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Validating a Scale of Health Beliefs in Preventive Health Screenings Among Chinese Older Adults.

Publication ,  Journal Article
Xu, H; Straughan, P; Pan, W; Zhen, Z; Wu, B
Published in: Journal of transcultural nursing : official journal of the Transcultural Nursing Society
September 2017

We aimed to examine the psychometric properties of a modified 16-item Attitudinal Index (AI), a measure of Chinese older adults' beliefs about preventive health screenings. We used the 2013 Shanghai Elderly Life and Opinion data including 3,418 respondents age 60+ who were randomly split into training and validation samples. We examined the validity and reliability of the modified AI. Psychometric evaluation of the modified AI revealed good response patterns. The overall scale had good reliability (Cronbach's α = .835). Exploratory factor analysis yielded four factors: barriers, fatalism, unnecessary, and detects (Cronbach's α = .815-.908). Confirmatory factor analysis of the modified AI's factor structure verified its four-factor structure (comparative fit index = 0.913, standardized root mean square residual = 0.048). The validity and reliability of the modified AI support its cultural appropriateness in measuring health beliefs among Chinese elderly. Further psychometric evaluation should focus on testing concurrent and criterion validity.

Duke Scholars

Published In

Journal of transcultural nursing : official journal of the Transcultural Nursing Society

DOI

EISSN

1552-7832

ISSN

1043-6596

Publication Date

September 2017

Volume

28

Issue

5

Start / End Page

464 / 472

Related Subject Headings

  • Nursing
  • 4206 Public health
  • 4205 Nursing
  • 4204 Midwifery
  • 2002 Cultural Studies
  • 1117 Public Health and Health Services
  • 1110 Nursing
 

Citation

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Xu, H., Straughan, P., Pan, W., Zhen, Z., & Wu, B. (2017). Validating a Scale of Health Beliefs in Preventive Health Screenings Among Chinese Older Adults. Journal of Transcultural Nursing : Official Journal of the Transcultural Nursing Society, 28(5), 464–472. https://doi.org/10.1177/1043659616661392
Xu, Hanzhang, Paulin Straughan, Wei Pan, Zhihong Zhen, and Bei Wu. “Validating a Scale of Health Beliefs in Preventive Health Screenings Among Chinese Older Adults.Journal of Transcultural Nursing : Official Journal of the Transcultural Nursing Society 28, no. 5 (September 2017): 464–72. https://doi.org/10.1177/1043659616661392.
Xu H, Straughan P, Pan W, Zhen Z, Wu B. Validating a Scale of Health Beliefs in Preventive Health Screenings Among Chinese Older Adults. Journal of transcultural nursing : official journal of the Transcultural Nursing Society. 2017 Sep;28(5):464–72.
Xu, Hanzhang, et al. “Validating a Scale of Health Beliefs in Preventive Health Screenings Among Chinese Older Adults.Journal of Transcultural Nursing : Official Journal of the Transcultural Nursing Society, vol. 28, no. 5, Sept. 2017, pp. 464–72. Epmc, doi:10.1177/1043659616661392.
Xu H, Straughan P, Pan W, Zhen Z, Wu B. Validating a Scale of Health Beliefs in Preventive Health Screenings Among Chinese Older Adults. Journal of transcultural nursing : official journal of the Transcultural Nursing Society. 2017 Sep;28(5):464–472.
Journal cover image

Published In

Journal of transcultural nursing : official journal of the Transcultural Nursing Society

DOI

EISSN

1552-7832

ISSN

1043-6596

Publication Date

September 2017

Volume

28

Issue

5

Start / End Page

464 / 472

Related Subject Headings

  • Nursing
  • 4206 Public health
  • 4205 Nursing
  • 4204 Midwifery
  • 2002 Cultural Studies
  • 1117 Public Health and Health Services
  • 1110 Nursing