Faculty of Medicine, Universitas Pelita Harapan, Jl. Jend. Sudirman No.20, Bencongan, Kelapa Dua, 15810, Tangerang, Banten, Indonesia.
Department of Child Health, Faculty of Medicine Universitas Indonesia - Cipto Mangunkusumo Hospital, Jl. Salemba Raya No.6 Jakarta Pusat, 10430, Jakarta, Indonesia.
BMC Health Serv Res. 2024 Feb 28;24(1):257. doi: 10.1186/s12913-024-10582-3.
Primary care provides an important context to engage adolescents and their families in healthy lifestyles with the goal of reducing future behaviour-related health problems. Developing a valid tool to assess health professionals' skills in behavioural change counselling is integral to improving the quality of clinical care provided to adolescents in Indonesia.
This work was nested within a project to develop a training program to enhance the behaviour-change counselling of adolescents and their parents by Indonesian primary care professionals. Initial item development was based on the content of the training module and the domain structure of the Behavioral Change Counselling Index (BECCI), a commonly used tool to assess counselling quality in healthcare settings. Expert panels were used to test content validity, while face validity was assessed by a group of trained psychologists. Inter-rater agreement was calculated prior to tests of construct validity and reliability, which involved psychologists rating 125 audio-taped counselling sessions between the health professional and adolescent patients, together with a parent.
An initial 13-item tool was developed using a 1-5 Likert scale. Validity and reliability testing resulted in the decision to use a 14-item tool with a 0-3 Likert scale. The scale was found to have a Cronbach's α coefficient of 0.839 (internal consistency), and there was strong inter-rater agreement (0.931).
The assessment tool known as the Adolescent Behavioural Change Counselling Assessment Tool, is a valid and reliable instrument to measure Indonesian health professionals' behavioural-change counselling skills with adolescent patients. The tool provides an evaluation framework for future interventions that aim to improve health professionals' skills in addressing adolescent behaviour-related health problems.
初级保健为青少年及其家庭参与健康生活方式提供了一个重要的环境，其目标是减少未来与行为相关的健康问题。开发一种有效的工具来评估卫生专业人员在行为改变咨询方面的技能，对于提高印度尼西亚向青少年提供临床护理的质量至关重要。
这项工作是嵌套在一个项目内进行的，该项目旨在开发一个培训计划，以提高印度尼西亚初级保健专业人员对青少年及其父母的行为改变咨询能力。初步项目开发基于培训模块的内容和行为改变咨询指数（BECCI）的领域结构，BECCI 是一种常用的评估医疗保健环境中咨询质量的工具。专家组用于测试内容有效性，而面部有效性则由一组经过培训的心理学家进行评估。在进行结构有效性和可靠性测试之前，计算了评分者间的一致性，这涉及心理学家对 125 个健康专业人员和青少年患者之间的音频咨询会话以及与家长的咨询会话进行评分。
使用 1-5 级李克特量表开发了一个初步的 13 项工具。有效性和可靠性测试的结果决定使用一个 14 项的工具，李克特量表的等级为 0-3。该量表的克朗巴赫 α 系数为 0.839（内部一致性），评分者间的一致性很强（0.931）。
称为青少年行为改变咨询评估工具的评估工具是一种有效的、可靠的工具，用于衡量印度尼西亚卫生专业人员与青少年患者进行行为改变咨询的技能。该工具为未来旨在提高卫生专业人员解决青少年行为相关健康问题技能的干预措施提供了评估框架。
