Table 1 BECCI scoring of role play assessment

Domain 1. Agenda setting and permission seeking

1. The practitioner invites the patient to talk about behaviour change

1.5

2.0

2.0

2.1

1.7

2. The practitioner demonstrates sensitivity to talking about other issues

2.3

2.0

2.7

3.0

2.0

Domain 2. The why and how of change in behaviour

3. Practitioner encourages patient to talk about current behaviour or status quo

2.3

2.3

2.7

2.7

3.0

4. Practitioner encourages patient to talk about behaviour change

2.0

2.0

2.3

2.7

2.7

5. Practitioner asks questions to elicit how patient thinks and feels about the topic

2.0

2.3

3.0

3.0

3.0

6. Practitioner uses empathic listening statements when patient talks about the topic

2.0

3.0

2.7

3.0

2.7

7. Practitioner uses summaries to bring together what the patient says about the topic

2.3

1.0

0.7

2.3

2.0

Domain 3. The whole consultation

8. Practitioner acknowledges challenges about behaviour change that the patient faces

1.3

2.3

2.7

2.0

1.7

9. When practitioner provides information, it is sensitive to patient concerns and understanding

2.7

2.7

3.0

3.0

2.3

10. Practitioner actively conveys respect for patient choice about behaviour change

1.3

2.3

2.3

1.7

1.7

Domain 4. Talk about targets

11. Practitioner and patient exchange ideas about how the patient could change current behaviour

2.3

2.0

2.0

2.3

2.0

Practitioner BECCI score

Mean score excluding domain 1

2.1

2.2

2.4

2.6

2.3