Development and Validation of a Cervical Cancer Screening Self-Efficacy Scale for Low-Income Mexican American Women
Although self-efficacy, a construct from social cognitive theory, has been shown to influence other screening behaviors, few measures currently exist for measuring Papanicolaou test self-efficacy. This article describes the development and psychometric testing of such a measure for Mexican American...
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Veröffentlicht in: | Cancer epidemiology, biomarkers & prevention biomarkers & prevention, 2009-03, Vol.18 (3), p.866-875 |
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creator | FERNANDEZ, Maria E DIAMOND, Pamela M RAKOWSKI, William GONZALES, Alicia TORTOLERO-LUNA, Guillermo WILLIAMS, Janet MORALES-CAMPOS, Daisy Y |
description | Although self-efficacy, a construct from social cognitive theory, has been shown to influence other screening behaviors, few
measures currently exist for measuring Papanicolaou test self-efficacy. This article describes the development and psychometric
testing of such a measure for Mexican American women. Data from two separate samples of Mexican American women ages ≥50 years,
obtained as part of a study to develop and evaluate a breast and cervical cancer screening educational program, were used
in the current study. Exploratory factor analysis indicated a single-factor solution and all item loadings were >0.73. Confirmatory
analysis confirmed a single-factor structure with all standardized loadings >0.40 as hypothesized. The eight-item self-efficacy
scale showed high internal consistency (Cronbach's α = 0.95). As hypothesized, self-efficacy was correlated with knowledge, prior experience, and screening intention. Logistic
regression supported the theoretical relationship that women with higher self-efficacy were more likely to have had a recent
Papanicolaou test. Findings showed a significant increase in self-efficacy following the intervention, indicating that the
measure has good sensitivity to change over time. (Cancer Epidemiol Biomarkers Prev 2009;18(3):866–75) |
doi_str_mv | 10.1158/1055-9965.EPI-07-2950 |
format | Article |
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measures currently exist for measuring Papanicolaou test self-efficacy. This article describes the development and psychometric
testing of such a measure for Mexican American women. Data from two separate samples of Mexican American women ages ≥50 years,
obtained as part of a study to develop and evaluate a breast and cervical cancer screening educational program, were used
in the current study. Exploratory factor analysis indicated a single-factor solution and all item loadings were >0.73. Confirmatory
analysis confirmed a single-factor structure with all standardized loadings >0.40 as hypothesized. The eight-item self-efficacy
scale showed high internal consistency (Cronbach's α = 0.95). As hypothesized, self-efficacy was correlated with knowledge, prior experience, and screening intention. Logistic
regression supported the theoretical relationship that women with higher self-efficacy were more likely to have had a recent
Papanicolaou test. Findings showed a significant increase in self-efficacy following the intervention, indicating that the
measure has good sensitivity to change over time. (Cancer Epidemiol Biomarkers Prev 2009;18(3):866–75)</description><identifier>ISSN: 1055-9965</identifier><identifier>EISSN: 1538-7755</identifier><identifier>DOI: 10.1158/1055-9965.EPI-07-2950</identifier><identifier>PMID: 19258484</identifier><identifier>CODEN: CEBPE4</identifier><language>eng</language><publisher>Philadelphia, PA: American Association for Cancer Research</publisher><subject>Aged ; Biological and medical sciences ; California ; cancer screening ; Early Detection of Cancer ; Female ; Female genital diseases ; Gynecology. Andrology. Obstetrics ; Hispanic women ; Humans ; Interviews as Topic ; Medical sciences ; Mexican Americans ; Mexican Americans - psychology ; Middle Aged ; Models, Statistical ; Pap test ; Papanicolaou Test ; Poverty ; Psychometrics ; scale validation ; Self Efficacy ; Texas ; Tumors ; Uterine Cervical Neoplasms - diagnosis ; Uterine Cervical Neoplasms - psychology ; Vaginal Smears - psychology ; Vaginal Smears - statistics & numerical data</subject><ispartof>Cancer epidemiology, biomarkers & prevention, 2009-03, Vol.18 (3), p.866-875</ispartof><rights>2009 