Self-efficacy scale for pap smear screening participation in sheltered women

Jette R. Hogenmiller, Jan R. Atwood, Ada M. Lindsey, David R. Johnson, Melody A Hertzog, Joseph C. Scott

Research output: Contribution to journalArticle

28 Citations (Scopus)

Abstract

Background: Sheltered, homeless women disproportionately experience cervical dysplasia and cervical cancer. Low rates of Pap smear screening contribute to late diagnosis with accompanying increased morbidity and mortality. Self-efficacy (SE) has been demonstrated to be predictive of several health behaviors, but limited evidence about SE for Pap smear screening exists. Objectives: To develop, test, and refine the conceptually based Self-Efficacy Scale for Pap Smear Screening Participation (SES-PSSP). Methods: This correlational, descriptive study included a purposive sampling of sheltered women (N ≤ 161). Results: The 20-item SES-PSSP demonstrated acceptable initial validity and reliability. Reliability estimates of stability (ĝ‰¥84%) and internal consistency (± ≤ .95) exceeded criteria. Content validity and construct validity were supported (e.g., common factor analysis and predictive model testing that included SE, decisional balance, knowledge regarding Pap smear screening, demographics, health-related behaviors, health status, and personal beliefs about risks for cervical cancer and dysplasia). Self-efficacy, decisional balance, illicit drug usage, and age predicted 28% of the variance in stages of change (precontemplation, contemplation, preparation, action, and maintenance) for Pap smear screening participation. Discussion: The SES-PSSP provides a new scale for measuring SE pertinent to Pap smear screening participation in a vulnerable, ethnically diverse sample of sheltered, inner-city women. Validity testing demonstrated that the SE concept was predictive of Pap smear screening behavior, suggesting that SE-based interventions tailored to the SES-PSSP subscale or total scores could increase screening. A 10-minute completion time supports feasibility for use in the clinic setting.

Original languageEnglish (US)
Pages (from-to)369-377
Number of pages9
JournalNursing Research
Volume56
Issue number6
DOIs
StatePublished - Nov 1 2007

Fingerprint

Papanicolaou Test
Self Efficacy
Uterine Cervical Dysplasia
Uterine Cervical Neoplasms
Delayed Diagnosis
Health Behavior
Street Drugs
Reproducibility of Results
Health Status
Statistical Factor Analysis
Maintenance
Demography

Keywords

  • Cancer prevention
  • Pap smear screening
  • Self-efficacy
  • Sheltered women

ASJC Scopus subject areas

  • Nursing(all)

Cite this

Hogenmiller, J. R., Atwood, J. R., Lindsey, A. M., Johnson, D. R., Hertzog, M. A., & Scott, J. C. (2007). Self-efficacy scale for pap smear screening participation in sheltered women. Nursing Research, 56(6), 369-377. https://doi.org/10.1097/01.NNR.0000299848.21935.8d

Self-efficacy scale for pap smear screening participation in sheltered women. / Hogenmiller, Jette R.; Atwood, Jan R.; Lindsey, Ada M.; Johnson, David R.; Hertzog, Melody A; Scott, Joseph C.

In: Nursing Research, Vol. 56, No. 6, 01.11.2007, p. 369-377.

Research output: Contribution to journalArticle

Hogenmiller, JR, Atwood, JR, Lindsey, AM, Johnson, DR, Hertzog, MA & Scott, JC 2007, 'Self-efficacy scale for pap smear screening participation in sheltered women', Nursing Research, vol. 56, no. 6, pp. 369-377. https://doi.org/10.1097/01.NNR.0000299848.21935.8d
Hogenmiller JR, Atwood JR, Lindsey AM, Johnson DR, Hertzog MA, Scott JC. Self-efficacy scale for pap smear screening participation in sheltered women. Nursing Research. 2007 Nov 1;56(6):369-377. https://doi.org/10.1097/01.NNR.0000299848.21935.8d
Hogenmiller, Jette R. ; Atwood, Jan R. ; Lindsey, Ada M. ; Johnson, David R. ; Hertzog, Melody A ; Scott, Joseph C. / Self-efficacy scale for pap smear screening participation in sheltered women. In: Nursing Research. 2007 ; Vol. 56, No. 6. pp. 369-377.
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