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

Author(s):  
Mila Nu Nu Htay ◽  
Désirée Schliemann ◽  
Maznah Dahlui ◽  
Christopher R. Cardwell ◽  
Siew Yim Loh ◽  
...  

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.

Aim: The aim of this study was to conduct the validity and reliability study of the Health Belief Model Scale for lung cancer and its screening. Methods: In the first stage, permissions for the use of the scale were obtained and the Champion’s Health Belief Model Scale was arranged for lung cancer. 150 students, who agreed to participate in the study, were included in the study and the data were collected using test-retest method with a two-week interval. Correlation between the two measurements was calculated using intraclass correlation coefficient. Internal consistency reliability was evaluated by Cronbach’s alpha coefficients. Construct validity was evaluated by confirmatory factor analysis. Results: The validity-reliability of the health belief model scale for lung cancer and its screening was assessed with the test-retest design. Correlation between the two measurements was calculated using intraclass correlation coefficient (p <0.001). The scale’s Cronbach’s alpha value was found to be 0.760. The scale consists of 5 subgroups. The Cronbach’s alpha value of the trust-benefit perception subscale was 0.779, the Cronbach’s alpha value of the sensitivity perception subscale was 0.833, the Cronbach’s alpha value of the barrier perception subscale was 0.737, and the Cronbach’s alpha value of the subscale of the perception of health motivation was 0.725. Conclusion: The validity and reliability of the health belief model scale for lung cancer and its screenings were conducted and it was determined that the scale was a valid and reliable scale.


2021 ◽  
Author(s):  
Adelina Mihaela Stefanut ◽  
Mona Vintilă ◽  
Paul Sârbescu

Abstract Background: This study set out to translate Champion’s Health Belief Model Scale and to test its properties on a Romanian sample. Methods: The study included 502 participants. The structural validity, convergent validity, criterion validity and reliability were evaluated for the Romanian version. Results: The exploratory factor analysis highlighted six factors. The confirmatory factor analysis upheld the correctness of the six-subscale model as presenting a good fit for the 34-item version. Convergent validity was supported by the fact that the constructs included in the model correlated significantly with similar constructs evaluated using other questionnaires. In terms of criterion validity, those women who perceived fewer barriers and more cues to action and had greater self-efficacy practiced more frequent breast self-examination. α Cronbach coefficients ranged between 0.74 and 0.87 and test-retest correlation coefficients for the six subscales fell between 0.47 and 0.69. Conclusions: The Romanian version of the Champion Health Belief Model Scale is valid and reliable tool.


2012 ◽  
Vol 20 (3) ◽  
pp. 244-257 ◽  
Author(s):  
Haritini Tsangari ◽  
Wasileh Petro-Nustas

Background and Purpose: Breast cancer is the leading female type of cancer in Cyprus. Therefore, there is a need for a valid and reliable tool to examine beliefs or practices about breast cancer and breast self-examination (BSE). The objective of this study was to translate the widely used Champion’s Health Belief Model Scale into Greek and validate the tool among Cypriot women. Methods: Data analysis included descriptive statistics, reliability estimates, and confirmatory factor analysis with fit indexes for construct validity. Multiple regression, with dependent variables “frequency of practice of BSE in the previous year” and “intended frequency of BSE,” was used to examine predictive validity. Ninety-four women were surveyed. Results: The six-subscale structure (confidence, benefits, susceptibility, barriers, seriousness, motivation) of the Greek version was verified, with a good model fit. Alpha coefficients ranged from .66 to .88, indicating internal consistency reliability of the tool. Regression analysis provided evidence of predictive validity, with barriers and confidence being significant predictors of BSE practice. Conclusions: The Greek version of Champion’s Health Belief Model Scale is a valid and reliable tool for use among Cypriot women that can be used to evaluate their beliefs about breast cancer and BSE and for planning interventions to improve these beliefs.


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