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Gu J, Jia S, Chao H, Chen T, Wu X. Predictive factors based on the health belief model on cancer screening behaviour in first degree relatives of patients with Lynch syndrome-associated colorectal cancer. Int J Nurs Sci 2023; 10:251-257. [PMID: 37128484 PMCID: PMC10148252 DOI: 10.1016/j.ijnss.2023.03.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2022] [Revised: 03/09/2023] [Accepted: 03/19/2023] [Indexed: 05/03/2023] Open
Abstract
Objectives This study aimed to investigate colorectal cancer-related knowledge, health beliefs, and screening behaviour in first-degree relatives (FDRs) of patients with Lynch syndrome-associated colorectal cancer (CRC) and explore the predictive factors of screening behaviour based on a health belief model. Methods This cross-sectional study was conducted in the colorectal department of a Class A tertiary hospital in Guangzhou from December 2017 to December 2019. A total of 265 FDRs of 96 patients with Lynch syndrome-related CRC were selected. The study was conducted in the colorectal department of a tertiary cancer centre in Guangzhou. The demographic questionnaire, the simplified CRC knowledge questionnaire, and the Champion's Health Belief Model Scale were used for evaluation. Data were analyzed using statistical description, between-group comparisons, and binary logistic regression. Results A total of 160 (60.4%), 61 (23.0%), and 44 (16.6%) of the participants had high, medium, and low levels of knowledge about CRC, respectively; the average overall score of health belief was 121.36 ± 13.02. Sixty-one participants (23.0%) underwent Lynch syndrome-associated cancer screening. The predictive factors of screening behaviour included sex (male), age (older), married status (married), multiple primary cancers of the index patients, and high levels of knowledge and health beliefs (P < 0.05). Conclusions The knowledge and health beliefs of cancer and cancer screening in FDRs of patients with Lynch syndrome-associated CRC should be improved. Both knowledge and beliefs are critical in promoting their cancer screening behaviour. Interventions should focus on health education and enhance health beliefs of the FDRs for better screening behaviour.
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Affiliation(s)
- Jiaojiao Gu
- The Third Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China
| | - Shumin Jia
- Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, China
- State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Sun Yat-sen University Cancer Center, Guangzhou, China
| | - Huaxiang Chao
- State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Sun Yat-sen University Cancer Center, Guangzhou, China
| | - Tinglan Chen
- State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Sun Yat-sen University Cancer Center, Guangzhou, China
| | - Xiaodan Wu
- State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Sun Yat-sen University Cancer Center, Guangzhou, China
- Corresponding author.
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Lei F, Lee E. Cross-Cultural Modification Strategies for Instruments Measuring Health Beliefs About Cancer Screening: Systematic Review. JMIR Cancer 2021; 7:e28393. [PMID: 34792474 PMCID: PMC8663643 DOI: 10.2196/28393] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2021] [Revised: 06/09/2021] [Accepted: 09/26/2021] [Indexed: 11/13/2022] Open
Abstract
Background Modification is an important process by which to adapt an instrument to be used for another culture. However, it is not fully understood how best to modify an instrument to be used appropriately in another culture. Objective This study aims to synthesize the modification strategies used in the cross-cultural adaptation process for instruments measuring health beliefs about cancer screening. Methods A systematic review design was used for conducting this study. Keywords including constructs about instrument modification, health belief, and cancer screening were searched in the PubMed, Google Scholar, CINAHL, and PsycINFO databases. Bowling’s checklist was used to evaluate methodological rigor of the included articles. Results were reported using the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analyses) approach with a narrative method. Results A total of 1312 articles were initially identified in the databases. After removing duplications and assessing titles, abstracts, and texts of the articles, 18 studies met the inclusion criteria for the study. Based on Flaherty’s cultural equivalence model, strategies used in the modification process included rephrasing items and response options to achieve semantic equivalence; changing subjects of items, changing wording of items, adding items, and deleting items to achieve content equivalence; adding subscales and items and deleting subscales and items to achieve criterion equivalence. Solutions used to resolve disagreements in the modification process included consultation with experts or literature search, following the majority, and consultation with the author who developed the scales. Conclusions This study provides guidance for researchers who want to modify an instrument to be used in another culture. It can potentially give cross-cultural researchers insight into modification strategies and a better understanding of the modification process in cross-cultural instrument adaptation. More research could be done to help researchers better modify cross-cultural instruments to achieve cultural equivalence.
