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Development and validation of the health competence beliefs inventory in young adults with and without a history of childhood cancer

  • Branlyn Werba Derosa
  • , Anne E. Kazak
  • , Kinjal Doshi
  • , Lisa A. Schwartz
  • , Jill Ginsberg
  • , Jun J. Mao
  • , Joseph Straton
  • , Wendy Hobbie
  • , Mary T. Rourke
  • , Claire Carlson
  • , Richard F. Ittenbach

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Adolescent and young adult survivors of childhood cancer are a vulnerable population. Health beliefs may be related to necessary follow-up care. Purpose: This study seeks to develop a measure of health beliefs for adolescents and young adults with and without a history of cancer. Methods: 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. Results: 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. Conclusions: The Health Competence Beliefs Inventory is a promising measure of adolescent and young adult perceptions of health and well-being.

Original languageEnglish (US)
Pages (from-to)48-58
Number of pages11
JournalAnnals of Behavioral Medicine
Volume41
Issue number1
DOIs
StatePublished - Feb 2011
Externally publishedYes

Keywords

  • Beliefs
  • Cancer
  • Health
  • Psychological outcomes
  • Survivorship
  • Young adults

ASJC Scopus subject areas

  • General Psychology
  • Psychiatry and Mental health

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