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Development and test of reliability and validity of the Health Belief Scale for Prostate Cancer Screening

Published on Jan. 25, 2025Total Views: 135 timesTotal Downloads: 47 timesDownloadMobile

Author: YU Lina LUO Cui LIU Shuangtai XU Huan LI Xiaoyan ZHANG Xiaomeng WANG Ting

Affiliation: Department of Urology, Zhongnan Hospital of Wuhan University, Wuhan 430071, China

Keywords: Prostate cancer Screening Health beliefs Reliability Validity Scale

DOI: 10.12173/j.issn.1004-5511.202406044

Reference: Yu LN, Luo C, Liu ST, Xu H, Li XY, Zhang XM, Wang T. Development and test of reliability and validity of the Health Belief Scale for Prostate Cancer Screening[J]. Yixue Xinzhi Zazhi, 2025, 35(1): 65-72. DOI: 10.12173/j.issn.1004-5511.202406044. [Article in Chinese]

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Abstract

Objective  To develop the Health Belief Scale for Prostate Cancer Screening, and to examine its reliability and validity.

Methods  Based on the health belief model as the theoretical framework, and considering the literature review and the cultural context of China, a pre-test scale was developed after two rounds of expert consultations. A total of 284 inpatients in a tertiary general hospital in Wuhan were selected for investigation using convenience sampling, and the item analysis, reliability and validity test of the scale were carried out.

Results  The formal Health Belief Scale for Prostate Cancer Screening consist of 6 dimensions with a total of 27 items. The total Cronbach's α coefficient of the scale was 0.900, and the Cronbach's α coefficients of each dimension ranged from 0.769 to 0.913. The content validity index of the scale was 0.964, with the content validity indexes of each dimension ranging from 0.818 to 1.000. Exploratory factor analysis revealed 6 factors, and the cumulative variance contribution rate was 69.782%.

Conclusion  The Health Belief Scale for Prostate Cancer Screening has good reliability and validity and can be used as a measure tool for health beliefs in prostate cancer screening.

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References

1.Sung H, Ferlay J, Siegel RL, et al. Global Cancer Statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries[J]. CA Cancer J Clin, 2021, 71(3): 209-249. DOI: 10.3322/caac.21660.

2.顾秀瑛, 郑荣寿, 张思维, 等. 2000—2014年中国肿瘤登记地区前列腺癌发病趋势及年龄变化分析[J]. 中华预防医学杂志, 2018, 52(6): 586-592. [Gu XY, Zheng RS, Zhang SW, et  al. Analysis on the trend of prostate cancer incidence and age change in cancer registration areas of China, 2000 to 2014[J]. Chinese Journal of Preventive Medicine, 2018, 52(6): 586-592.] DOI: 10.3760/cma.j.issn.0253-9624.2018.06.006.

3.Chen W, Zheng R, Baade PD, et al. Cancer statistics in China, 2015[J]. CA Cancer J Clin, 2016, 66(2): 115-132. DOI: 10.3322/caac.21338.

4.Cao W, Chen HD, Yu YW, et al. Changing profiles of cancer burden worldwide and in China: a secondary analysis of the global cancer statistics 2020[J]. Chin Med J (Engl), 2021, 134(7): 783-791. DOI: 10.1097/CM9.0000000000001474.

5.王跃,戴波. 中国抗癌协会2017版《PCa筛查专家共识》解读[J]. 临床外科杂志, 2018, 26(1): 15-18. [Wang Y, Dai B. Interpretation of the 2017 consensus of prostate cancer screening experts by the China anti cancer association[J]. Journal of Clinical Surgery, 2018, 26(1): 15-18.] DOI: 10.3969/j.issn.1005-6483.2018.01.005.

6.Horwood H, Williams MJ, Mandic S. Examining motivations and barriers for attending maintenance community-based cardiac rehabilitation using the health-belief model[J]. Heart Lung Circ, 2015, 24(10): 980-987. DOI: 10.1016/j.hlc.2015.03.023.

7.Christy SM, Sutton SK, Gwede CK, et al. Examining the durability of colorectal cancer screening awareness and health beliefs among medically underserved patients: baseline to 12 months post-intervention[J]. J Cancer Educ, 2019, 34(2): 297-303. DOI: 10.1007/s13187-017-1301-9.

8.Han HR, Song Y, Kim M, et al. Breast and cervical cancer screening literacy among Korean American women: a community health worker-led intervention[J]. Am J Public Health, 2017, 107(1): 159-165. DOI: 10.2105/AJPH.2016.303522.

9.Maramaldi P, Cadet T, Burke SL, et al. Oral health and cancer screening in long-term care nursing facilities: motivation and opportunity as intervention targets[J]. Gerodontology, 2018, 35(4): 407-416. DOI: 10.1111/ger.12365.

