Self-efficacy and Decisional Balance Scales for Pap Smear Screening Participation Among Sheltered Women

2.50
Hdl Handle:
http://hdl.handle.net/10755/159226
Type:
Presentation
Title:
Self-efficacy and Decisional Balance Scales for Pap Smear Screening Participation Among Sheltered Women
Abstract:
Self-efficacy and Decisional Balance Scales for Pap Smear Screening Participation Among Sheltered Women
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2004
Author:Hogenmiller, Jette, PhD, RN, MN, APRN, CDE
Contact Address:Clinical Research, 1010 N. 96th - Suite 200, Omaha, NE, 68114-2595 , USA
Co-Authors:Jan R. Atwood, PhD, MPH, RN, FAAN, Niedfelt Professor/Professor; Ada M. Lindsey, PhD, RN, FAAN, Dean and Professor of Nursing; David R. Johnson, PhD, Professor/Director; Joseph C. Scott, MD, FACOG, Emeritus Professor; Melody Hertzog, PhD, Research Analys
The morbidity and mortality burden of uterine cervical dysplasia (5 million) and cancer (65,000 in situ, and 13,000 invasive) among U.S. women annually is disproportionately experienced by sheltered women due to a combination of late diagnosis from low rates of Pap smear participation, less access to health care, increased risk for cervical disease, competing health issues, and cultural barriers. The aim of this study was to develop culturally relevant scales to measure the Transtheoretical Model-based concepts of Self-efficacy (SE) (confidence in face of challenging circumstances) and Decisional Balance (DB) (pros and cons) applicable to Pap smear screening. Methodology: A descriptive design with purposive sampling of urban sheltered women (n=161) was used. Results: Two new, culturally relevant, reliable and valid scales to measure SE and DB concepts related to Pap smear screening resulted. Reliability estimates of stability (>80%) and internal consistency (alpha and thetas, range=0.79 to 0.95) were satisfactory. Content and construct validity were supported, e.g., common factor analysis, discriminant and convergent, and predictive model testing. The best full predictive model (p<0.05) with Stage of Change (SOC) as the outcome included SE, DB, age, and illicit drug addiction, (adjusted R2=0.28). For actual Pap smear screening, the best predictors (p<0.008 to 0.015) were the DB Pro subscale ‘Professional recommendation for Pap smear screening’ (nurse specifically identified) (Odds Ratio, OR=1.6) and higher education (OR=1.6) with pseudo-R2=0.20 (full model 0.32). Culturally relevant components were identified. Conclusions: Low annual Pap smear screening (46.0%) in this sample indicates considerable risk for late diagnosis of cervical abnormalities. Two new psychometrically sound scales to measure SE and DB, as applicable to Pap smear screening among sheltered women are now available. The scales distinguish among SOC. Acknowledgement: Supported by Scholarship in Cancer Nursing #DSCN-01-204-01SCN from the American Cancer Society.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleSelf-efficacy and Decisional Balance Scales for Pap Smear Screening Participation Among Sheltered Womenen_GB
dc.identifier.urihttp://hdl.handle.net/10755/159226-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Self-efficacy and Decisional Balance Scales for Pap Smear Screening Participation Among Sheltered Women </td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2004</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Hogenmiller, Jette, PhD, RN, MN, APRN, CDE</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">Clinical Research, 1010 N. 96th - Suite 200, Omaha, NE, 68114-2595 , USA</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Jan R. Atwood, PhD, MPH, RN, FAAN, Niedfelt Professor/Professor; Ada M. Lindsey, PhD, RN, FAAN, Dean and Professor of Nursing; David R. Johnson, PhD, Professor/Director; Joseph C. Scott, MD, FACOG, Emeritus Professor; Melody Hertzog, PhD, Research Analys</td></tr><tr><td colspan="2" class="item-abstract">The morbidity and mortality burden of uterine cervical dysplasia (5 million) and cancer (65,000 in situ, and 13,000 invasive) among U.S. women annually is disproportionately experienced by sheltered women due to a combination of late diagnosis from low rates of Pap smear participation, less access to health care, increased risk for cervical disease, competing health issues, and cultural barriers. The aim of this study was to develop culturally relevant scales to measure the Transtheoretical Model-based concepts of Self-efficacy (SE) (confidence in face of challenging circumstances) and Decisional Balance (DB) (pros and cons) applicable to Pap smear screening. Methodology: A descriptive design with purposive sampling of urban sheltered women (n=161) was used. Results: Two new, culturally relevant, reliable and valid scales to measure SE and DB concepts related to Pap smear screening resulted. Reliability estimates of stability (&gt;80%) and internal consistency (alpha and thetas, range=0.79 to 0.95) were satisfactory. Content and construct validity were supported, e.g., common factor analysis, discriminant and convergent, and predictive model testing. The best full predictive model (p&lt;0.05) with Stage of Change (SOC) as the outcome included SE, DB, age, and illicit drug addiction, (adjusted R2=0.28). For actual Pap smear screening, the best predictors (p&lt;0.008 to 0.015) were the DB Pro subscale &lsquo;Professional recommendation for Pap smear screening&rsquo; (nurse specifically identified) (Odds Ratio, OR=1.6) and higher education (OR=1.6) with pseudo-R2=0.20 (full model 0.32). Culturally relevant components were identified. Conclusions: Low annual Pap smear screening (46.0%) in this sample indicates considerable risk for late diagnosis of cervical abnormalities. Two new psychometrically sound scales to measure SE and DB, as applicable to Pap smear screening among sheltered women are now available. The scales distinguish among SOC. Acknowledgement: Supported by Scholarship in Cancer Nursing #DSCN-01-204-01SCN from the American Cancer Society.</td></tr></table>en_GB
dc.date.available2011-10-26T21:49:20Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T21:49:20Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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