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Exploring item comprehension and evaluation in the SELC scale: a qualitative pre-testing study.
Marie Rask1, Sara Alenius1, Lina Behm1
1The Research Groups: PRO-CARE, FOHRK and FPHIS, Department of Nursing and Integrated Health Sciences, Faculty of Health Sciences, Kristianstad University, Kristianstad, Sweden.
Scandinavian Journal of Primary Health Care
|April 27, 2026
Summary
Qualitative pre-testing interviews refined the Self-Efficacy in Lifestyle Counselling (SELC) scale. Revisions improved clarity and relevance for healthcare professionals, enhancing its potential use in educational settings.
Area of Science:
- Healthcare Professional Development
- Psychometric Evaluation
- Health Behavior Change
Background:
- Individual lifestyle counselling effectiveness is often limited and context-dependent.
- A person-centered approach is crucial, emphasizing motivation, readiness for change, and relational aspects.
- The Self-Efficacy in Lifestyle Counselling (SELC) scale assesses healthcare professionals' engagement, but requires further interpretation study.
Purpose of the Study:
- To explore participant understanding and evaluation of SELC scale items.
- To identify potential issues with clarity, relevance, and response options.
- To inform revisions of the SELC scale through qualitative pre-testing.
Main Methods:
- Qualitative pre-testing interviews were conducted with eight participants.
- A structured interview guide with probing questions was utilized.
- Deductive qualitative content analysis was applied to interview data.
Main Results:
- Most SELC items were clear and relevant, with easily distinguishable response options.
- Ambiguity in some terms and an unclear open-ended item were noted.
- Item order and expert-driven perspective were identified as areas for improvement, leading to a revised SELC 20+20 scale.
Conclusions:
- Qualitative pre-testing successfully identified strengths and areas for SELC scale improvement.
- The revised SELC scale demonstrates potential for assessing self-efficacy in healthcare and educational settings.
- Further psychometric validation is recommended for the refined SELC scale.
Keywords:
Content validitySELC 20 + 20counsellinglifestylequalitative pre-testingquestionnaire evaluationscale developmentMore Related Videos
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