10.Sin MK, Yip MP, Kimura A, et al. Facilitators and hindrances of implementing colorectal cancer screening intervention among Vietnamese Americans[J]. Cancer Nurs, 2017, 40(3): E41-E47. DOI: 10.1097/NCC.0000000000000384.

11.史玲玲, 马卫平, 陈静, 等. 健康信念指导下的护理干预提高胃癌高危人群胃镜依从性的效果研究[J]. 护士进修杂志, 2017, 32(19): 1737-1741. [Shi LL, Ma WP, Chen J, et al. Research on effects of nursing intervention under the guidance of health belief on gastroscope compliance of gastric carcinoma high-risk population[J]. Journal of Nurses Training, 2017, 32(19): 1737-1741.] DOI: 10.16821/ j.cnki.hsjx.2017.19.003.

12.陈辰,郑晶,刘旭,等. 基于健康信念模式的血液透析患者液体管理影响因素的关系模型研究[J]. 中华护理杂志, 2023, 58(24): 2996-3003. [Chen C, Zheng J, Liu X, et al. Relational model of factors influencing fluid management in hemodialysis patients based on the health belief model[J]. Chinese Journal of Nursing, 2023, 58(24): 2996-3003.] DOI: 10.3761/j.issn.0254-1769.2023.24.008.

13.吴晓丹,张美芬,郑美春,等. 结直肠癌健康信念量表的汉化及信效度研究[J]. 中国全科医学, 2020, 23(2): 155-160. [Wu  XD, Zhang MF, Zheng MC, et al. Translation and reliability and validity of colorectal cancer health belief scale[J]. Chinese General Practice, 2020, 23(2): 155-160.] DOI: 10.12114/j.issn.1007- 9572.2019.00.335.

14.刘娜,张巍,张越,等. 乳腺癌筛查信念评估工具的研究进展 [J]. 护理研究, 2020, 34(3): 452-455. [Liu N, Zhang W, Zhang  Y, et al. Research progress on assessment tools of breast cancer screening beliefs[J]. Chinese Nursing Research, 2020, 34(3): 452-455.] DOI: 10.12102/j.issn.1009-6493.2020.03.022.

15.邵英,杨永芳,秦明芳,等. 云南省成年妇女乳腺癌与宫颈癌筛查率及影响因素分析[J]. 中国肿瘤, 2019, 28(11): 821-826. [Shao Y,Yang YF,Qin MF,et al. Breast and cervical cancer screening rates and influencing factors among adult women in Yunnan province[J]. China Cancer, 2019, 28(11): 821-826.] DOI: 10.11735/j.issn.1004-0242.2019.11.A003.

16.Champion VL, Scott CR. Reliability and validity of breast cancer screening belief scales in African American women[J]. Nurs Res, 1997, 46(6): 331-337. DOI: 10.1097/00006199-199711000-00006.

17.Abuadas MH, Petro-Nustas W, Albikawi ZF. Predictors of participation in prostate cancer screening among older men in Jordan[J]. Asian Pac J Cancer Prev, 2015, 16(13): 5377-5383. DOI: 10.7314/apjcp.2015.16.13.5377.

18.Capık C, Gözüm S. The effect of web-assisted education and reminders on health belief, level of knowledge and early diagnosis behaviors regarding prostate cancer screening[J]. Eur J Oncol Nurs, 2012, 16(1): 71-77. DOI: 10.1016/j.ejon.2011.03.007.

19.Capık C, Gözüm S. Development and validation of health beliefs model scale for prostate cancer screenings (HBM-PCS): evidence from exploratory and confirmatory factor analyses[J]. Eur J Oncol Nurs, 2011, 15(5): 478-485. DOI: 10.1016/j.ejon.2010.12.003.

20.余丽娜, 李小粉, 龚玉枝,等. 基于COSO-ERM的老年病医院病人安全风险管理模型研究[J]. 护理研究, 2017, 31(16): 1972-1977. [Yu LN, Li XF, Gong YZ, et al. Study on safety risk management model of geriatric hospital based on COSO-ERM[J]. Chinese Nursing Research, 2017, 31(16): 1972-1977.] DOI: 10.3969/j.issn.1009-6493.2017.16.014.

21.陈琼琼,魏丽丽,姜文彬, 等.基于德尔菲法失能老人出院计划服务模式的构建[J]. 护理学杂志, 2020, 35(4): 78-81. [Chen  QQ, Wei LL, Jiang WB, et al. Construction of a discharge planning service model for disabled elderly patients[J]. Journal of Nursing Science, 2020, 35(4): 78-81.] DOI: 10.3870/j.issn.1001-4152.2020.04.078.

