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Self-Efficacy for Providing Safer Conception Counseling

The Self-Efficacy for Providing Safer Conception Counseling scale is an eight-item measure designed to assess a provider’s level of confidence to discuss childbearing and provide safer conception counseling to different types of clients/couples (e.g., serodiscordant couples; clients with no committed partners; clients who have not disclosed to their partners).

Categories

Geographies Tested: Uganda

Populations Included: Female, Male

Age Range: Adults

Items:

1. How confident do you feel in your ability to ask clients about their future childbearing goals?
2. How confident do you feel in your ability to provide safer conception guidance to a couple in which the woman is HIV-infected and the man is not?
3. How confident do you feel in your ability to provide safer conception guidance to a couple in which the man is HIV-infected and the woman is not?
4. If ART initiation was not restricted by CD4 count, how confident are you that you could provide guidance for early initiation of ART among HIV+ patients with uninfected partners who want to conceive?
5. If pre-exposure prophylaxis was readily available in Uganda, how confident are you that you could provide guidance to uninfected partners of your HIV+ patients on taking ARVs daily during the months they attempted conception via unprotected sex?
6. How confident do you feel in your ability to provide guidance to an HIV-infected woman who wants to conceive, but does not have a committed partner?
7. How confident do you feel in your ability to provide guidance to an HIV-infected man who wants to have a child, but does not have a committed partner?
8. How confident do you feel in your ability to provide guidance about HIV disclosure to an HIV-infected client who wants to have a child with an HIV-negative partner, to whom they have not disclosed their HIV status?

Response Options:
10-point Likert scale
Not confident – 1
Extremely confident – 10

Scoring Procedures

Compute the mean item score. Higher scores represent greater self-efficacy for providing safer conception counseling to people living with HIV.

Original Citation

Woldetsadik, M. A., Goggin, K., Staggs, V. S., Wanyenze, R. K., Beyeza-Kashesya, J., Mindry, D., Finocchario-Kessler, S., Khanakwa, S., & Wagner, G. J. (2016). Safer conception methods and counseling: Psychometric evaluation of new measures of attitudes and beliefs among HIV clients and providers. AIDS Behavior, 20(6), 1370-1381. https://doi.org/10.1007/s10461-015-1199-3


Psychometric Score

Ease of Use Score

Scoring breakdown

Formative Research

Qualitative Research

Existing Literature/Theoretical Framework

Field Expert Input

Cognitive Interviews / Pilot Testing

Reliability

Internal

Test-retest

Interrater

Validity

Content

Face

Criterion (gold-standard)

Construct

KEY

Ease of Use

Readability

Scoring Clarity

Length

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