Measuring adaptations of motivational interviewing: the development and validation of the behavior change counseling index (BECCI)

Patient Educ Couns. 2005 Feb;56(2):166-73. doi: 10.1016/j.pec.2004.01.003.


One of the most common challenges faced by health professionals is encouraging patients to change their behavior to improve their health. This paper reports the development of a checklist, the behavior change counseling index (BECCI). This aims to measure practitioner competence in behavior change counseling (BCC), an adaptation of motivational interviewing suitable for brief consultations in healthcare settings. The checklist has demonstrated acceptable levels of validity, reliability and responsiveness, and aims to assist trainers and researchers in assessing change in practitioner behavior before, during and after training in BCC. BECCI will also provide valuable information about the standard of BCC that practitioners were trained to deliver in studies of BCC as an intervention.

Publication types

  • Validation Study

MeSH terms

  • Clinical Competence / standards*
  • Communication
  • Counseling / education
  • Counseling / methods
  • Counseling / standards*
  • Empathy
  • Factor Analysis, Statistical
  • Health Behavior*
  • Health Knowledge, Attitudes, Practice
  • Health Services Needs and Demand
  • Humans
  • Interviews as Topic / methods
  • Interviews as Topic / standards*
  • Life Style
  • Motivation*
  • Observer Variation
  • Primary Health Care / methods
  • Primary Health Care / standards
  • Professional-Patient Relations
  • Sensitivity and Specificity
  • Smoking Cessation