HIV Center for Clinical and Behavioral Studies, New York State Psychiatric Institute and Columbia University, New York, NY 10032, USA.
Patient Educ Couns. 2009 Aug;76(2):265-71. doi: 10.1016/j.pec.2008.12.024. Epub 2009 Feb 11.
To present preliminary evidence for the reliability and validity of the Dual Protection Counseling Checklist (DPCC), an instrument designed to evaluate nurses' fidelity to high quality dual protection counseling in a family planning setting.
During a trial comparing a dual protection (DP) nurse counseling intervention to standard of care (SOC), client-counselor sessions were audiotaped. Following good inter-rater reliability, 78 audiotaped interviews were coded from the two conditions using the DPCC. We constructed indices from a subset of codes to capture three domains: Promotion of DP (PDP), Relapse prevention counseling (RPC), and Quality of Nurse-Client Interaction (QNCI). The association between scores on these indices and client outcomes was evaluated using logistic regression.
The DPCC and indices were reliable. Construct validity of indices was supported by greater frequency of target behaviors by the DP nurse. Validity of the QNCI was further supported by its association with clients' sexual risk reduction 6 months post-counseling.
The DPCC and indices hold practical utility for evaluation, monitoring, and supervision of nurse-client counseling sessions.
The Dual Protection Counseling Checklist provides a user-friendly tool for assessing nurses' and other providers' counseling behaviors in dual protection.
介绍用于评估护士在计划生育环境中对高质量双重保护咨询的遵从性的双重保护咨询检查表（DPCC）的可靠性和有效性的初步证据。
在一项比较双重保护（DP）护士咨询干预与标准护理（SOC）的试验中，对客户-顾问会议进行了录音。在具有良好的评分者间可靠性后，使用 DPCC 对两种条件下的 78 个录音采访进行了编码。我们从一组子代码中构建了指标，以捕获三个领域：促进 DP（PDP）、复发预防咨询（RPC）和护士-客户互动质量（QNCI）。使用逻辑回归评估这些指标的得分与客户结果之间的关联。
DPCC 和指标是可靠的。DP 护士更频繁地进行目标行为支持了指标的结构有效性。QNCI 的有效性进一步得到了支持，因为它与客户咨询后 6 个月的性风险降低有关。
DPCC 和指标对评估、监测和监督护士-客户咨询会议具有实际效用。
双重保护咨询检查表为评估护士和其他提供者在双重保护中的咨询行为提供了一种用户友好的工具。