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Affiliation(s)
- Fang Lei
- University of California, Los Angeles, Los Angeles, CA, United States
| | - Eunice Lee
- University of California, Los Angeles, Los Angeles, CA, United States
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Lei F, Chen WT, Brecht ML, Zhang ZF, Lee E. Cross-Cultural Instrument Adaptation and Validation of Health Beliefs About Cancer Screening: A Methodological Systematic Review. Cancer Nurs 2021; 45:387-396. [PMID: 34483286 DOI: 10.1097/ncc.0000000000001007] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/09/2022]
Abstract
BACKGROUND The uptake of cancer screening is significantly associated with participants' health beliefs about cancer screening. Scales measuring health beliefs of cancer screening are available; however, the scales that were developed and validated for the US population may lack cultural appropriateness, which could compromise the reliability and validity of the scales when applied to different ethnic groups or populations. OBJECTIVE The aim of this study was to summarize, analyze, and compare the methods used in the cross-cultural instrument adaptation and validation processes of health beliefs about cancer screening. METHODS A systematic review design with narrative methods was used. Electronic databases, including PubMed, Google Scholar, CINAHL, and PsycINFO, were searched. RESULTS A total of 18 articles were eligible. Results showed (1) the translation methods included committee translation and back translation, which were further refined by using professional translators, using professional interpreters and/or involving the first author, using bilingual individuals, and involving bilingual investigators; (2) the modification methods included embedded and afterward modification; and (3) the validation methods included testing construct validity, internal consistency reliability, item-total subscale correlations, test-retest reliability, content validity, predictive validity, and face validity. CONCLUSIONS Back translation and afterward modification were most frequently used for translating existing instruments to another language. Validity and reliability were most frequently established by construct validity, content validity, face validity, predictive validity, internal consistency reliability, test-retest reliability, and item-total subscale correlation after instruments were translated. IMPLICATIONS FOR PRACTICE Clinicians should evaluate the translation and adaptation process for translated versions of instruments before using them to provide culturally appropriate and sensitive care.
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Affiliation(s)
- Fang Lei
- Author Affiliations: School of Nursing (Ms Lei, Dr Chen, Dr Brecht, and Dr Lee), and Fielding School of Public Health (Dr Zhang), University of California at Los Angeles
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Menéndez Rodríguez M, Garau Ramírez J, Traver Salvador A, Hervás Jiménez Y, García Morales N, Seoane Pillado T, Pin Vieito N, Vega Villaamil P, Montes Martínez A, Cubiella J. Rawl's questionnaire spanish validation for colorectal cancer screening with faecal occult blood testing. GASTROENTEROLOGIA Y HEPATOLOGIA 2021; 45:106-113. [PMID: 34023478 DOI: 10.1016/j.gastrohep.2021.04.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/20/2020] [Revised: 03/05/2021] [Accepted: 04/08/2021] [Indexed: 11/19/2022]
Abstract
INTRODUCTION Colorectal cancer 5-years-survival is 57%, partway due to a low rate of participation in screening programmes. Instruments analyzing causes of low adherence are needed. OBJECTIVE To evaluate the validity and internal consistency of the Spanish version of Rawl's Questionnaire for the screening of colorectal cancer by faecal occult blood testing. TYPE OF STUDY Questionnaire validation methodology. LOCATION Three Primary Care Centres in Valencia. VARIABLES Age, sex, civil status, educational level, social class, smoking, alcohol consumption, body mass index, personal and family history of cancer. RESULTS We analyzed 408 individuals (237 cases and 171 controls). Mean age was 59.45 years (SD 5.17). Internal consistency of all variables reached a Cronbach's alfa of 0.796. The Cronbach's alfa benefit dimension of the screening was 0.871 and for the barrier dimension of the screening it was 0.817. Intraclass correlation coefficients of the test-retest for the benefit dimension of the screening was 0.809 (CI 95% 0.606-0.913) and 0.499 (CI 95% 0.126-0.750) for the barrier dimension. CONCLUSION The Spanish version of Rawl's Questionnaire is valid, reliable and reproducible, so we have this validated instrument with which to identify barriers and benefits in a colorectal screening programme in Spain.
