Nursing Department, School of Nursing, Gulhane Military Medical Academy, Ankara, Turkey.
J Adv Nurs. 2011 Feb;67(2):428-37. doi: 10.1111/j.1365-2648.2010.05450.x. Epub 2010 Oct 15.
This study is a report of the development and psychometric testing of the Health Belief Model Scale for Cervical Cancer and the Pap Smear Test.
While the Champion Health Belief Model scales have been tested extensively for breast cancer and screening for this, evaluation of these scales in explaining the beliefs of women with regard to cervical cancer and the Pap Smear Test has only received limited attention.
This methodological research was carried out in Turkey in 2007. The data were collected with 237 randomly selected women who met the criteria for inclusion and agreed to participate in this study. The Champion Health Belief Model scales were translated into Turkish, adapted for cervical cancer, validated by professional experts, translated back into English and pilot-tested.
Factor analysis yielded five factors: Pap smear benefits and health motivation, Pap smear barriers, seriousness, susceptibility and health motivation. Cronbach's alpha reliability coefficients for the five subscales ranged from 0·62 to 0·86, and test-retest reliability coefficients ranged from 0·79 to 0·87 for the subscales.
The Health Belief Model Scale for Cervical Cancer and the Pap Smear Test was found to be a valid and reliable tool in assessing the women's health beliefs. Understanding the beliefs of women in respect of cervical cancer and the Pap Smear Test will help healthcare professionals to develop more effective cervical cancer screening programmes.
本研究报告了宫颈癌和巴氏涂片检查的健康信念模型量表的开发和心理测量学测试。
虽然 Champion 健康信念模型量表已广泛用于乳腺癌及其筛查的研究,但这些量表在解释女性对宫颈癌和巴氏涂片检查的信念方面的评估仅受到有限关注。
本方法学研究于 2007 年在土耳其进行。数据是通过对 237 名符合纳入标准并同意参与该研究的随机选择的女性进行收集。Champion 健康信念模型量表被翻译成土耳其语,适用于宫颈癌,并由专业专家进行验证,然后再被翻译成英语进行试点测试。
因子分析产生了五个因素:巴氏涂片的益处和健康动机、巴氏涂片的障碍、严重性、易感性和健康动机。五个分量表的克朗巴赫α可靠性系数范围为 0.62 至 0.86,分量表的重测信度系数范围为 0.79 至 0.87。
宫颈癌和巴氏涂片检查的健康信念模型量表被发现是评估女性健康信念的有效和可靠工具。了解女性对宫颈癌和巴氏涂片检查的信念将有助于医疗保健专业人员制定更有效的宫颈癌筛查计划。