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c471t-4c36fd0ad643de95875f64c01ce0298c0a6e422335d915eabc6ce9b10d7801a63</citedby><cites>FETCH-LOGICAL-c471t-4c36fd0ad643de95875f64c01ce0298c0a6e422335d915eabc6ce9b10d7801a63</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,778,782,883,3345,27911,27912</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=21661155$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19258484$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>FERNANDEZ, Maria E</creatorcontrib><creatorcontrib>DIAMOND, Pamela M</creatorcontrib><creatorcontrib>RAKOWSKI, William</creatorcontrib><creatorcontrib>GONZALES, Alicia</creatorcontrib><creatorcontrib>TORTOLERO-LUNA, Guillermo</creatorcontrib><creatorcontrib>WILLIAMS, Janet</creatorcontrib><creatorcontrib>MORALES-CAMPOS, Daisy Y</creatorcontrib><title>Development and Validation of a Cervical Cancer Screening Self-Efficacy Scale for Low-Income Mexican American Women</title><title>Cancer epidemiology, biomarkers & prevention</title><addtitle>Cancer Epidemiol Biomarkers Prev</addtitle><description>Although self-efficacy, a construct from social cognitive theory, has been shown to influence other screening behaviors, few
measures currently exist for measuring Papanicolaou test self-efficacy. This article describes the development and psychometric
testing of such a measure for Mexican American women. Data from two separate samples of Mexican American women ages ≥50 years,
obtained as part of a study to develop and evaluate a breast and cervical cancer screening educational program, were used
in the current study. Exploratory factor analysis indicated a single-factor solution and all item loadings were >0.73. Confirmatory
analysis confirmed a single-factor structure with all standardized loadings >0.40 as hypothesized. The eight-item self-efficacy
scale showed high internal consistency (Cronbach's α = 0.95). As hypothesized, self-efficacy was correlated with knowledge, prior experience, and screening intention. Logistic
regression supported the theoretical relationship that women with higher self-efficacy were more likely to have had a recent
Papanicolaou test. Findings showed a significant increase in self-efficacy following the intervention, indicating that the
measure has good sensitivity to change over time. (Cancer Epidemiol Biomarkers Prev 2009;18(3):866–75)</description><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>California</subject><subject>cancer screening</subject><subject>Early Detection of Cancer</subject><subject>Female</subject><subject>Female genital diseases</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Hispanic women</subject><subject>Humans</subject><subject>Interviews as Topic</subject><subject>Medical sciences</subject><subject>Mexican Americans</subject><subject>Mexican Americans - psychology</subject><subject>Middle Aged</subject><subject>Models, Statistical</subject><subject>Pap test</subject><subject>Papanicolaou Test</subject><subject>Poverty</subject><subject>Psychometrics</subject><subject>scale validation</subject><subject>Self Efficacy</subject><subject>Texas</subject><subject>Tumors</subject><subject>Uterine Cervical Neoplasms - diagnosis</subject><subject>Uterine Cervical Neoplasms - psychology</subject><subject>Vaginal Smears - psychology</subject><subject>Vaginal Smears - statistics & numerical data</subject><issn>1055-9965</issn><issn>1538-7755</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkUtvEzEURkeIipbCTwB5A6xc7PHYntkgVSGlkVKBVB5Ly_FcJ0YeO7WTtP33eJq0wMpXvud-fpyqekPJGaW8_UgJ57jrBD-bfpthInHdcfKsOqGctVhKzp-X-pE5rl7m_JsQIjvOX1THtKt527TNSZU_ww58XA8QNkiHHv3U3vV642JA0SKNJpB2zmiPJjoYSOjaJIDgwhJdg7d4am3pmvuyrz0gGxOax1s8CyYOgK7grnQDOh8gPRS_ym54VR1Z7TO8Pqyn1Y-L6ffJJZ5__TKbnM-xaSTd4MYwYXuie9GwHjreSm5FYwg1QOquNUQLaOqaMd53lINeGGGgW1DSy5ZQLdhp9Wmfu94uBuhNeWLSXq2TG3S6V1E79X8nuJVaxp1iRNSc0BLw_hCQ4s0W8kYNLhvwXgeI26yEJJRSMYJ8D5oUc05gnw6hRI261KhCjSpU0aWIVKOuMvf23xv-nTr4KcC7A6Bz-WCbigSXn7iaClHieeE-7LmVW65uXQJlHnQlyKCTWSnaKqZaIdgfVWOtLA</recordid><startdate>20090301</startdate><enddate>20090301</enddate><creator>FERNANDEZ, Maria E</creator><creator>DIAMOND, Pamela M</creator><creator>RAKOWSKI, William</creator><creator>GONZALES, Alicia</creator><creator>TORTOLERO-LUNA, Guillermo</creator><creator>WILLIAMS, Janet</creator><creator>MORALES-CAMPOS, Daisy Y</creator><general>American Association for Cancer Research</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20090301</creationdate><title>Development and Validation of a Cervical Cancer Screening Self-Efficacy Scale for Low-Income Mexican American Women</title><author>FERNANDEZ, Maria E ; DIAMOND, Pamela M ; RAKOWSKI, William ; GONZALES, Alicia ; TORTOLERO-LUNA, Guillermo ; WILLIAMS, Janet ; MORALES-CAMPOS, Daisy