Developing and Psychometric Testing of Cervical Cancer Screening Behavior Scale (CCSBS)

Besharat, Mohammad Ali; Zarani, Fariba; Mazaheri Nejad Fard, Golnaz; Sarrami Foroushani, Gholamreza; Haji SeyedSadeghi, Maryam

doi:10.30473/ijohp.2023.62961.1233

Document Type : research

Authors

¹ Faculty of Psychology and Educational Sciences, University of Tehran

² Assistant Professor, Department of Psychology, Faculty of Educational Sciences and Psychology, Shahid Beheshti University, Tehran, Iran.

³ Faculty of psychology and educational sciences, Shahid Beheshti University, Tehran, Iran.

⁴ Assistant Professor of the Department of Educational Psychology, Faculty of Psychology and Educational Sciences, Khwarazmi University

https://doi.org/10.30473/ijohp.2023.62961.1233

Abstract

Introduction: Given the importance of screening as one of the health behaviors in cervical cancer, the aim of this study is to develop and evaluate the psychometric characteristics of Cervical Cancer Screening Behavior Scale (CCSBS).
Methods: In this cross-sectional study, 376 women who referred to Javaheri Health Center during the study period due to health problems, were selected through convenience sampling method. Then, the scale was developed and its content and face validities were examined. To ensure divergent and convergent validity, Depression Anxiety Stress Scale (DASS-21) was used. Internal consistency method (Cronbach's alpha) was used to determine the reliability of the questionnaire. Finally, confirmatory factor analysis was used to assess the construct validity of the CCSBS and SPSS and LISREL software were applied for analyzing data.
Results: The findings of this study provided strong supports, which confirmed the content and face validities. Regarding the convergent and divergent validity, perceived vulnerability, perceived severity and deterioration, and perceived barriers have a direct and significant relationship with the three variables of depression, anxiety, and stress. On the other hand, perceived motivation had a significant inverse correlation with all three variables of depression, anxiety, and stress. Additionally, perceived self-efficacy had a significant inverse correlation with depression. The results of the Cronbach's alpha indicated the appropriate internal consistency of the whole questionnaire and its components. Cronbach's alpha for the whole questionnaire was 0.78. According to confirmatory factor analysis, the goodness of fit indicators of proposed model was confirmed and the paths were significant.
Conclusion: CCSBS is a reliable and valid tool for measuring the screening behavior of cervical cancer in Iranian women and it appears to be a comprehensive and useful tool for assessing women's beliefs related to cervical cancer and cervical cancer screening.

Keywords

Article Title [Persian]

طراحی، ساخت و آزمون ویژگی های روانسنجی مقیاس رفتار غربالگری سرطان دهانه رحم

Authors [Persian]

محمد علی بشارت ¹
فریبا زرانی ²
گلناز مظاهری نژاد فرد ³
غلامرضا صرامی فروشانی ⁴
مریم حاجی سید صادقی

¹ دانشگاه تهران-دانشکده روانشناسی و علوم تربیتی

² استادیار گروه روانشناسی، دانشکده علوم تربیتی و روانشناسی، دانشگاه شهید بهشتی، تهران، ایران.

⁴ استادیار گروه آموزشی روانشناسی تربیتی دانشکده روانشناسی و علوم تربیتی دانشگاه خوارزمی

Abstract [Persian]

مقدمه: با توجه به اهمیت غربالگری به عنوان یکی از رفتارهای بهداشتی در سرطان دهانه رحم، هدف از این مطالعه ساخت و ارزیابی ویژگی های روانسنجی مقیاس رفتارغربالگری سرطان دهانه رحم است.
روش: در این مطالعه توصیفی-مقطعی 376 نفر از زنان مراجعه کننده به مرکز بهداشت جواهری (در طول مدت مطالعه) با روش نمونه گیری در دسترس انتخاب شدند. سپس، مقیاس تدوین شد و روایی محتوایی و صوری آن بررسی گردید. برای اطمینان از روایی واگرا و همگرا، از مقیاس DASS-21 استفاده شد. برای تعیین پایایی پرسشنامه نیزروش همسانی درونی (آلفای کرونباخ) مورد استفاده قرار گرفت. درنهایت، برای ارزیابی روایی سازه CCSBS از روش تحلیل عاملی تاییدی و از نرم افزارSPSS و LISREL استفاده شد.
یافته‌ها: یافته‌های پژوهش، اعتبار محتوایی و صوری مقیاس را تأیید کرد. از نظر روایی همگرا و واگرا، آسیب پذیری ادراک شده، شدت و وخامت ادراک شده و موانع ادراک شده با سه متغیر افسردگی، اضطراب و استرس رابطه مستقیم و معناداری داشتند. ازسوی دیگر، انگیزش ادراک شده با متغیرهای افسردگی، اضطراب و استرس همبستگی معکوس معنادار داشت. علاوه براین، خودکارآمدی ادراک شده با افسردگی همبستگی معکوس معنی‌داری داشت. نتایج آلفای کرونباخ بیانگر همسانی درونی مناسب کل پرسشنامه و مولفه های آن بود. بر اساس تحلیل عاملی تاییدی، شاخص‌های نیکویی برازش مدل پیشنهادی تایید شد و مسیرها معنی‌دار بودند.
نتیجه‌گیری: CCSBS ابزارمعتبر و پایایی برای سنجش رفتار غربالگری سرطان رحم در زنان ایرانی است و به نظر می‌رسد ابزاری جامع و مفید برای ارزیابی باورهای مرتبط با سرطان دهانه رحم و غربالگری آن در زنان باشد.

Keywords [Persian]

سرطان
سرطان دهانه رحم
رفتارهای بهداشتی
آزمون ویژگی های روانسنجی
غربالگری

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Developing and Psychometric Testing of Cervical Cancer Screening Behavior Scale (CCSBS)

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Volume 6, Issue 3 - Serial Number 17September 2023Pages 9-20

Volume 6, Issue 3 - Serial Number 17
September 2023
Pages 9-20