OBJECTIVE: Despite recommendations that primary care clinicians counsel adolescents to reduce health-compromising behaviors, little is known about how to measure the quality of counseling clinicians provide. The objective of our study is to develop a self-administered questionnaire that assesses adolescents' perceptions of health counseling quality.

METHODS: We generated a pool of 52 Likert scale items based on a motivational counseling model and administered the items to 396 adolescents from 15 pediatric and family medicine practices immediately following preventive health care visits. Principle components factor analyses with varimax rotation were performed, varying the number of factors from 2 to 10. Subscales were shortened when possible while preserving internal consistency.

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