Y</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c471t-4c36fd0ad643de95875f64c01ce0298c0a6e422335d915eabc6ce9b10d7801a63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>California</topic><topic>cancer screening</topic><topic>Early Detection of Cancer</topic><topic>Female</topic><topic>Female genital diseases</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Hispanic women</topic><topic>Humans</topic><topic>Interviews as Topic</topic><topic>Medical sciences</topic><topic>Mexican Americans</topic><topic>Mexican Americans - psychology</topic><topic>Middle Aged</topic><topic>Models, Statistical</topic><topic>Pap test</topic><topic>Papanicolaou Test</topic><topic>Poverty</topic><topic>Psychometrics</topic><topic>scale validation</topic><topic>Self Efficacy</topic><topic>Texas</topic><topic>Tumors</topic><topic>Uterine Cervical Neoplasms - diagnosis</topic><topic>Uterine Cervical Neoplasms - psychology</topic><topic>Vaginal Smears - psychology</topic><topic>Vaginal Smears - statistics & numerical data</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>FERNANDEZ, Maria E</creatorcontrib><creatorcontrib>DIAMOND, Pamela M</creatorcontrib><creatorcontrib>RAKOWSKI, William</creatorcontrib><creatorcontrib>GONZALES, Alicia</creatorcontrib><creatorcontrib>TORTOLERO-LUNA, Guillermo</creatorcontrib><creatorcontrib>WILLIAMS, Janet</creatorcontrib><creatorcontrib>MORALES-CAMPOS, Daisy Y</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Cancer epidemiology, biomarkers & prevention</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>FERNANDEZ, Maria E</au><au>DIAMOND, Pamela M</au><au>RAKOWSKI, William</au><au>GONZALES, Alicia</au><au>TORTOLERO-LUNA, Guillermo</au><au>WILLIAMS, Janet</au><au>MORALES-CAMPOS, Daisy Y</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Development and Validation of a Cervical Cancer Screening Self-Efficacy Scale for Low-Income Mexican American Women</atitle><jtitle>Cancer epidemiology, biomarkers & prevention</jtitle><addtitle>Cancer Epidemiol Biomarkers Prev</addtitle><date>2009-03-01</date><risdate>2009</risdate><volume>18</volume><issue>3</issue><spage>866</spage><epage>875</epage><pages>866-875</pages><issn>1055-9965</issn><eissn>1538-7755</eissn><coden>CEBPE4</coden><abstract>Although self-efficacy, a construct from social cognitive theory, has been shown to influence other screening behaviors, few
measures currently exist for measuring Papanicolaou test self-efficacy. This article describes the development and psychometric
testing of such a measure for Mexican American women. Data from two separate samples of Mexican American women ages ≥50 years,
obtained as part of a study to develop and evaluate a breast and cervical cancer screening educational program, were used
in the current study. Exploratory factor analysis indicated a single-factor solution and all item loadings were >0.73. Confirmatory
analysis confirmed a single-factor structure with all standardized loadings >0.40 as hypothesized. The eight-item self-efficacy
scale showed high internal consistency (Cronbach's α = 0.95). As hypothesized, self-efficacy was correlated with knowledge, prior experience, and screening intention. Logistic
regression supported the theoretical relationship that women with higher self-efficacy were more likely to have had a recent
Papanicolaou test. Findings showed a significant increase in self-efficacy following the intervention, indicating that the
measure has good sensitivity to change over time. (Cancer Epidemiol Biomarkers Prev 2009;18(3):866–75)</abstract><cop>Philadelphia, PA</cop><pub>American Association for Cancer Research</pub><pmid>19258484</pmid><doi>10.1158/1055-9965.EPI-07-2950</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record> |
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source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; American Association for Cancer Research |
subjects | Aged Biological and medical sciences California cancer screening Early Detection of Cancer Female Female genital diseases Gynecology. Andrology. Obstetrics Hispanic women Humans Interviews as Topic Medical sciences Mexican Americans Mexican Americans - psychology Middle Aged Models, Statistical Pap test Papanicolaou Test Poverty Psychometrics scale validation Self Efficacy Texas Tumors Uterine Cervical Neoplasms - diagnosis Uterine Cervical Neoplasms - psychology Vaginal Smears - psychology Vaginal Smears - statistics & numerical data |
title | Development and Validation of a Cervical Cancer Screening Self-Efficacy Scale for Low-Income Mexican American Women |
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