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

Download Clinical Summary PDF

Tool Description

  • Developed to assess the training needs and professional skills of staff working in sexuality rehabilitation with SCI patients.
  • Four subscales are found within the questionnaire:

1) Knowledge (14 items)
2) Comfort (21 items)
3) Approach (5 items)
4) Attitudes (5 items)

ICF Domain:

Body Function – Subcategory: Functions of the Reproductive System.

Number of Items:

45

Brief Instructions for Administration & Scoring

Administration:

  • The KCAASS is administered by interview, but can be self-administered.
  • 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.
  • Approximately 10-15 minutes is required to complete the scale.

Equipment: None.

Scoring:

  • 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 200 is obtained by summing up the subscales.

Interpretability

MCID: not established for SCI
SEM: not established for SCI
MDC: not established for SCI

  • Scores for each scale provide an assessment of where education time should be allocated when creating a sexual education program.
  • No normative data have been established for the SCI population
  • Published data for the SCI population is available for comparison (see Interpretability section of Study Details sheet).

Languages:

English.

Training Required:

Knowledge about disability and sexuality is recommended.

Availability:

Can be found in Kendall et al. 2003.

Clinical Considerations

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

Measurement Property Summary

# of studies reporting psychometric properties: 2

Reliability:

  • Internal consistency is High for the total KCAASS (Cronbach’s a=0.962) and the KCAASS subscales – knowledge (Cronbach’s a=0.926-0.929), Comfort (Cronbach’s a=0.972-0.977), Approach (Cronbach’s a=0.835-0.865), and Low to High for the KCAASS subscale Attitude (Cronbach’s a=0.641-0.802).

[Kendall et al. 2003, Fronek et al. 2005]

Validity:

  • Correlations between KCAASS subscales and KCAASS total are as follows:
    • Knowledge-total = 0.757
    • Comfort-total = 0.938
    • Approach-total = 0.676
    • Attitude-total = 0.297

[Kendall et al. 2003]

Responsiveness:

  • Pre and Post education subscale scores (knowledge, comfort, approach, and attitude) all showed significant change at P<.001.

[Fronek et al. 2005]

Floor/ceiling effect:

No values were reported for the presence of floor/ceiling effects in the KCAASS for the SCI population.

Reviewer

Dr. Ben Mortenson, Jeremy Mak

Date Last Updated:

Dec 1, 2016

Download the measure

Download Worksheet:
Scoring instructions and scale items can be found in Kendall et al. 2003 (Appendix) http://download.springer.com/static/pdf/861/art%253A10.1023%252FA%253A1023510925729.pdf?auth66=1413580555_784d72830367dd3961832706213245d8&ext=.pdf.

Video

n/a

Scoring

  • 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 200 is obtained by summing up the subscales.

Equipment Needed

KCAASS:

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.
http://link.springer.com/article/10.1007%2Fs11195-005-4669-0?LI=true

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.
http://link.springer.com/article/10.1023%2FA%3A1023510925729?LI=true