Table 1 The domain structure of the BECCI* and ABC-CAT**
No | BECCI Assessment Item | BECCI Assessment Domain | ABC-CAT Assessment Domain |
|---|---|---|---|
1 | Practitioner invites the patient to talk about behaviour change | Opening session and permission seeking | Asks (1) how is she/he doing and (2) a brief history of any concern (1–3 questions) AND (3) explains how the session will be conducted |
2 | Practitioner demonstrates sensitivity to talking about other issues* | ||
3 | Practitioner encourages patient to talk about current behaviour or status quo | Why and how of behaviour change | Communication skills: Open-ended questions, affirmation, reflective listening, and use of summaries MI counselling stages: engaging, focusing, evoking Provides Information: elicit - provide– elicit |
4 | Practitioner encourages patient to talk about behaviour change | ||
5 | Practitioner asks questions to elicit how patient thinks and feels about the topic | ||
6 | Practitioner uses empathic listening statements when patient talks about the topic | ||
7 | Practitioner uses summaries to bring together what the patient says about the topic | ||
8 | Practitioner acknowledges challenges about behaviour change that the patient faces | The whole counselling | |
9 | When practitioner provides information, it is sensitive to patient concerns and understanding** | ||
10 | Practitioner actively conveys respect for patient choice about behaviour change | ||
11 | Practitioner and patient exchange ideas about how the patient could change current behaviour | Discussion about target | Planning |
12 | New domain: Adolescent and Parents Introduction: greets the adolescent and the parents, then introduces self | ||
13 | Provides private space for the adolescent and a confidentiality statement | ||
14 | Involves parents in counselling |