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
Hauptverfasser: FERNANDEZ, Maria E, DIAMOND, Pamela M, RAKOWSKI, William, GONZALES, Alicia, TORTOLERO-LUNA, Guillermo, WILLIAMS, Janet, MORALES-CAMPOS, Daisy Y
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container_issue 3
container_start_page 866
container_title Cancer epidemiology, biomarkers & prevention
container_volume 18
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
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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 &amp; 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 &amp; 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 &amp; 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 &gt;0.73. Confirmatory analysis confirmed a single-factor structure with all standardized loadings &gt;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. 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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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