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"titulo" => "Adaptation and validation of a questionnaire on susceptibility, benefits and barriers in breast cancer screening with mammography"
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0 => "Estudios de validación"
1 => "Escalas"
2 => "Comportamiento en salud"
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"resumen" => "<span class="elsevierStyleSectionTitle">Objetivos</span><p class="elsevierStyleSimplePara elsevierViewall">Adaptar una «escala de creencias» sobre el cáncer de mama al castellano, evaluando su validez y reproducibilidad.</p> <span class="elsevierStyleSectionTitle">Métodos</span><p class="elsevierStyleSimplePara elsevierViewall">Validación de una escala de 3 dimensiones –susceptibilidad, beneficios y barreras– con respuestas tipo Likert, en un estudio de casos y controles, donde los casos eran las mujeres no participantes en un programa de cribado de cáncer de mama y los controles las participantes. Se realizó un proceso de traducción-retrotraducción y un comité técnico analizó las discrepancias. Se pilotó la comprensión en 17 mujeres. Participaron en el estudio 274 mujeres y a 32 de ellas se les repitió el cuestionario en el intervalo de un mes para valorar la reproducibilidad.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">El coeficiente de correlación intraclase fue de 0,89, 0,70 y 0,90, y el coeficiente alfa de Cronbach de 0,71, 0,48 y 0,57 para susceptibilidad, beneficios y barreras, respectivamente. Respecto a la validez de constructo, del análisis factorial exploratorio se extrajeron 3 factores, lo que explicaba un 34% de la varianza. El análisis factorial confirmatorio señala un ajuste al límite de los datos al modelo teórico. Las mujeres de más edad perciben menos susceptibilidad al cáncer de mama y declaran más barreras para hacerse una mamografía. Las de menor nivel de estudios perciben más barreras. La escala no ha mostrado su capacidad para predecir la participación en el programa.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">La escala presenta problemas de validez y homogeneidad. Las dimensiones de beneficios y barreras necesitan un proceso de adaptación y validación profunda para su utilización.</p>"
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"titulo" => "Abstract"
"resumen" => "<span class="elsevierStyleSectionTitle">Objectives</span><p class="elsevierStyleSimplePara elsevierViewall">To adapt the «health belief model» on breast cancer screening to Spanish, and to asses its validity and reliability.</p> <span class="elsevierStyleSectionTitle">Methods</span><p class="elsevierStyleSimplePara elsevierViewall">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.</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">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.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">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.</p>"
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