22.韩霞萍,宁丽,蔡丽丽, 等. 基于德尔菲专家咨询法构建慢性心力衰竭患者延续性护理健康赋权方案[J]. 中华现代护理杂志, 2020, 26(23): 3160-3165. [Han XP, Ning  L, Cai LL, et al. Construction of continuous nursing health empowerment program for chronic heart failure patients based on Delphi expert consultation[J]. Chinese Journal of Modern Nursing, 2020, 26(23): 3160-3165.] DOI: 10.3760/cma.j.cn115682-20200123-00327.

23.冯金星,戴新娟,施琪. 基于德尔菲法构建ST段抬高型心肌梗死患者急诊救护策略[J]. 护理学杂志, 2017, 32(15): 11-14. [Feng JX, Dai XJ, Shi Q. Establishing an emergency rescue protocol for patients with acute ST-segment elevation myocardial infarction based on the Delphi method[J]. Journal of Nursing Science, 2017, 32(15): 11-14.] DOI: 10.3870/j.issn.1001-4152. 2017.15.011.

24.张莉莉,张焱,王鲁娜,等. 妊娠相关静脉血栓风险评估量表的编制及信效度检验[J]. 护理研究, 2024, 38(11): 1919-1926. [Zhang LL, Zhang Y, Wang LN, et al. Development, reliability and validity test of pregnancy associated venous thromboembolism risk assessment scale[J]. Chinese Nursing Research, 2024, 38(11): 1919-1926.] DOI: 10.12102/j.issn.1009-6493.2024.11.007.

25.史静琤, 莫显昆, 孙振球. 量表编制中内容效度指数的应用 [J]. 中南大学学报(医学版), 2012, 37(2): 152-155. [Shi JC, Mo XK, Sun ZQ. Content validity index in scale development[J]. Journal of Central South University (Medical Science), 2012, 37(2): 152-155.] DOI: 10.3969/j.issn.1672-7347.2012.02.007.

26.周丹,杨青敏,顾艳荭,等. 基于循证和德尔菲法构建ICU患者睡眠管理方案[J]. 护理学杂志, 2019, 34(12): 54-57. [Zhou  D, Yang QM, Gu YH, et al. Development of a sleep management protocol for ICU patients based on evidence-based medicine and Delphi technique[J]. Journal of Nursing Science, 2019, 34(12): 54-57.] DOI: 10.3870/j.issn.1001-4152. 2019.12.054.

27.U.S. Centers for Disease Control and Prevention. UnitedStates Cancer Statistics: Data Visualizations[EB/OL]. (2024-06-01) [2024-10-08]. https://gis.cdc.gov/Cancer/USCS/#/AtAGlance/

28.Carroll PH, Mohler JL. NCCN guidelines updates: prostate cancer and prostate cancer early detection[J]. J Natl Compr Canc Netw, 2018, 16(5S): 620-623. DOI: 10.6004/jnccn.2018.0036.

29.Halpern JA, Oromendia C, Shoag JE, et al. Use of digital rectal examination as an adjunct to prostate specific antigen in the detection of clinically significant prostate cancer[J]. J Urol, 2018, 199(4): 947-953. DOI: 10.1016/j.juro.2017.10.021.

30.陆沛文,訾豪,钱信行,等. 1990与2019年中国、美国与德国良性前列腺增生疾病负担分析[J]. 医学新知, 2024, 34(5): 545-553. [Lu PW, Zi H, Qian XH, et al. Analysis of the disease burden of benign prostatic hyperplasia in China, the United States and Germany at 1990 and 2019[J]. Yixue Xinzhi Zazhi, 2024, 34(5): 545-553.] DOI: 10.12173/j.issn.1004-5511.202403012.

31.孙殿钦,曹毛毛,李贺, 等. 全球PCa筛查指南质量评价[J]. 中华流行病学杂志, 2021, 42(2): 227-233. [Sun  DQ, Cao MM, Li H, et al. Quality assessment of global prostate cancer screening guidelines[J]. Chinese Journal of Epidemiology, 2021, 42(2): 227-233.] DOI: 10.3760/cma.j.cn112338-20200806-01033.

32.邱雨菲,杨芬,李朝阳,等. 老年人网络社会支持量表的汉化及其信效度检验[J]. 医学新知, 2024, 34(1): 33-42. [Qiu YF, Yang F, Li CY, et al. Reliability and validation of Chinese version of online social support scale for older adults[J]. Yixue Xinzhi Zazhi, 2024, 34(1): 33-42.] DOI: 10.12173/j.issn.1004-5511. 202309068.

33.崔念奇,甘秀妮,张传来, 等. 基于德尔菲法构建ICU患者身体约束评估量表[J]. 护理学杂志, 2018, 33(2): 62-64. [Cui  NQ, Gan XN, Zhang CL, et al. Construction of physical restraint assessment scale for ICU patients based on Delphi method[J]. Journal of Nursing Science, 2018, 33(2): 62-64.] DOI: 10.3870/j.issn.1001-4152.2018.02.062.