Knowledge, Comfort, Approach and Attitude towards Sexuality Scale (KCAASS)

  • The KCAASS was developed to assess the training needs and professional skills of staff working in sexuality rehabilitation with SCI patients (Kendall et al. 2003)
  • Four subscales are found within the questionnaire: knowledge (14 items), comfort (21 items), approach (5 items), and attitudes (5 items).

Number of items: 45

Procedure/Administration: The KCAASS is a self-administered and self report questionnaire.  A four-point Likert scale is used for all subscales, where 1=no knowledge/no discomfort/strongly disagree and 4=excellent knowledge/high discomfort/strongly agree.

How scored: Summary scores for each of the four aspects of sexuality are calculated. Higher scores represent greater knowledge and skills. The subscales comfort, approach and attitude are reverse scored. A maximum composite score of 180 is obtained by summing up the subscales.

Interpretability: Scores for each scale provide an assessment of where education time should be allocated when creating a sexual education program. Mean values for comparison are available in the Kendall et al. (2003) and Fronek et al. (2005) articles in case comparisons with other users need to be made.

Acceptability: The KCAASS was developed specifically for use within the SCI population.

Languages: N/a

Usability: N/a

Time to administer: Approximately 10-15 minutes is required to complete the scale

Time to score: N/a

Training required: N/a

Availability: N/a

Equipment Required: N/a

Summary:

  • The KCAASS addresses a broad range of potential topics which helps identify specific areas that should be focused on when developing sexual education programs for staff working within the spinal cord population.
  • Information elicited from this tool could enhance the quality and comfort of sexual education for both the staff and client.

Psychometric Summary:

Reliability

Validity

Responsiveness

Results

Results

Results

Floor/ceiling

IC: Green light

 Content: Yellow light

Red light

N/A

Note: TR= Test re-test; IC= Internal Consistency; Inter-O= Inter-observer; Intra-O= Intra-observer; SS= Sensitivity/Specificity; N/a= No information.

Red light= A single study involving SCI subjects which has less than adequate findings of reliability, validity, and/or responsiveness.

Yellow light= A single study involving subjects with SCI which has adequate to excellent findings of reliability, validity, and/or responsiveness.

Green light= At least 2 studies involving subjects with SCI which have adequate to excellent findings of reliability, validity, and/or responsiveness.

References

  • Fronek P, Booth S, Kendall M, Miller D, Geraght T. The effectiveness of a sexuality training program for the interdisciplinary spinal cord injury rehabilitation team. Sex Disabil 2005;23:51-63.
  • Kendall M, Booth S, Fronek P, Miller D, Geraghty T. The development of a scale to assess the training needs of professionals in providing sexuality rehabilitation following spinal cord injury. Sex Disabil 2003;21:49-64.