Originales
Adaptación y validación del cuestionario de susceptibilidad, beneficios y barreras ante el cribado con mamografía
Adaptation and validation of a questionnaire on susceptibility, benefits and barriers in breast cancer screening with mammography
Magdalena Estevaa,
, Joana Ripolla, Carmen Sánchez-Contadorb, Francisca Colladob, Cristian Tebéc, Eusebi Castañod, Matías Torrente
Autor para correspondencia
mesteva@ibsalut.caib.es
Correspondencia: Magdalena Esteva. Gabinete Técnico. Gerencia Atención Primaria de Mallorca. Ibsalut. Reina Esclaramunda, 9. 07003 Palma de Mallorca. España.
Correspondencia: Magdalena Esteva. Gabinete Técnico. Gerencia Atención Primaria de Mallorca. Ibsalut. Reina Esclaramunda, 9. 07003 Palma de Mallorca. España.
a Gabinete Técnico, Gerencia de Atención Primaria de Mallorca, Ibsalut, Palma de Mallorca, España
b Programa de detección precoz del cáncer de mama, Dirección General de Salud Pública, Conselleria de Salut i Consum de les Illes Balears; Palma de Mallorca, España
c Agència d’Avaluació de Tecnologia i Recerca Mèdiques, Conselleria de Salut i Consum, Generalitat Catalunya, Barcelona, España
d Dirección General de Planificación y Financiamiento. Conselleria de Salut i Consum de les Illes Balears, Palma de Mallorca, España
e Dirección Médica, Gerencia de Área de Menorca, Ibsalut, Palma de Mallorca, España
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España." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Adaptation and validation of a questionnaire on susceptibility, benefits and barriers in breast cancer screening with mammography" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2006-03-28" "fechaAceptado" => "2006-09-12" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec13971" "palabras" => array:6 [ 0 => "Estudios de validación" 1 => "Escalas" 2 => "Comportamiento en salud" 3 => "Neoplasias de mama" 4 => "Cribado poblacional" 5 => "Mamografía" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec13972" "palabras" => array:6 [ 0 => "Validation studies" 1 => "Scales" 2 => "Health behavior" 3 => "Breast neoplasms" 4 => "Mass screening" 5 => "Mammography" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "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>" ] "en" => array:2 [ "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>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:32 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Efficacy of screening mammography: a meta-analisis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "K. 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Información del artículo
ISSN: 02139111Idioma original: Español
DOI:10.1157/13108499
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