• Weng-Yee Chin, Cindy Lam, and Carlos Wong.
• Department of Family Medicine and Primary Care, the University of Hong Kong, Hong Kong. chinwy@hku.hk
• Patient Educ Couns. 2011 Dec 1;85(3):481-6.

ObjectiveTo develop and validate an instrument to assess knowledge and attitudes regarding the use of psychological interventions in primary care.MethodsA 13-item questionnaire was developed based on literature review and expert panel discussion. Exploratory and confirmatory factor analyses were carried out to test the construct validity of the subscales. Item-scale correlations were used to test the construct validity of the items. Internal reliability was tested by Cronbach's alpha. Responsiveness of the instrument was evaluated by using independent t-test of pre and post program scores.ResultsExploratory factor analysis extracted four factors: skills and knowledge, confidence to provide counseling, willingness to provide counseling, and curriculum needs. Confirmatory factor analysis demonstrated excellent goodness-of-fit. Item scale correlations confirmed convergent and discriminant validity. Good responsiveness was shown on independent t-test of the pre and post responses.ConclusionsThe Attitudes to Psychological Interventions and Counseling in Primary Care (APIC-PC) survey is a valid and responsive instrument for assessing knowledge and attitudes regarding psychological approaches in patient management (mental health care).Practice ImplicationsPsycho-social counseling skills training is increasingly being recognised as a valuable component of undergraduate primary care medical education. The APIC-PC is a useful tool for evaluating the impact of such programs.Copyright © 2010 Elsevier Ireland Ltd. All rights reserved.

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