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Development of a Tool to Assess Resident Physicians' Perceived Competence for Patient-Centered Obesity Counseling

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Title: Development of a Tool to Assess Resident Physicians' Perceived Competence for Patient-Centered Obesity Counseling
Language: English
Authors: Burton, Amy M., Brezausek, Carl M., Hendricks, Peter S., Agne, April A., Hankins, Shirley L., Cherrington, Andrea L.
Source: Journal of Education and Training Studies. Jul 2015 3(4):73-79.
Availability: Redfame Publishing Inc. 9450 SW Gemini Drive #99416, Beaverton, OR 97008. Tel: 503-828-0536 ext. 503; Fax: 503-828-0537; e-mail: jets@redfame.com; Web site: http://jets.redfame.com
Peer Reviewed: Y
Page Count: 7
Publication Date: 2015
Sponsoring Agency: National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) (NIH)
Contract Number: 1P60DK079626-01
Document Type: Journal Articles
Reports - Research
Education Level: Higher Education
Postsecondary Education
Descriptors: Test Construction, Graduate Students, Medical Students, Barriers, Physicians, Counseling, Obesity, Competence, Psychometrics, Factor Analysis, Correlation, Physician Patient Relationship, Statistical Analysis, Questionnaires, Self Efficacy, Test Validity
Geographic Terms: Alabama
ISSN: 2324-805X
Abstract: Physicians report a number of barriers to obesity counseling, among them low perceived competence in the ability to counsel. While there is increasing recognition of the need for resident training on counseling, implementation requires residency programs to have the necessary curricula and tools to evaluate training effectiveness. This study's objective was to describe the development and psychometric testing of the Perceived Competence for Obesity Counseling (PCOC) scale. Items were generated based on constructs from the 5A's counseling framework, review of the obesity literature, and expert opinion. The 20-item scale was piloted among 74 resident physicians. Exploratory factor analysis was conducted to identify the number and nature of factors in the scale. Pearson's correlation was used to assess scale validity of the total scores and sub-scale scores association with residents' overall confidence in counseling and outcome expectancy for obesity counseling. Analyses suggested a 3-factor solution. After the removal of cross loading items, eighteen items were retained; eleven items loaded on the first factor, four items on the second factor, and three on the third factor. Cronbach's alpha for the 18-item PCOC scale was 0.95 indicating internal consistency. The PCOC scale was significantly correlated with resident's overall confidence in counseling (r = 0.60, p < 0.01) and outcome expectancy for obesity counseling (r = 0.41, p < 0.01). This pilot study suggests PCOC holds promise as a valid and reliable measure of resident's perceived competence for obesity counseling. Future studies are needed to assess the scale's association with counseling skills.
Abstractor: As Provided
Number of References: 41
Entry Date: 2015
Accession Number: EJ1067259
Database: ERIC
FullText Text:
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  Data: Physicians report a number of barriers to obesity counseling, among them low perceived competence in the ability to counsel. While there is increasing recognition of the need for resident training on counseling, implementation requires residency programs to have the necessary curricula and tools to evaluate training effectiveness. This study&#39;s objective was to describe the development and psychometric testing of the Perceived Competence for Obesity Counseling (PCOC) scale. Items were generated based on constructs from the 5A&#39;s counseling framework, review of the obesity literature, and expert opinion. The 20-item scale was piloted among 74 resident physicians. Exploratory factor analysis was conducted to identify the number and nature of factors in the scale. Pearson&#39;s correlation was used to assess scale validity of the total scores and sub-scale scores association with residents&#39; overall confidence in counseling and outcome expectancy for obesity counseling. Analyses suggested a 3-factor solution. After the removal of cross loading items, eighteen items were retained; eleven items loaded on the first factor, four items on the second factor, and three on the third factor. Cronbach&#39;s alpha for the 18-item PCOC scale was 0.95 indicating internal consistency. The PCOC scale was significantly correlated with resident&#39;s overall confidence in counseling (r = 0.60, p &lt; 0.01) and outcome expectancy for obesity counseling (r = 0.41, p &lt; 0.01). This pilot study suggests PCOC holds promise as a valid and reliable measure of resident&#39;s perceived competence for obesity counseling. Future studies are needed to assess the scale&#39;s association with counseling skills.
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  Data: 2015
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  Data: EJ1067259
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RecordInfo BibRecord:
  BibEntity:
    Languages:
      – Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 7
        StartPage: 73
    Subjects:
      – SubjectFull: Test Construction
        Type: general
      – SubjectFull: Graduate Students
        Type: general
      – SubjectFull: Medical Students
        Type: general
      – SubjectFull: Barriers
        Type: general
      – SubjectFull: Physicians
        Type: general
      – SubjectFull: Counseling
        Type: general
      – SubjectFull: Obesity
        Type: general
      – SubjectFull: Competence
        Type: general
      – SubjectFull: Psychometrics
        Type: general
      – SubjectFull: Factor Analysis
        Type: general
      – SubjectFull: Correlation
        Type: general
      – SubjectFull: Physician Patient Relationship
        Type: general
      – SubjectFull: Statistical Analysis
        Type: general
      – SubjectFull: Questionnaires
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      – SubjectFull: Self Efficacy
        Type: general
      – SubjectFull: Test Validity
        Type: general
      – SubjectFull: Alabama
        Type: general
    Titles:
      – TitleFull: Development of a Tool to Assess Resident Physicians' Perceived Competence for Patient-Centered Obesity Counseling
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