The psychometric properties of a tool to assess brief behaviour change counselling in South Africa

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dc.contributor.authorFouche, Janien_ZA
dc.contributor.authorMash, Roberten_ZA
dc.contributor.authorMalan, Zelraen_ZA
dc.date.accessioned2022-03-24T09:04:00Z
dc.date.available2022-03-24T09:04:00Z
dc.date.issued2020-12
dc.descriptionCITATION:Fouche J, Mash R, Malan Z. The psychometric properties of a tool to assess brief behaviour change counselling in South Africa. Afr J Prm Health Care Fam Med. 2020;12(1), a2540. https://doi.org/10.4102/phcfm. v12i1.2540
dc.descriptionThe original publication is available at http://www.phcfm.org
dc.description.abstractBackground: Primary care providers should be competent in brief behaviour change counselling (BBCC). A new model of BBCC was developed in South Africa. Tools are needed for training and research to evaluate BBCC. Aim: To evaluate the validity and reliability of a tool to assess BBCC. Setting: Primary care providers in Western Cape, South Africa. Methods: Exploratory sequential mixed methods included initial qualitative feedback from an expert panel to assess validity, followed by quantitative analysis of internal consistency, inter- and intra-rater reliability. Six raters assessed 33 randomly selected audiotapes from a repository of 123 tapes of BBCC at baseline and 1 month later. Results: Changes to the existing tool involved item changes, added items and grammatical as well as layout changes. The 'Assessment of Brief Behavioural Change Counselling' tool (ABC tool) had good overall internal consistency (Cronbach's alpha 0.955), inter-rater (intra-class correlation coefficient [ICC] 0.813 at follow-up) and intra-rater reliability (Pearson's correlation 0.899 and p 0.001). Sub-scores for the Assist (ICC 0.784) and Arrange (ICC 0.704) stages had lower inter-rater reliability than the sub-scores for Ask (ICC 0.920), Alert (ICC 0.925) and Assess (ICC 0.931) stages. Conclusion: The ABC tool is sufficiently reliable for the assessment of BBCC. Minor revisions may further improve the reliability of the tool, particularly for the sub-scores measuring Assist and Arrange. The ABC tool can be used in clinical training or research studies to assess fidelity to this model of BBCC.en_ZA
dc.format.extent9 pages
dc.identifier.citationFouche J, Mash R, Malan Z. The psychometric properties of a tool to assess brief behaviour change counselling in South Africa. Afr J Prm Health Care Fam Med. 2020;12(1), a2540. https://doi.org/10.4102/phcfm. v12i1.2540
dc.identifier.issn(Online) 2071-2936
dc.identifier.issn(Print) 2071-2928
dc.identifier.otherdoi.org/10.4102/phcfm. v12i1.2540
dc.identifier.urihttp://hdl.handle.net/10019.1/124357
dc.language.isoen_ZAen_ZA
dc.publisherAOSIS
dc.publisherAuthors retain copyright
dc.subjectdirective counsellingen_ZA
dc.subjecteducational assessmenten_ZA
dc.subjectlifestyle risk reductionen_ZA
dc.subjectprimary health careen_ZA
dc.titleThe psychometric properties of a tool to assess brief behaviour change counselling in South Africaen_ZA
dc.typeArticleen_ZA
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