Division of Family Medicine and Primary Care, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town.
Afr J Prim Health Care Fam Med. 2020 Dec 22;12(1):e1-e9. doi: 10.4102/phcfm.v12i1.2540.
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.
To evaluate the validity and reliability of a tool to assess BBCC.
Primary care providers in Western Cape, South Africa.
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.
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.
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.
初级保健提供者应具备简短行为改变咨询（BBCC）的能力。南非开发了一种新的 BBCC 模式。需要工具来培训和研究，以评估 BBCC。
评估评估 BBCC 的工具的有效性和可靠性。
南非西开普省的初级保健提供者。
探索性顺序混合方法包括来自专家小组的初步定性反馈，以评估有效性，然后对内部一致性、组内和组间可靠性进行定量分析。六名评估员根据 123 个 BBCC 录音库中的 33 个随机录音评估了基线和 1 个月后的 33 个录音。
对现有工具的更改涉及项目更改、添加项目以及语法和布局更改。“简短行为改变咨询评估工具”（ABC 工具）具有良好的整体内部一致性（Cronbach 的 alpha 0.955）、组内评估者（随访时的组内相关系数[ICC]0.813）和组内评估者可靠性（Pearson 相关系数 0.899 和 p<0.001）。“协助”（ICC 0.784）和“安排”（ICC 0.704）阶段的子评分比“询问”（ICC 0.920）、“提醒”（ICC 0.925）和“评估”（ICC 0.931）阶段的子评分具有较低的组内评估者可靠性。
ABC 工具足够可靠，可以评估 BBCC。较小的修订可能会进一步提高工具的可靠性，特别是对于衡量协助和安排的子评分。ABC 工具可用于临床培训或研究，以评估对这种 BBCC 模式的保真度。
