Validation of the Champion Health Belief Model Scale for an Investigation of Breast Cancer Screening Behaviour in Malaysia

Mila Nu Nu Htay, Désirée Schliemann, Maznah Dahlui, Christopher R. Cardwell, Siew Yim Loh, Nor Saleha Binti Ibrahim Tamin, Saunthari Somasundaram, Victoria Champion, Michael Donnelly and Tin Tin Su
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Mila Nu Nu Htay: Centre of Population Health, Department of Social and Preventive Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur 50603, Malaysia
Désirée Schliemann: Centre for Public Health and UKCRC Centre of Excellence for Public Health, Queen’s University Belfast, Belfast BT12 6BA, UK
Maznah Dahlui: Centre of Population Health, Department of Social and Preventive Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur 50603, Malaysia
Christopher R. Cardwell: Centre for Public Health and UKCRC Centre of Excellence for Public Health, Queen’s University Belfast, Belfast BT12 6BA, UK
Siew Yim Loh: Department of Rehabilitation Medicine, University of Malaya, Kuala Lumpur 50603, Malaysia
Nor Saleha Binti Ibrahim Tamin: Ministry of Health, Putrajaya 62590, Malaysia
Saunthari Somasundaram: National Cancer Society of Malaysia, Kuala Lumpur 50300, Malaysia
Victoria Champion: School of Nursing, Indiana University, Indianapolis, IN 46202, USA
Michael Donnelly: Centre for Public Health and UKCRC Centre of Excellence for Public Health, Queen’s University Belfast, Belfast BT12 6BA, UK
Tin Tin Su: Centre of Population Health, Department of Social and Preventive Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur 50603, Malaysia

IJERPH, 2021, vol. 18, issue 17, 1-12

Abstract: Breast cancer (BC) is the most common cancer among women globally, including in Malaysia. There is a need to assess women’s beliefs about BC and screening in different cultural settings. This study aimed to translate and validate an adapted version of the United States (US) Champion Health Belief Model Scale (CHBMS) for an investigation of predictors of BC screening in Malaysia. The CHBMS was adapted, and forward and backward translated into the Malay language. The validity and reliability of the CHBMS-BC-M (M for Malay language) was investigated in a community sample of 251 multi-ethnic Malay-speaking women. Principal component analysis with varimax rotation indicated that the structure of the adapted CHBMS-BC-M comprised three subscales with 21 items, and an Item-Content Validity Index (I-CVI) of 0.83 and above for all items. The explanatory factor analysis (EFA) showed acceptable to high factor loadings on items. Cronbach’s alpha for the subscales ranged from 0.59 to 0.87. The reproducibility of the scale was fair to high, with an Intraclass Correlation Coefficient (ICC) of 0.53 to 0.80 for the subscales. Overall, the analysis indicated that the translated CHBMS-BC-M is a valid and reliable scale to measure beliefs about BC and screening in the Malay-speaking ethnic population of Malaysia.

Keywords: health beliefs; Champion Health Belief Model Scale; breast cancer; mammogram; Malaysia; translation; validity; reliability (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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