TY - JOUR
T1 - Self-Determination Theory to observe healthcare professionals’ counselling in chronic care encounters
T2 - Development of the COUNSEL-CCE tool
AU - Duprez, Veerle
AU - Haerens, Leen
AU - Wuyts, Dorien
AU - Verhaeghe, Sofie
AU - van Zanten, Regina
AU - Massey, Emma K.
AU - Van Hecke, Ann
N1 - Funding Information:
Ghent University and Erasmus MC - Chiesi Pharmaceuticals BV.
Publisher Copyright:
© 2020 Elsevier B.V.
PY - 2021/7
Y1 - 2021/7
N2 - Objective: To develop and psychometrically evaluate an observation tool to rate healthcare professionals’ engagement in need-supportive and need-thwarting counselling in chronic care encounters. Methods: The observation tool was developed through three stages (January 2018 – June 2019). First, a set of items was developed according to essential components of need-supportive and need-thwarting counselling as identified in Self-Determination Theory. Second, content validation by five experts. Third, ecological validation using video-recorded real-life consultations. For the psychometric evaluation (June – October 2019), the tool was used by three observers to code 55 units of real-life encounters. Results: The Coding and Observing Need-Supportive Counselling in Chronic Care Encounters (COUNSEL-CCE) consists of 44 items clustered into nine theoretically underpinned behavioural approaches. Psychometric testing indicated acceptable to good consistency in scoring between observers and strong consistency within observers. Conclusion: The COUNSEL-CCE captures person-oriented alongside process-oriented aspects during chronic care encounters. A person-oriented approach expresses counselling that is responsive to individual preferences and needs, whereas a process-oriented approach indicates the necessity to support competency building within patients, and is more instrumental of nature. Practice implications: COUNSEL-CCE is a valuable observation tool to assess (graduate) healthcare professionals’ counselling style and address if, and how, counselling evolves as a result of professional training.
AB - Objective: To develop and psychometrically evaluate an observation tool to rate healthcare professionals’ engagement in need-supportive and need-thwarting counselling in chronic care encounters. Methods: The observation tool was developed through three stages (January 2018 – June 2019). First, a set of items was developed according to essential components of need-supportive and need-thwarting counselling as identified in Self-Determination Theory. Second, content validation by five experts. Third, ecological validation using video-recorded real-life consultations. For the psychometric evaluation (June – October 2019), the tool was used by three observers to code 55 units of real-life encounters. Results: The Coding and Observing Need-Supportive Counselling in Chronic Care Encounters (COUNSEL-CCE) consists of 44 items clustered into nine theoretically underpinned behavioural approaches. Psychometric testing indicated acceptable to good consistency in scoring between observers and strong consistency within observers. Conclusion: The COUNSEL-CCE captures person-oriented alongside process-oriented aspects during chronic care encounters. A person-oriented approach expresses counselling that is responsive to individual preferences and needs, whereas a process-oriented approach indicates the necessity to support competency building within patients, and is more instrumental of nature. Practice implications: COUNSEL-CCE is a valuable observation tool to assess (graduate) healthcare professionals’ counselling style and address if, and how, counselling evolves as a result of professional training.
UR - http://www.scopus.com/inward/record.url?scp=85097756148&partnerID=8YFLogxK
U2 - 10.1016/j.pec.2020.12.002
DO - 10.1016/j.pec.2020.12.002
M3 - Article
C2 - 33342579
AN - SCOPUS:85097756148
VL - 104
SP - 1773
EP - 1780
JO - Patient Education and Counseling
JF - Patient Education and Counseling
SN - 0738-3991
IS - 7
ER -