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To evaluate the psychometric properties of a tool used to assess a new model of brief behaviour change counselling in the South African context

Thesis (MMed)--Stellenbosch University, 2019.

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Main Author: Fouche, Jani
Other Authors: Mash, Bob
Format: Thesis
Language:en_ZA
Published: Stellenbosch : Stellenbosch University 2019
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access_status_str Open Access
author Fouche, Jani
author2 Mash, Bob
author_browse Fouche, Jani
Mash, Bob
author_facet Mash, Bob
Fouche, Jani
author_sort Fouche, Jani
collection Thesis
dc_rights_str_mv Stellenbosch University
description Thesis (MMed)--Stellenbosch University, 2019.
format Thesis
id oai:scholar.sun.ac.za:10019.1/106903
institution Stellenbosch University (South Africa)
language en_ZA
last_indexed 2026-06-10T12:46:22.874Z
license_str Other — see source repository
provenance_str_mv Harvested via OAI-PMH from SUNScholar — Stellenbosch University Repository
publishDate 2019
publishDateRange 2019
publishDateSort 2019
publisher Stellenbosch : Stellenbosch University
publisherStr Stellenbosch : Stellenbosch University
record_format dspace
source_str SUNScholar — Stellenbosch University Repository
spelling oai:scholar.sun.ac.za:10019.1/106903 To evaluate the psychometric properties of a tool used to assess a new model of brief behaviour change counselling in the South African context Fouche, Jani Mash, Bob Stellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Family and Emergency Medicine. Family Medicine and Primary Care. Behavior modification -- Methods -- Evaluation -- South Africa Short-term counselling -- Methods -- Evaluation -- South Africa UCTD Thesis (MMed)--Stellenbosch University, 2019. ENGLISH SUMMARY : Introduction: Brief behaviour change counselling (BBCC) in primary care can address many of the behavioural risk factors underlying the burden of disease such as unhealthy eating, physical inactivity, tobacco smoking and alcohol use. A new model combined the 5 As (Ask, Alert, Assess, Assist, Arrange) with a guiding style of communication. Training and evaluation of this new model requires a valid and reliable assessment tool. Aim: To evaluate the validity and reliability of a tool used to assess a new model of BBCC in the 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, as well as grammatical and layout changes. The ‘ABC tool’ had good overall internal consistency (Cronbach alpha 0.955), inter-rater (Intra-class correlation (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). Conclusion: The ABC tool is sufficiently reliable for the assessment of BBCC in clinical settings or research studies. Minor revisions may further improve the reliability of the tool, particularly for the sub-scores measuring Assist and Arrange. AFRIKAANSE OPSOMMING : Geen opsomming beskikbaar. Masters 2019-10-28T11:01:51Z 2019-12-11T06:38:17Z 2019-10-28T11:01:51Z 2019-12-11T06:38:17Z 2019-12 Thesis http://hdl.handle.net/10019.1/106903 en_ZA Stellenbosch University [21] pages ; illustrations, includes annexures application/pdf Stellenbosch : Stellenbosch University
spellingShingle Behavior modification -- Methods -- Evaluation -- South Africa
Short-term counselling -- Methods -- Evaluation -- South Africa
UCTD
Fouche, Jani
To evaluate the psychometric properties of a tool used to assess a new model of brief behaviour change counselling in the South African context
title To evaluate the psychometric properties of a tool used to assess a new model of brief behaviour change counselling in the South African context
title_full To evaluate the psychometric properties of a tool used to assess a new model of brief behaviour change counselling in the South African context
title_fullStr To evaluate the psychometric properties of a tool used to assess a new model of brief behaviour change counselling in the South African context
title_full_unstemmed To evaluate the psychometric properties of a tool used to assess a new model of brief behaviour change counselling in the South African context
title_short To evaluate the psychometric properties of a tool used to assess a new model of brief behaviour change counselling in the South African context
title_sort to evaluate the psychometric properties of a tool used to assess a new model of brief behaviour change counselling in the south african context
topic Behavior modification -- Methods -- Evaluation -- South Africa
Short-term counselling -- Methods -- Evaluation -- South Africa
UCTD
url http://hdl.handle.net/10019.1/106903
work_keys_str_mv AT fouchejani toevaluatethepsychometricpropertiesofatoolusedtoassessanewmodelofbriefbehaviourchangecounsellinginthesouthafricancontext