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This framework was implemented at the four learning sites and is now being taken to scale and further assessed in the metropole. Primary care providers should be competent in brief behaviour change counselling (BBCC). A new model of BBCC was developed in South Africa. Tools are needed for training and research to evaluate BBCC. To evaluate the validity and reliability of a tool to assess BBCC. Primary care providers in Western Cape, South Africa. Exploratory sequential mixed methods included initial qualitative feedback from an expert p