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Affiliation(s)
- Martín Menéndez Rodríguez
- Centro de Saúde Lavadores, Gerencia de Gestión Integrada de Vigo, Servicio Galego de Saúde, Vigo, España.
| | - Jorge Garau Ramírez
- Centro de Salud Auxiliar de Chile, Área Hospital Clínic-Malvarrosa, Valencia, España
| | | | - Yésica Hervás Jiménez
- Centro de Salud Auxiliar de Chile, Área Hospital Clínic-Malvarrosa, Valencia, España
| | - Natalia García Morales
- Servicio de Digestivo, Complexo Hospitalario Universitario de Vigo, Sergas, Vigo, España; Instituto de Investigación Sanitaria Galicia Sur, Vigo, España
| | - Teresa Seoane Pillado
- Unidad de Medicina Preventiva y Salud Pública, Departamento de Ciencias de la Salud, Universidad de A Coruña-INIBIC, A Coruña, España
| | - Noel Pin Vieito
- Instituto de Investigación Sanitaria Galicia Sur, Vigo, España; Unidad de Medicina Preventiva y Salud Pública, Departamento de Ciencias de la Salud, Universidad de A Coruña-INIBIC, A Coruña, España; Servicio de Aparato Digestivo, Hospital Universitario de Ourense, Ourense, España
| | - Pablo Vega Villaamil
- Instituto de Investigación Sanitaria Galicia Sur, Vigo, España; Servicio de Aparato Digestivo, Hospital Universitario de Ourense, Ourense, España
| | - Agustín Montes Martínez
- Área de Medicina Preventiva e Saúde Pública, Universidade de Santiago de Compostela, Santiago de Compostela, España; Instituto de Investigación Sanitaria de Santiago de Compostela (IDIS), Santiago de Compostela, España; Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Madrid, España
| | - Joaquín Cubiella
- Instituto de Investigación Sanitaria Galicia Sur, Vigo, España; Servicio de Aparato Digestivo, Hospital Universitario de Ourense, Ourense, España; Centro de Investigación Biomédica en Red Enfermedades Hepáticas y Digestivas, Ourense, España
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Gabriel EH, Hoch MC, Cramer RJ. The Development of the Theory of Planned Behavior and Health Belief Model Scales: Assessing Behavioral Determinants of Exercise-Related Injury Prevention Program Participation. ACTA ACUST UNITED AC 2019. [DOI: 10.3928/19425864-20180802-01] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Health Belief Model and Theory of Planned Behavior: A Theoretical Approach for Enhancing Lower Extremity Injury Prevention Program Participation. INTERNATIONAL JOURNAL OF ATHLETIC THERAPY & TRAINING 2018. [DOI: 10.1123/ijatt.2017-0016] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
The integration of theoretical models into exercise-related injury prevention research may advance our understanding of the reasons why adoption and compliance of exercise-related injury prevention programs (ERIPPs) is low. A new model which integrates the Health Belief Model and Theory of Planned Behavior has been developed to provide insights into the behavioral determinants of ERIPP participation. There are several steps which must be taken to begin utilizing these theoretical models within ERIPP research, including creating an effective assessment tool, assessing the behavioral determinants of ERIPP participation within the target population, and developing and testing interventions based on these theoretical models.
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Crawford J, Beaton D, Ahmad F, Bierman AS. Cross-cultural survey development: The Colon Cancer Screening Behaviors Survey for South Asian populations. BMC Res Notes 2017; 10:770. [PMID: 29282127 PMCID: PMC5745603 DOI: 10.1186/s13104-017-3098-3] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2017] [Accepted: 12/15/2017] [Indexed: 01/08/2023] Open
Abstract
OBJECTIVE The objective of this work was to develop a survey that considered cultural relevance and diversity of South Asian populations, with the aim of describing or predicting factors that influence colorectal cancer screening intention and adherence. The scientifically rigorous approach for survey development informed the final phase of an exploratory mixed method study. This initial survey was later cross-culturally translated and adapted into the Urdu language, and thereafter, items were cognitively tested for conceptual relevance among South Asian immigrants. RESULTS The initial development of the Colon Cancer Screening Behaviours Survey for South Asian populations was completed using a number of steps. Development involved: the identification of key concepts and conceptual model; literature search for candidate measures and critical appraisal; and, expert consultation to select relevant measures. Five published surveys included measures that covered concepts relevant to South Asians and colorectal cancer screening behaviours. However, measures from these surveys missed content that emerged through parallel field work with South Asians, and additions were required along with item modifications. In the final stage, cross-cultural translation and adaptation into Urdu, and cognitive testing were completed. Future research will require an examination of proposed relationships, and psychometric testing of measures in the survey.
