[Adaptation and validation of a questionnaire on susceptibility, benefits and barriers in breast cancer screening with mammography].
OBJECTIVE
To adapt the <<health belief model>> on breast cancer screening to Spanish, and to asses its validity and reliability.


METHODS
We assessed validation of a scale with 3 dimensions (susceptibility, benefits and barriers) with Likert responses in a case-control study. Cases were women not participating in a breast cancer screening program and controls consisted of participating women. A process of translation and back-translation was carried out and a technical committee analyzed discrepancies. Comprehension was tested in 17 women. Two hundred seventy-four women participated in the study. In 32 of these women, the questionnaire was administered twice after a 1-month interval to estimate its reliability.


RESULTS
The intraclass correlation coefficients were 0.89, 0.70 and 0.90, and Cronbach's alpha coefficient was 0.71, 0.48 and 0.57 for susceptibility, benefits and barriers, respectively. Construct validity: from the factorial analysis, 3 factors were obtained explaining 34% of the variance. The confirmatory factorial analysis indicated acceptable goodness-of-fit of the data to the theoretical model. Older women perceived less susceptibility to breast cancer as well as greater barriers to attending screening. Women with a lower educational level perceived greater barriers. The scale did not seem to predict adherence to the program.


CONCLUSIONS
The adapted scale presents problems of validity and internal consistency. The dimensions of benefits and barriers require thorough adaptation and validation before the scale is used in Spanish women.
Gabinete Técnico, Gerencia de Atención Primaria de Mallorca, Ibsalut, Palma de Mallorca, España. mesteva@ibsalut.caib.es
Magdalena
M
Esteva
Joana
J
Ripoll
Carmen
C
Sánchez-Contador
Francisca
F
Collado
Cristian
C
Tebé
Eusebi
E
Castaño
Matías
M
Torrent
D001943:Breast Neoplasms / Q000000981:diagnostic imaging* / Q000453:epidemiology; D004198:Disease Susceptibility; D005260:Female; D006801:Humans; D008327:Mammography; D008875:Middle Aged; D011795:Surveys and Questionnaires