Development and Validation of the Health Competence Beliefs Inventory in Young Adults With and Without a History of Childhood Cancer
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- DeRosa, B.W., Kazak, A.E., Doshi, K. et al. ann. behav. med. (2011) 41: 48. doi:10.1007/s12160-010-9228-y
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Adolescent and young adult survivors of childhood cancer are a vulnerable population. Health beliefs may be related to necessary follow-up care.
This study seeks to develop a measure of health beliefs for adolescents and young adults with and without a history of cancer.
Inductive and deductive methods and focus groups were used to develop the Health Competence Beliefs Inventory. Cancer survivors (n = 138) and comparison participants (n = 130) completed the Health Competence Beliefs Inventory and other measures. Healthcare providers reported current medical problems.
A series of iterative exploratory factor analyses generated a 21-item four-factor solution: (1) Health Perceptions; (2) Satisfaction with Healthcare; (3) Cognitive Competence; and (4) Autonomy. Survivors reported significantly different Health Competence Beliefs Inventory scale scores than comparisons (p < .05). The Health Competence Beliefs Inventory was associated with beliefs, affect, quality of life, posttraumatic stress symptoms, and medical problems.
The Health Competence Beliefs Inventory is a promising measure of adolescent and young adult perceptions of health and well-being.