The use of the health belief model and the health locus of control construct to predict breast self-examination practice

2.50
Hdl Handle:
http://hdl.handle.net/10755/148504
Type:
Presentation
Title:
The use of the health belief model and the health locus of control construct to predict breast self-examination practice
Abstract:
The use of the health belief model and the health locus of control construct to predict breast self-examination practice
Conference Sponsor:Sigma Theta Tau International
Conference Year:1991
Author:Nativio, Donna, PhD
P.I. Institution Name:University of Pittsburgh
Title:Assistant Professor & Nurse Practitioner
Breast cancer is the second leading cause of cancer death in

American women and breast self-examination (BSE) is a well

recognized aid in early detection. This study examined the value

of the Health Belief Model (HBM) and health locus of control in

predicting BSE practice and asked the question, Does the use of

the Health Belief Model and the Health Locus of Control Construct

predict breast self-examination practice?



The hypotheses were: (l) the combination of perceived

susceptibility, seriousness, benefits, barriers, health motivation,

and knowledge will predict the frequency of BSE, and, (2) addition

of the three Multidimensional Health Locus of Control (MHLC)

Subscales, internal, chance, and powerful others, to the above six

variables will significantly increase the prediction of BSE

practice.



The literature review of related empirical research covered: (a)

BSE as a detection tool; (b) health beliefs, health locus of

control, and BSE; (c) factors that affect BSE; and, (d) the

predictive value of the HBM. The conceptual framework of this

study was based on the Health Belief Model and the health locus of

control construct.



The study design was descriptive and ex post facto/correlational

utilizing two pencils and paper questionnaires for data collection.

The instruments used were Champion's Health Belief Model Scale

(revised) and Wallston, Wallston, and DeVillis' Multidimensional

Health Locus of Control Scales (Form A).



A convenience sample of 155 women, drawn from a northeastern

United States semi-rural area, completed the Multi-dimensional

Health Locus of Control and Health Belief Model Scales.



Multiple regression analysis at the p < .05 level (R2 - 2.33)

revealed that the six Health Belief Model variables do predict the

frequency of breast self-examination practice. The addition of the

three MHLC Subscales increased R2 to .2471 but the use of the

Multiple Partial Test revealed F = 0.92. In order to be accepted

at the .05 level, F should be more than 2.67. Thus, the data did

not support Hypothesis 2. Stepwise regression revealed barriers

and health motivation to be the best predictors of breast

self-examination practice.



Implications for further research consist of replicating the study

using a larger random sample; including a more diverse group; and

assessing the actual procedure. Practice implications for

nursing/nurse practitioners basically revolves around education.



Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleThe use of the health belief model and the health locus of control construct to predict breast self-examination practiceen_GB
dc.identifier.urihttp://hdl.handle.net/10755/148504-
dc.description.abstract<table><tr><td colspan="2" class="item-title">The use of the health belief model and the health locus of control construct to predict breast self-examination practice</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">1991</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Nativio, Donna, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Pittsburgh</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Assistant Professor &amp; Nurse Practitioner</td></tr><tr><td colspan="2" class="item-abstract">Breast cancer is the second leading cause of cancer death in<br/><br/>American women and breast self-examination (BSE) is a well<br/><br/>recognized aid in early detection. This study examined the value<br/><br/>of the Health Belief Model (HBM) and health locus of control in<br/><br/>predicting BSE practice and asked the question, Does the use of<br/><br/>the Health Belief Model and the Health Locus of Control Construct<br/><br/>predict breast self-examination practice?<br/><br/><br/><br/>The hypotheses were: (l) the combination of perceived<br/><br/>susceptibility, seriousness, benefits, barriers, health motivation,<br/><br/>and knowledge will predict the frequency of BSE, and, (2) addition<br/><br/>of the three Multidimensional Health Locus of Control (MHLC)<br/><br/>Subscales, internal, chance, and powerful others, to the above six<br/><br/>variables will significantly increase the prediction of BSE<br/><br/>practice.<br/><br/><br/><br/>The literature review of related empirical research covered: (a)<br/><br/>BSE as a detection tool; (b) health beliefs, health locus of<br/><br/>control, and BSE; (c) factors that affect BSE; and, (d) the<br/><br/>predictive value of the HBM. The conceptual framework of this<br/><br/>study was based on the Health Belief Model and the health locus of<br/><br/>control construct.<br/><br/><br/><br/>The study design was descriptive and ex post facto/correlational<br/><br/>utilizing two pencils and paper questionnaires for data collection.<br/><br/>The instruments used were Champion's Health Belief Model Scale<br/><br/>(revised) and Wallston, Wallston, and DeVillis' Multidimensional<br/><br/>Health Locus of Control Scales (Form A).<br/><br/><br/><br/>A convenience sample of 155 women, drawn from a northeastern<br/><br/>United States semi-rural area, completed the Multi-dimensional<br/><br/>Health Locus of Control and Health Belief Model Scales.<br/><br/><br/><br/>Multiple regression analysis at the p &lt; .05 level (R2 - 2.33)<br/><br/>revealed that the six Health Belief Model variables do predict the<br/><br/>frequency of breast self-examination practice. The addition of the<br/><br/>three MHLC Subscales increased R2 to .2471 but the use of the<br/><br/>Multiple Partial Test revealed F = 0.92. In order to be accepted<br/><br/>at the .05 level, F should be more than 2.67. Thus, the data did<br/><br/>not support Hypothesis 2. Stepwise regression revealed barriers<br/><br/>and health motivation to be the best predictors of breast<br/><br/>self-examination practice.<br/><br/><br/><br/>Implications for further research consist of replicating the study<br/><br/>using a larger random sample; including a more diverse group; and<br/><br/>assessing the actual procedure. Practice implications for<br/><br/>nursing/nurse practitioners basically revolves around education.<br/><br/><br/><br/></td></tr></table>en_GB
dc.date.available2011-10-26T09:46:09Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T09:46:09Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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