ArticleAfrican journal of primary health care & family medicine2020
The psychometric properties of a tool to assess brief behaviour change counselling in South Africa.
Article in African journal of primary health care & family medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.
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Who cites it
6 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Systematic review of observational coding systems to assess patient-healthcare professional interactions.Patient education and counseling · 2025Pooled it
- Brief behaviour change counselling in the South African context.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2025Article
- Evaluation of ImpENSA technology-enabled behaviour change module delivered to healthcare professionals in South Africa to improve micronutrient nutrition during the first 1000 days.Maternal & child nutrition · 2024Article
- An approach to persons who are not willing to engage in behavioural change.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2024Review
- Electronic distance based clinical skills training development in family medicine in Namibia.African journal of primary health care & family medicine · 2024Article
- Undergraduate teaching in family medicine within the PRIMAFAMED network.African journal of primary health care & family medicine · 2024Article
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Authors and funding
3 authors.
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Abstract
backgroundPrimary 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.
aimTo evaluate the validity and reliability of a tool to assess BBCC.
settingPrimary care providers in Western Cape, South Africa.
methodsExploratory 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.
resultsChanges 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.
conclusionThe 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.
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