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Affiliation(s)
- Joanne Crawford
- Faculty of Applied Health Sciences, Department of Nursing, Brock University, 1812 Sir Isaac Brock Way, St. Catharines, ON L2S 3A1 Canada
| | - Dorcas Beaton
- Musculoskeletal Health and Outcomes Research, Li Ka Shing Knowledge Institute, St. Michael’s Hospital, Toronto, ON Canada
- Measurement Stream, Institute for Work & Health, Toronto, ON Canada
- Department of Occupational Science and Occupational Therapy, Rehabilitation Sciences Institute, and the Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON Canada
| | - Farah Ahmad
- School of Health Policy and Management, Faculty of Health, York University, 4700 Keele Street, Toronto, ON Canada
| | - Arlene S. Bierman
- Center for Evidence and Practice Improvement (CEPI), Agency for Health Care Research and Quality, Washington DC, USA
- University of Toronto, Toronto, ON Canada
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Majidi A, Majidi S, Salimzadeh S, Khazaee- Pool M, Sadjadi A, Salimzadeh H, Delavari A. Cancer Screening Awareness and Practice in a Middle Income Country; A Systematic Review from Iran. Asian Pac J Cancer Prev 2017; 18:3187-3194. [PMID: 29281865 PMCID: PMC5980869 DOI: 10.22034/apjcp.2017.18.12.3187] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023] Open
Abstract
Objective: Ageing population and noticeable changes in lifestyle in developing countries like Iran caused an
increase in cancer incidence. This requires organized cancer prevention and screening programs in population level,
but most importantly community should be aware of these programs and willing to use them. This study explored
existing evidence on public awareness and practice, as well as, adherence to cancer screening in Iranian population.
Methods: Major English databases including Web of Science, PubMed, Scopus, and domestic Persian databases i.e.,
SID, Magiran, and Barakat search engines were searched. All publications with focus on Iranian public awareness
about cancer prevention, screening, and early detection programs which were published until August 2015, were
explored in this systematic review. For this purpose, we used sensitive Persian phrases/key terms and English keywords
which were extracted from medical subject headings (MeSH). Taking PRISMA guidelines into considerations eligible
documents, were evaluated and abstracted by two separate reviewers. Results: We found 72 articles relevant to this
topic. Screening tests were known to, or being utilized by only a limited number of Iranians. Most Iranian women relied
on physical examination particularly self-examination, instead of taking mammogram, as the most standard test to find
breast tumors. Less than half of the average-risk adult populations were familiar with colorectal cancer risk factors and
its screening tests, and only very limited number of studies reported taking at least one time colonoscopy or FOBT,
at most 5.0% and 15.0%, respectively. Around half of women were familiar with cervical cancer and Pap-smear test
with less than 45% having completed at least one lifetime test. The lack of health insurance coverage was a barrier to
participate in screening tests. Furthermore some people would not select to be screened only because they do not know
how or where they can receive these services. Conclusion: Low awareness and suboptimal use of screening tests in
Iran calls for effective programs to enhance intention and compliance to screening, improving the patient-physician
communication, identifying barriers for screening and providing tailored public awareness and screening programs.
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Affiliation(s)
- Azam Majidi
- Digestive Oncology Research Center, Digestive Diseases Research Institute, Tehran University of Medical Sciences, Tehran, Iran.
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Tasci-Duran E, Koc S, Korkmaz M. Turkish social attitudes towards to cancer prevention: a health belief model study. Asian Pac J Cancer Prev 2015; 15:7935-40. [PMID: 25292090 DOI: 10.7314/apjcp.2014.15.18.7935] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
This research was planned to reveal society's attitude towards cancer and early diagnosis using the health belief model. This study was planned as descriptive research in Isparta. A random sample of n=256 individuals of both genders was recruited at the largest shopping center. As a means of collection tool, a survey consisted of two forms, the first designed for sociodemographic information and the second covering 29 questions suitable for the content of Health Belief Model. Of the participants, 66.8% were female and 33.2% were male, and the average age was 33.3±11.0 years. Some 46.1% partly thought that they may develop cancer, and 49.6% were afraid of this possibility. As many as 50% indicated that cancer is an issue that comes from Allah. A significant difference was found between not going for control unless feeling bad, and blood analysis for cancer screening (χ2=3.780 p= 0.03). It was seen that in an area with a high rate of cancer, people's awareness of cancer prevention and early diagnosis and attitudes towards these are insufficient.
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Affiliation(s)
- Emel Tasci-Duran
- Obstetrics and Gynecological Nursing Department, Health Sciences Faculty, Suleyman Demirel Universty, Isparta, Turkey E-mail :
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