Compare methods

	Motivational Interviewing Fidelity Coding	Evidence-Based Practice Process
Field	Social Work	Social Work
Family	Process / pipeline	Process / pipeline
Year of origin	2016	1996
Originator	Theresa B. Moyers, William R. Miller & colleagues (CASAA, University of New Mexico)	Evidence-based medicine tradition (Sackett et al.); translated to social work by Gambrill and others
Type	Observational coding system for rating fidelity to motivational interviewing	Structured process for integrating evidence, expertise, and client values in practice decisions
Seminal source	Moyers, T. B., Rowell, L. N., Manuel, J. K., Ernst, D., & Houck, J. M. (2016). The Motivational Interviewing Treatment Integrity Code (MITI 4): Rationale, preliminary reliability and validity. Journal of Substance Abuse Treatment, 65, 36–42.	Sackett, D. L., Rosenberg, W. M. C., Gray, J. A. M., Haynes, R. B., & Richardson, W. S. (1996). Evidence based medicine: What it is and what it isn't. BMJ, 312(7023), 71–72.
Aliases	MITI, Motivational Interviewing Treatment Integrity, MI Fidelity Coding, MI Treatment Integrity	EBP Process, Evidence-Based Practice (Process Model), Five-Step EBP Process, Evidence-Informed Practice Process
Related	4	4
Summary	Motivational interviewing fidelity coding measures how faithfully and skillfully a practitioner delivers motivational interviewing (MI), the collaborative, change-talk-oriented counseling style. The dominant system, the Motivational Interviewing Treatment Integrity (MITI) code developed by Theresa Moyers, William Miller, and colleagues, has trained raters listen to recorded sessions and produce global ratings of the clinician's MI spirit alongside counts of specific behaviors, which combine into summary indices benchmarked against competency thresholds — making it a worked example of practice-specific treatment fidelity.	The evidence-based practice (EBP) process is a structured, five-step way of making practice decisions by integrating the best available research evidence with professional expertise and the client's values and circumstances. Originating in evidence-based medicine as defined by Sackett and colleagues and translated into social work by Eileen Gambrill and others, it reframes EBP not as a fixed list of approved programs but as a transparent decision process — ask, acquire, appraise, apply, assess — that an individual practitioner carries out with and for a particular client.