Mirzania Marjan, Khajavi Abdoljavad, Moshki Mahdi
Department of Health Education and Promotion, School of Health, Social Development and Health Promotion Research Center, Gonabad University of Medical Sciences, Gonabad, Iran.
Department of Social Medicine, School of Medicine, Gonabad University of Medical Sciences, Gonabad, Iran.
Iran J Med Sci. 2019 Jul;44(4):307-314. doi: 10.30476/IJMS.2019.44957.
The health locus of control (HLC) can indirectly determine the health status. The current study aimed to assess the validity and reliability of Form C of the Multidimensional Health Locus of Control (MHLC-C) scale in pregnant women.
554 pregnant women participated in this cross-sectional study conducted in 2017; they referred to community health centers affiliated with Mashhad and Gonabad Medical Sciences Universities. Multi-stage random sampling was done. In this study, first, the questionnaire was translated into Farsi; then, face validity and construct validity were done through exploratory factor analysis, and concurrent criterion validity was also examined. Moreover, the reliability was assessed through internal consistency and stability methods.
The results of the exploratory factor analysis showed that the MHLC-C scale consisted of four subscales, i.e. Chance, Internal, Other People, and Doctors, which accounted for 51.18% of variance. The results of the reliability analysis showed an acceptable internal consistency for the scale (Cronbach's alpha coefficient for subscales from 0.62 to 0.90). Also, the test-retest results showed good stability for all subscales other than Doctors (P<0.05). The concurrent validity of Forms B and C of MHLC scale showed a positive and significant correlation between subscales.
The results of this study showed that the MHLC-C scale had acceptable validity and reliability in pregnant women and is suggested as an applicable criterion for assessing individuals control beliefs with any medical or health-related condition in Iran.
健康控制点(HLC)可间接决定健康状况。本研究旨在评估多维健康控制点量表C型(MHLC-C)在孕妇中的有效性和可靠性。
554名孕妇参与了2017年开展的这项横断面研究;她们来自马什哈德和戈纳巴德医科大学附属的社区健康中心。采用多阶段随机抽样。在本研究中,首先将问卷翻译成波斯语;然后通过探索性因素分析进行表面效度和结构效度分析,并检验同时效度。此外,通过内部一致性和稳定性方法评估信度。
探索性因素分析结果显示,MHLC-C量表由四个子量表组成,即机遇、内控、他人和医生,这四个子量表解释了51.18%的方差。信度分析结果显示该量表具有可接受的内部一致性(各子量表的Cronbach's α系数为0.6至0.90)。此外,重测结果显示,除医生子量表外,所有子量表均具有良好的稳定性(P<0.05)。MHLC量表B型和C型的同时效度显示各子量表之间存在正相关且具有显著性。
本研究结果表明,MHLC-C量表在孕妇中具有可接受的效度和信度,建议作为评估伊朗个体对任何医疗或健康相关状况的控制信念的适用标准。