Primary Health Care, School of Public Health and Community Medicine, Institute of Medicine, Gothenburg University, Gothenburg, Sweden.
Department of Psychology, Gothenburg University, Gothenburg, Sweden.
Scand J Psychol. 2023 Oct;64(5):674-678. doi: 10.1111/sjop.12923. Epub 2023 Apr 27.
Behavioral risk factors are highlighted in the prevention of diabetes and cardiovascular disease. Screening for health locus of control could be a feasible way to better identify individuals who could benefit from preventive behavioral change interventions. The aim of the study was to investigate the correlation between a single question measuring internal health locus of control (IHLC) and the Multidimensional Health Locus of Control Scale (MHLC) and to assess how IHLC relates to the General Self-Efficacy scale (GSE) in a primary care setting.
Primary care patients, aged 18 and older, attending three primary care centers in southwest Sweden were consecutively asked to anonymously participate in the study. The patients were given a questionnaire and instructed to return the questionnaire in a sealed box in the waiting room.
In all, 519 patients were included. The correlation between MHLC Internality and IHLC was weak (r = 0.21, p < 0.001). An increase of one point on the internality scale of the MHLC gave an odds ratio of 1.19 (95% CI 1.11-1.28) for reporting high IHLC, and thus a five-point increase gave a doubled likelihood, OR = 2.40, CI 1.67-3.46. The results for the other scales of the MHLC and GSE were similar.
In this study, we found weak but statistically significant support for the single-question IHLC as a measure of internal health locus of control. Given that the correlation was weak, we recommend using the MHLC when possible.
行为风险因素在糖尿病和心血管疾病的预防中受到重视。对健康控制源进行筛查可能是一种可行的方法，可以更好地识别那些可能从预防性行为改变干预中受益的个体。本研究的目的是调查测量单一内部健康控制源（IHLC）的问题与多维健康控制源量表（MHLC）之间的相关性，并评估 IHLC 在初级保健环境中与一般自我效能感量表（GSE）的关系。
在瑞典西南部的三个初级保健中心，连续邀请年龄在 18 岁及以上的初级保健患者匿名参与研究。患者会收到一份问卷，并被指示将问卷装在密封的盒子里，放在等候室里。
共有 519 名患者入组。MHLC 内在性与 IHLC 之间的相关性较弱（r=0.21，p<0.001）。MHLC 内在性量表增加一个点，报告 IHLC 较高的优势比为 1.19（95%CI 1.11-1.28），因此增加五分，优势比为 2.40，CI 1.67-3.46。MHLC 和 GSE 的其他量表的结果相似。
在这项研究中，我们发现单一问题 IHLC 作为内部健康控制源的测量方法具有较弱但统计学上显著的支持。鉴于相关性较弱，我们建议在可能的情况下使用 MHLC。
