Taylan Seçil, Özkan İlknur, Adıbelli Derya
Department of Nursing, Akdeniz University, Antalya, Turkey.
Eur J Breast Health. 2021 Mar 31;17(2):95-102. doi: 10.4274/ejbh.galenos.2020.6088. eCollection 2021 Apr.
The Breast Cancer Perception Scale was developed using a well-supported theory, thought to be associated with breast cancer prevention behaviors. The aim of this study is to develop the Breast Cancer Perception Scale based on the Health Belief Model and conduct psychometric analysis.
The study was conducted with women aged 20 or above with a methodological design. The scale study was conducted with 572 women who were not diagnosed with breast cancer and willing to participate in the study.
The results of the exploratory factor analysis revealed that the scale is made up of six sub-dimensions (perceived knowledge, perceived treatment belief, the perceived need for a health check, perceived stigma, perceived fear, perceived risk) and 24 items, which explain the 74.36% of the total variance. The model obtained from the confirmatory factor analysis was within the limits of the acceptable fit index and factor loads between 0.655 and 0.998. Cronbach's alpha reliability coefficient of the scale sub-dimensions was determined as 0.815-0.950.
The overall psychometric evaluation results of the Breast Cancer Perception Scale found it to be a valid and reliable instrument that can be associated with multi-dimensional cases, such as healthy life behaviors in women, breast cancer diagnostic behaviors, family history, traumatic experiences regarding breast cancer, and the level of breast cancer knowledge.
乳腺癌认知量表是基于一个得到充分支持的理论开发的，该理论被认为与乳腺癌预防行为相关。本研究的目的是基于健康信念模型开发乳腺癌认知量表并进行心理测量分析。
本研究采用方法学设计对20岁及以上女性进行。量表研究对572名未被诊断患有乳腺癌且愿意参与研究的女性进行。
探索性因素分析结果显示，该量表由六个子维度（感知知识、感知治疗信念、健康检查的感知需求、感知耻辱感、感知恐惧、感知风险）和24个项目组成，解释了总方差的74.36%。从验证性因素分析中获得的模型在可接受拟合指数的范围内，因素载荷在0.655至0.998之间。量表子维度的克朗巴赫α信度系数确定为0.815 - 0.950。
乳腺癌认知量表的整体心理测量评估结果表明，它是一个有效且可靠的工具，可与多维度情况相关联，如女性的健康生活行为、乳腺癌诊断行为、家族史、乳腺癌相关创伤经历以及乳腺癌知识水平。
