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. 2011 Jun;41(3):271-83.
doi: 10.1007/s12160-010-9250-0.

Validity of the process of change for colorectal cancer screening among African Americans

Katherine DuHamel  1 , Yuelin Li, William Rakowski, Parisa Samimi, Lina Jandorf
Affiliations

Validity of the process of change for colorectal cancer screening among African Americans

Katherine DuHamel et al. Ann Behav Med. 2011 Jun.

Abstract

Background: Process of change (POC) is a construct of the transtheoretical model that proposes to promote healthy behaviors.

Purpose: African Americans participate in colorectal cancer (CRC) screening less often than whites, while disease onset is younger, and incidence and mortality from CRC are higher.

Methods: POC items for CRC screening were administered to 158 African Americans, the majority of whom were female (75.9%) and were not employed (85.4%). Confirmatory factor analysis was used to validate four factors reflecting the POC sub-domains.

Results: Support of the factor validity of the POC with internal consistency of standardized alpha for the four factors was found. A logistic regression showed predictive validity in predicting current screening stage for two of the four sub-domains.

Conclusion: These data support the application of the POC to prediction of CRC screening intention among African Americans.

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Conflict of interest statement

Conflict of Interest The authors declare no conflicts of interest. The authors have no financial relationship with the funding agency (NIH). The authors have full control of all primary data and agree to allow the journal to review the data if needed.

Figures

Fig. 1
Fig. 1
Process-of-change item cluster models
See this image and copyright information in PMC

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