Validation of the Champion Health Belief Model Scale for an Investigation of Breast Cancer Screening Behaviour in Malaysia.

Validation of the Champion Health Belief Model Scale for an Investigation of Breast Cancer Screening Behaviour in Malaysia.
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DOI:
10.3390/ijerph18179311
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发表时间:
2021-09-03
影响因子:
--
通讯作者:
Su TT
Su TT
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Htay MNN;Schliemann D;Dahlui M;Cardwell CR;Loh SY;Tamin NSBI;Somasundaram S;Champion V;Donnelly M;Su TT

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乳腺癌(BC)是全球妇女中最常见的癌症,包括马来西亚。有必要评估妇女在不同文化背景下对BC和筛查的看法。本研究旨在翻译和验证美国(US)冠军健康信念模型量表(CHBMS)的改编版本,用于马来西亚BC筛查预测因素的调查。CHBMS被改编,并向前和向后翻译成马来语。CHBMS-BC-M(M为马来语)的有效性和可靠性进行了调查,在社区样本的251多民族马来语妇女。方差最大旋转的主成分分析表明,适应CHBMS-BC-M的结构包括三个分量表,21个项目,项目内容效度指数(I-CVI)为0.83以上的所有项目。解释性因素分析(EFA)显示可以接受的高因素负荷的项目。分量表的Cronbach α范围为0.59至0.87。量表的重现性较高,各分量表的组内相关系数(ICC)为0.53至0.80。总的来说,分析表明,翻译CHBMS-BC-M是一个有效和可靠的规模来衡量信仰的BC和筛查马来语族群的马来西亚。
Breast cancer (BC) is the most common cancer among women globally, including in Malaysia. There is a need to assess women’s beliefs about BC and screening in different cultural settings. This study aimed to translate and validate an adapted version of the United States (US) Champion Health Belief Model Scale (CHBMS) for an investigation of predictors of BC screening in Malaysia. The CHBMS was adapted, and forward and backward translated into the Malay language. The validity and reliability of the CHBMS-BC-M (M for Malay language) was investigated in a community sample of 251 multi-ethnic Malay-speaking women. Principal component analysis with varimax rotation indicated that the structure of the adapted CHBMS-BC-M comprised three subscales with 21 items, and an Item-Content Validity Index (I-CVI) of 0.83 and above for all items. The explanatory factor analysis (EFA) showed acceptable to high factor loadings on items. Cronbach’s alpha for the subscales ranged from 0.59 to 0.87. The reproducibility of the scale was fair to high, with an Intraclass Correlation Coefficient (ICC) of 0.53 to 0.80 for the subscales. Overall, the analysis indicated that the translated CHBMS-BC-M is a valid and reliable scale to measure beliefs about BC and screening in the Malay-speaking ethnic population of Malaysia.
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