标题:Translation, Adaptation and Beginnings of Validation of the Multidimensional Health Locus of Control Scale Form C in a Sample of Type 2 Diabetes Adult Patients in Puerto Rico
摘要:Faced with the challenges of managing Type 2 Diabetes in Puerto Rico, a common pathology with serious health consequences, this research aimed to generated knowledge through the translation, adaptation and validation of the Multidimentional Health Locus of Control Scale Form-C (MHLCSF-C). Morowatisharifaba, Mazloomy Mahmoodabad, Baghianimoghadam, Rouhani Tonekaboni (2009) defined the Health Locus of Control concept as a widespread expectation about whether one's health is controlled by the behavior itself or by forces external to one. This concept applied to the diagnosis of Diabetes mellitus has an important role in the management skills of these patients. And, in part, may explain the type of behavior that the patient adheres to. Similarly, it can have an impact in the establishment of medical interventions. Beyond a causal perspective, the purpose of the association of Locus of Control with Diabetes fulfills a psychosocial function within the strictly biomedical science that usually circumscribes the treatment of this disease. A pilot study with 108 Puerto Rican adults with type 2 diabetes was performed in order to test psychometrics properties of the MHLCSF-C with this population. It is expected to obtain an Alpha cronbach of >.70 or higher, that according to Kline (2000) will be adequate. The data collection phase was conducted online using the platform PsychData, and through social networks (Facebook and Twitter) where a link was placed to gather participants. The psychometric properties revealed that based on the items that met biserial correlation index (RBIs) of .30 or more and after psychometric analyses (factor and biserial analysis) from 18 items a total of 7 items remained. We obtained adequacy of the sample provided by Kaiser-Meyer-Olkin (KMO = .791), which showed that the sample size (N = 108) was adequate. Principal Component Analysis with Varimax type rotation revealed that factor loading appeared in two components. Component 1 obtained a value corresponding to 3.31 Eigen explaining the variance in 40.19%. This component was named Responsibility and Behavior. Component 2 obtained a corresponding value Eigen to 1.55 explaining the variance in 22.26%. This component was called Self-monitoring. Reliability analysis for the 7 items with which concluded the scale showed that the instrument obtained an internal consistency of Cronbach's alpha .79. A direct and statistically significant moderate correlation (r = .436, p <.01) between the two factors was obtained. However, although there is a relationship, it appears to be not significant enough to eliminate one or the other. Similarly, the original authors of the English instrument indicate that the subscales are orthogonal to each other and therefore cannot nor should be gather in one (Wallston, 1993).
关键词:Diabetes;Puerto Rico;Locus of control;Health;Scale