Psychometric properties of the Chinese version of Sense of Coherence Scale in women with cervical cancer

Ding, Yan; Bao, Leiping; Xu, Haoxin; Hu, Yan; Hallberg, Ingalill Rahm

doi:10.1002/pon.2029

Cited by 31 publications

(26 citation statements)

References 39 publications

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“…Women who perceives higher response efficacy may have stronger beliefs about the screening benefits, and more likely to trust their physicians and uptake the recommended screening. This finding is of particularly significance for rural women in China because they lack the understanding of benefit effect for participating in screening prevention and are vulnerable to fatalistic views of cancer …”

Section: Discussionmentioning

confidence: 98%

Protection motivation theory in predicting cervical cancer screening participation: A longitudinal study in rural Chinese women

Liu

Chen

et al. 2019

Psycho-Oncology

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Objective To examine factors longitudinally associated with cervical cancer screening uptake among rural Chinese women, guided by protection motivation theory (PMT). Methods A large sample of women (n = 2408, aged 35‐65 years old) was randomly selected from a rural county in China in 2015 and followed up for 2 years. Data for demographic factors, knowledge of cervical cancer screening, screening outcome, and six PMT constructs measured at the baseline in 2015 were used to predict cervical cancer screening participation at the follow‐up in 2017 using structural equation model method. Results Among the 2408 women at the baseline, 1879 (78.03%) participated in the screening services at the follow‐up. In addition to significant direct effect of age, social status and baseline screening outcome, and three (perceived severity, fear arousal and response efficacy) of the six PMT subconstructs, four variables (age, social status, knowledge of cervical cancer screening, and baseline screening outcome) at the baseline were indirectly associated with screening participation, mediated by the three significant PMT subconstructs. Conclusions Findings of this study indicate that the rate of participating in cervical cancer screening for rural women needs to be further improved. In addition to the commonly reported influential factors, PMT subconstructs play important roles in encouraging rural women in China to participate in cervical cancer screening. These longitudinal findings provided data much needed for future research to develop evidence‐based intervention programs to enhance cervical cancer screening among rural women in China.

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Section: Discussionmentioning

confidence: 98%

Protection motivation theory in predicting cervical cancer screening participation: A longitudinal study in rural Chinese women

Liu

Chen

et al. 2019

Psycho-Oncology

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“…Few studies of SOC and dental health have been conducted in Chinese populations since the C-SOC-13 scale was created [26,27], and no study has addressed SOC and oral health-related behaviors. Thus, the manner in which SOC influences Chinese health behaviors demands further research.…”

Section: Discussionmentioning

confidence: 99%

Relationship between children’s oral health-related behaviors and their caregiver’s sense of coherence

Qiu

Wong

et al. 2013

BMC Public Health

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BackgroundSense of coherence (SOC) is hypothesized to be an important psychological factor that enables people to cope with stressors and successfully maintain and improve health. Mother’s SOC has been shown to be an important psychological factor associated with oral health and oral health-related behaviors of adolescents and 11- to 12-year-old children. However, little is known about the relationship between the caregiver’s SOC and oral health-related behaviors of the preschool children. The objective of this study was to investigate the relationship between oral health-related behaviors of 5-year-old children in Southern China and SOC of their caregiver.MethodsA cross-sectional study was conducted in a randomized sample of 1332 children aged 5 years and their caregivers in Guangzhou, Southern China. Data were collected through questionnaires completed by the caregivers. The Chinese short version of Antonovsky’s SOC scale (13 items) was employed to assess the caregiver’s SOC. The outcome variables were the child’s oral health-related behaviors, including frequency of sugary snack intake, toothbrushing frequency, utilization of dental service, and pattern of dental visits. Multiple logistic regression was used to analyze the relationship between the variables.ResultsNo association was found between the children’s sugary snack intake and the mother’s or the father’s SOC. After adjustment for other significant factors related to the child’s oral health-related behaviors, 8.9% of the children whose grandparents (as caregivers) had higher SOC scores had a lower frequency of sugary snack intake, compared with the children whose grandparents had lower SOC scores (OR = 0.61, 95% CI = 0.50–0.73, p = 0.008). The other measures of oral health-related behaviors of the child were not significantly associated with the caregiver’s SOC.ConclusionSugary snack intake behavior of the 5-year-old children was not associated with the mother’s or the father’s SOC. It was associated with the SOC of their grandparents, who are a small group of the caregivers in China.

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“…Since the anchors of each item are different, a short instrument is warranted, particularly from a feasibility point of view. The psychometric properties of the SOC-13 have primarily been evaluated with classical statistical methods (i.e., Cronbach’s alpha, inter-item correlation and factor analysis) and in general populations of students [14] and active older people, as well as patients with chronic illnesses such as cancer [15] or cardiac disease [16]. The studies have generally concluded that the SOC-13 is a reliable and valid instrument.…”

Section: Introductionmentioning

confidence: 99%

Psychometric limitations of the 13-item Sense of Coherence Scale assessed by Rasch analysis

Lerdal¹,

Opheim²,

Gay³

et al. 2017

BMC Psychol

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BackgroundA person’s sense of coherence (SOC) reflects their perception that the world is meaningful and predictable, and impacts their ability to deal with stressors in a health-promoting manner. A valid, reliable, and sensitive measure of SOC is needed to advance health promotion research based on this concept. The 13-item Sense of Coherence Scale (SOC-13) is widely used, but we reported in a previous evaluation its psychometric limitations when used with adults with morbid obesity. To determine whether the identified limitations were specific to that population or also generalize to other populations, we have replicated our prior study design and analysis in a new sample of adults with inflammatory bowel disease (IBD).MethodsA sample of 428 adults with IBD completed the SOC-13 at a routine clinic visit in Norway between October 1, 2009 and May 31, 2011. Using a Rasch analysis approach, the SOC-13 and its three subscales were evaluated in terms of rating scale functioning, internal scale validity, person-response validity, person-separation reliability and differential item functioning.ResultsCollapsing categories at the low end of the 7-category rating scale improved its overall functioning. Two items demonstrated poor fit to the Rasch model, and once they were deleted from the scale, the remaining 11-item scale (SOC-11) demonstrated acceptable item fit. However, neither the SOC-13 nor the SOC-11 met the criteria for unidimensionality or person-response validity. While both the SOC-13 and SOC-11 were able to distinguish three groups of SOC, none of the subscales could distinguish any such groups. Minimal differential item functioning related to demographic characteristics was also observed.ConclusionsAn 11-item version of the sense of coherence scale has better psychometric properties than the original 13-item scale among adults with IBD. These findings are similar to those of our previous evaluation among adults with morbid obesity and suggest that the identified limitations may exist across populations. Further refinement of the SOC scale is therefore warranted.

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Psychometric properties of the Chinese version of Sense of Coherence Scale in women with cervical cancer

Cited by 31 publications

References 39 publications

Protection motivation theory in predicting cervical cancer screening participation: A longitudinal study in rural Chinese women

Protection motivation theory in predicting cervical cancer screening participation: A longitudinal study in rural Chinese women

Relationship between children’s oral health-related behaviors and their caregiver’s sense of coherence

Psychometric limitations of the 13-item Sense of Coherence Scale assessed by Rasch analysis

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