Sexual Communication Self-Efficacy Scale (Quinn-Nilas et al., 2016)

Capacity for communication within sexual relationships in adolescents and young adults; 20 Items, Ages 16-22
  • Populations: Adolescents, young adults
  • Age ranges: 16-22
  • Languages: English
  • Countries: United Kingdom

Items

Subscales

  • Contraceptive Communication;
  • Positive Sexual Messages;
  • Negative Sexual Messages;
  • Sexual History;
  • Condom Negotiation

Item Examples by Subcscale

Contraceptive Communication

  • Talk about how it feels to use a condom?
  • Talk about how to put on a condom?
  • Talk about whether a condom is on correctly? 

Positive Sexual Messages

  • Suggest a new sexual activity (e.g., a new sexual position)? 
  • Tell them you would like to have sex more often? 
  • Tell them that a sexual activity feels good? 
  • Tell them that you want to have sex? 
  • Tell them that you like a specific sexual activity? 
  • Initiate sex? 

Negative Sexual Messages

  • Tell them a certain sexual activity hurts you?
  • Tell them if a certain sexual activity makes you uncomfortable?
  • Tell them that a certain sexual activity is not making you feel good?
  • Tell them you do not want to have sex? 

Sexual History

  • Ask how many partners they have had?
  • Ask if they have ever shared needles?
  • Ask if they are having sex with other people?
  • Ask if they have ever had a sexually transmitted infection?

Condom Negotiation

  • Ask if a condom could be used for sex with them?
  • Demand that a condom be used?
  • Refuse to have sex if they won’t use a condom? 

 

Responses

Items used a 4 point Likert-type scale, 1 = very difficult, 4 = very easy

Scoring

“The scale is scored using a 4-point scale: 1 (Very difficult), 2 (Difficult), 3 (Easy), and 4 (Very easy). None of the items are reverse scored. There are five subscales; their respective scores are calculated by taking the means of the subscale’s items.”  (Quinn-Nilas et al., 2020)

Citations

Quinn-Nilas, C., Milhausen, R. R., Breuer, R., Bailey, J., Pavlou, M., DiClemente, R. J., & Wingood, G. M. (2016). Validation of the sexual communication self-efficacy scale. Health Education & Behavior, 43(2), 165-171. https://doi.org/10.1177/1090198115598986

 

Quinn-Nilas, C., Milhausen, R. R., Breuer, R., Bailey, J., Pavlou, M., DiClemente, R. J., & Wingood, G. M.(2020). Sexual Communication Self-Efficacy Scale. In R. R. Milhausen, J. K. Sakaluk, T. D. Fischer, C. M. Davis, W. L. Yarber (Eds.), Handbook of sexuality-related measures, 4th edition (233-235). Routledge.

Scoring breakdown

Measure development

  • Significant design input from young people
  • Cognitive interviews with young people
  • Expert input

Validity

  • Unknown: Face validity
  • Green: Convergent validity
  • Green: Construct validity

Reliability

  • Green: Internal consistency
  • Unknown: Test-retest

Ease of use

  • Green: Readability

Definitions

Face validity: How well a measure appears to represent the construct it is supposed to be measuring.

Convergent validity: How well a measure correlates with other hypothetically-related measures.

Construct validity: The extent to which a measure reflects the construct it was designed to evaluate.

Internal consistency: The extent to which items in a scale capture aspects of the same construct.

Test-retest: The degree to which measurement scores are consistent over a short period of time (usually 2 weeks).

Readability: The ease with which a reader can understand the questionnaire items.

Key

  • Green: Meets validation criteria
  • Red: Does not meet validation criteria
  • Unknown: Evidence not available

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