol Use Disorder, The Elderly Study, MI was part of the treatment applied. Treatment delivery was measured by means of the Motivational Interviewing Treatment Integrity code version 4 (MITI 4). Mixed effects models explored potential differences in delivery of MI between the countries. Delivery of MI differed significantly between participating countries: Denmark, Germany and the US. These findings are important to consider when comparing measures of MI integrity across studies from different cultures.

Original languageEnglish
JournalJournal of Ethnicity in Substance Abuse
Issue number3
Pages (from-to)823-844
Publication statusPublished - 10. Oct 2022


  • alcohol use disorder
  • elderly
  • Motivational interviewing
  • multisite
  • treatment integrity


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