Gözüm Sebahat, Aydin Ilknur
Department of Public Health Nursing, Atatürk University School of Nursing, Erzurum, Turkey.
Cancer Nurs. 2004 Nov-Dec;27(6):491-8.
Instruments using Health Belief Model constructs in breast cancer screening in previous studies were developed and tested by Champion for American women, and since then, these have been revised twice. Champion's Health Belief Model Scale (CHBMS) has been translated and tested in various studies in other countries and cultures. Also, the current study examined the validity and reliability of the Turkish adaptation of the CHBMS among Turkish women. The instrument was translated using a back-translation technique, which includes the use of a panel of experts and interpreters to translate the items from the source language to the target language and then back-translate them to the source language. The study was conducted in Ordu, a city in north Turkey. A total of 266 Turkish women aged 20 and older working as primary schoolteachers were included in the sample. Analyses included internal consistency, reliability, factor analysis, and known group techniques. After the analysis, 3 items from the Barriers domain, 1 from the Seriousness domain, and 2 from the Motivation domain were deleted from the original scale. So, the final Turkish version of the CHBMS (CHBMS-T) consisted of 36 items that were clustered into 6 subscales: susceptibility (3 items), seriousness (6 items), motivation (5 items), benefits of breast self-examination (BSE) (4 items), barriers to BSE (8 items), and confidence/self-efficacy of BSE (10 items). Internal consistency ranged from 0.69 to 0.83. Construct validity was supported by exploring the factor structure of the instrument using factor analysis and testing known-group techniques. Psychometric testing demonstrated satisfactory internal consistency and validity of the instrument for this group of women. It can be used in planning and testing interventions to improve BSE beliefs and practice.
在先前的研究中,冠军针对美国女性开发并测试了在乳腺癌筛查中运用健康信念模型构建的工具,从那时起,这些工具已被修订了两次。冠军健康信念模型量表(CHBMS)已在其他国家和文化的各类研究中进行了翻译和测试。此外,本研究检验了CHBMS土耳其语改编版在土耳其女性中的有效性和可靠性。该工具采用回译技术进行翻译,其中包括使用专家小组和口译员将条目从源语言翻译成目标语言,然后再回译成源语言。研究在土耳其北部的城市奥尔杜进行。样本共纳入了266名年龄在20岁及以上的小学教师岗位的土耳其女性。分析包括内部一致性、可靠性、因子分析和已知群体技术。分析后,从原始量表中删除了障碍领域的3个条目、严重性领域的1个条目和动机领域的2个条目。因此,CHBMS的最终土耳其语版本(CHBMS-T)由36个条目组成,这些条目被聚类为6个分量表:易感性(3个条目)、严重性(6个条目)、动机(5个条目)、乳房自我检查(BSE)的益处(4个条目)、BSE的障碍(8个条目)以及BSE的信心/自我效能感(10个条目)。内部一致性范围为0.69至0.83。通过使用因子分析探索工具的因子结构并测试已知群体技术,支持了结构效度。心理测量测试表明该工具对于这组女性具有令人满意的内部一致性和效度。它可用于规划和测试干预措施,以改善BSE信念和实践。