“…Additionally, 80% of the rated sessions fulfilled the benchmark for good MI on the relational summary score, 67% for the technical summary score, 76% of the rated sessions fulfilled benchmarks for the summary score of percent complex reflections, and 47% of rated session the reflection to question ratio. All in all, these indicate high levels of fidelity and are comparable to other studies with high levels of fidelity to MI (Boman et al, 2018;Freira et al, 2018;Magill, Graves, et al, 2018;Owens et al, 2017;Serrano et al, 2017) and substantially higher than studies with expected lower fidelity to MI (Copeland et al, 2018;Simper, Breckon, and Kilner, 2017). The ratings indicated use of MIA's, but the general low ratings of emphasize autonomy questions the use of this important MI-technique in this study.…”