Development of an Instrument based on the Protection Motivation Theory to Measure Factors Influencing Women's Intention to First Pap Test Practice

Hassani, Laleh; Dehdari, Tahereh; Hajizadeh, Ebrahim; Shojaeizadeh, Davoud; Abedini, Mehrandokht; Nedjat, Saharnaz

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자료유형: 학술저널

저자정보: Hassani, Laleh (Department of Health Education and Health Promotion, Faculty of Health, Iran University of Medical Sciences) Dehdari, Tahereh (Department of Health Education and Health Promotion, Faculty of Health, Iran University of Medical Sciences) Hajizadeh, Ebrahim (Department of Biostatistics, Faculty of Medical Sciences, Tarbiat Modares University) Shojaeizadeh, Davoud (Department of Health Education and Health Promotion, Tehran University of Medical Sciences) Abedini, Mehrandokht (Department of Family Health, Ministry of Health and Medical Education) Nedjat, Saharnaz (Department of Epidemiology, Faculty of Health, Tehran University of Medical Sciences)

저널정보: 아시아태평양암예방학회 Asian Pacific journal of cancer prevention : APJCP Asian Pacific journal of cancer prevention : APJCP 제15권 제3호

발행연도: 2014.1

수록면: 1,227 - 1,232 (6page)

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Background: Given that there are many Iranian women who have never had a Pap smear, this study was designed to develop and validate a measurement tool based on the Protection Motivation Theory to assess factors influencing the Iranian women's intention to perform first Pap testing. Materials and Methods: In this psychometric research, to determine the Content Validity Index (CVI) and the Content Validity Ratio (CVR), a panel of experts (n=10) reviewed scale items. Reliability was estimated through the Intraclass Correlation Coefficient (n=30) and internal consistency (n=240). Also, factor analysis (exploratory and conformity) was performed on the data of the sample women who had never had a Pap smear test (n=240). Results: A 26-item questionnaire was developed. The CVI and CVR scores of the scale were 0.89 and 0.90, respectively. Exploratory factor analysis loaded a 26-item with seven factors questionnaire (perceived vulnerability and severity, fear, response costs, response efficacy, self-efficacy, and protection motivation (or intention)) that jointly accounted for 72.76% of the observed variance. Confirmatory factor analysis indicated a good fit for the data. Internal consistency (range 0.70-0.93) and test-retest reliability (range 0.72-0.96) of sub-scales were acceptable. Conclusions: This study showed that the designed instrument was a valid and reliable tool for measuring the factors influencing the women's intention to perform their first Pap testing.

#Protection motivation theory #Pap smear #measurement tool #intention #Iran

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Hassani, Laleh

소속기관 Department of Health Education and Health Promotion, Faculty of Health, Iran University of Medical S