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Development and psychometric testing of the Health Beliefs Related to Cardiovascular Disease Scale: preliminary findings

, : Development and psychometric testing of the Health Beliefs Related to Cardiovascular Disease Scale: preliminary findings. Journal of Advanced Nursing 66(12): 2772-2784

This paper is a report of an evaluation of the psychometric properties of the Health Beliefs Related to Cardiovascular Disease Scale designed to measure beliefs related to cardiovascular disease risk and diet and exercise in adults with diabetes. Heart attack and stroke are 2-4 times more common among adults with diabetes than those without diabetes. To reduce this risk for patients with diabetes, understanding beliefs about cardiovascular disease risk and risk-reduction strategies is important. Item development for the 25-item self-report Likert scale was guided by literature review, expert panel review and focus-group feedback. It consists of four subscales, measuring four constructs of the Health Belief Model: perceived susceptibility and severity of cardiovascular disease and benefits and barriers to diet and exercise. A convenience sample of 178 adults with self-reported type 2 diabetes completed the survey between August 2006 and March 2007; 42 participants completed it again 2-3 weeks later to evaluate test-retest reliability. The instrument has more than one dimension, with the best fit identified using a two-factor model specifying the Benefits and Susceptibility subscale items, rather than the four-factor solution as predicted. The Susceptibility and Benefits subscales demonstrated stable factor structure and acceptable reliability (α = 0·93 and α = 0·82 respectively). The Barriers and Severity items demonstrated unstable factor structure and poor internal consistency (α = 0·70 and α = 0·61 respectively). Only the Susceptibility and Benefits subscale items can be used in their current form. The Barriers and Severity items need further refinement including revised wording with clearer focus and evaluation with a larger, more diverse sample.


PMID: 20831570

DOI: 10.1111/j.1365-2648.2010.05443.x

Other references

Tenovuo, J., 1986: Humoral immune response to Streptococcus mutans in children. Proceedings of the Finnish Dental Society. Suomen Hammaslaakariseuran Toimituksia 82(5-6): 312-318

Anonymous, 1952: Roentgen findings after aspiration. Kinderarztliche Praxis 20(11): 503-511

Allen, James Rex, 1961: The role of toxic fat in the production of hydropericardium and ascites. Dissertation Absts 22(2): 545-546

Suchan, M., 1975: Inhibition of autohaemolysis in vitro by the action of isolated factors Ac III and Ac IV in so-called autoimmune haemolytic anaemias. Hyper- and autohaemolysis of red blood cells resp. in vitro by saturation of serum of patients with so-called autoimmune haemolytic anaemia is conditioned by the lack of factors Ac III and Ac IV resp., or both, in serum. When both factors are lack...

Levitz, S.M.; Diamond, R.D., 1985: A rapid colorimetric assay of fungal viability with the tetrazolium salt MTT. A rapid colorimetric assay for viability of fungi that uses the tetrazolium salt MTT is described. All live species of a wide range of medically important fungi that were tested reduced MTT, with resultant intracellular formation within several ho...

Leikin, S.L., 1983: Minors' assent or dissent to medical treatment. Journal of Pediatrics 102(2): 169-176

Omae T.; Tanaka K., 1971: Release of pressor substances from infarcted kidneys in rats part 1 effect of chronic administration of hydralazine. Japanese Heart Journal 12(1): 79-83

Lawrence, R.F., 1949: Observations on the habits of a female Solifuge. Solpuga caffra Pocock. Annals of the Transvaal Museum, 212: 197-200

Ishikawa, J.; Okada, Y.; Bird, I.N.; Jasani, B.; Spragg, J.H.; Yamada, T., 2002: Use of anti-platelet-endothelial cell adhesion molecule-1 antibody in the control of disease progression in established collagen-induced arthritis in DBA/1J mice. Platelet-endothelial cell adhesion molecule-1 (PECAM-1) is expressed on the membrane of leukocytes and vascular endothelial cells. PECAM-1 has been shown to play an important role in the process of leukocyte transmigration in various animal models...

Shon, J.; Chun, H.; Kim, K.; Kim, E.; Yoon, Y.; Jang, I.; Shin, S.; Shin, J., 2002: The PK and PD of fexofenadine in relation to MDR1 genetic polymorphism in Korean healthy subjects. Clinical Pharmacology & Therapeutics 71(2): P71, February