Reliability and Validity of the Mammography Screening Beliefs Questionnaire Among Chinese American Women

Abstract

Cancer is the leading cause of death for Asian American women, and the breast is a primary site of cancer in Chinese women. Although a number of studies have used constructs from the Health Belief Model (HBM) to examine their relation to mammogram screening, the validity and reliability of the instruments on HBM constructs among Chinese women have not been consistently examined. The purpose of this study was to describe the psychometric properties of a culturally sensitive questionnaire for measuring Chinese women's beliefs (susceptibility, seriousness, benefits, and barriers) related to breast cancer and mammogram screening. The items developed for the questionnaire were drawn from a comprehensive literature review and focus groups. The instrument was translated using back translation technique and evaluated by a panel of professional experts and lay experts. A total of 220 Chinese American women ages 40 to 85 years residing in a suburban Midwestern community were included in the sample. Psychometric testing demonstrated satisfactory internal consistency and validity of the instrument for this group of women. The Cronbach alpha for the subscales ranged from.77 to.90. Construct validity was supported by exploring the factor structure of the instrument using confirmatory factor analysis and testing correlations with mammography compliance.

Maltese Translation and Adaptation of Champion’s Health Belief Model Scale and the Revised Illness Perception Questionnaire for Breast Screening Among Maltese Women

“…Similarly, Cronbach's alpha coefficient for Champion's subscales were also reported between 0.77 to 0.90 among Chinese American women (Wu & Yu, 2003), and were found to be equal to 0.88 (barriers) and 0.93 (benefits) in a Malaysian study (Parsa, Kandiah, Mohd Nasir, Hejar & Nor Afiah, 2008), 0.89 and 0.73 respectively among African-American women (Champion et al, 2008) but lower (0.63 for benefits) in Medina-Shepherd and Kleier's study (Medina-Shepherd & Kleier, 2010). Among…”

Procrastination as a Key Factor in Postpartum Screening for Diabetes: A Qualitative Study of Iranian Women with Recent Gestational Diabetes

“…As similar studies, in relation to breast screening, based on the Health Belief Model, after perceiving the threat, women will follow the screening methods (24)(25)(26).…”

Psychometric Properties of the Persian Version of Champion's Health Belief Model Scale for Colorectal Cancer Screening

“…The scale was applied in different populations but mostly in breast cancer and Western cultures (Champion, 1984;1999). The CHBMS has been used extensively in different studies (Watts et al, 2003;Wu and Yu, 2003;Ozsoy et al, 2007;Taymoori and Berry, 2009;Medina-Shepherd and Kleier, 2010;Nergiz-Eroglu and Kilic, 2011;Baysal and Polat, 2012;Erbil and Bölükbaş, 2012;Fouladi et al, 2013;Tastan et al, 2013;Yilmaz et al, 2013).…”