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Measuring antenatal counseling skill with a milestone-based assessment tool: a validation study.

Michelle J Bartlett1, Rachel Umoren2, Josephine H Amory2

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The Antenatal Counseling Milestones Scale (ACoMS) effectively assesses healthcare professionals' counseling skills for expected preterm delivery. This tool demonstrates good reliability and consistency, aiding in training and feedback.

Keywords:
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Area of Science:

  • Medical Education
  • Pediatric Training
  • Communication Skills Assessment

Background:

  • Antenatal counseling for expected preterm delivery is crucial for pediatric training.
  • Formal training in these skills is inconsistent among healthcare professionals.
  • A validated tool is needed to assess and provide feedback on these essential skills.

Purpose of the Study:

  • To evaluate the validity and reliability of the Antenatal Counseling Milestones Scale (ACoMS).
  • To assess the ACoMS's ability to measure observable antenatal counseling skills.
  • To determine if the ACoMS can differentiate between varying levels of professional expertise.

Main Methods:

  • Development of an anchored, milestone-based tool (ACoMS) by experts.
  • Simulation of counseling sessions with standardized patients for participants with diverse skill levels.
  • Independent scoring by two faculty observers using ACoMS, followed by participant self-assessment and feedback surveys.
  • Statistical analysis including weighted kappas, Kruskal-Wallis tests, and Cronbach's alpha to measure validity and reliability.

Main Results:

  • 15 out of 17 ACoMS items showed statistically significant scaling with training levels.
  • Fair to moderate inter-rater agreement was observed for most items.
  • High internal consistency was found across all items within the ACoMS rubric.

Conclusions:

  • The ACoMS demonstrates strong internal structure with good inter-rater reliability and high internal consistency.
  • Content validity is supported by the scale's ability to distinguish between different training levels.
  • Further application in clinical settings is recommended to confirm the ACoMS's utility in practice.