Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2017 Mar 22:9:199-205.
doi: 10.2147/BCTT.S129855. eCollection 2017.

Validation of Health Behavior and Stages of Change Questionnaire

Leivy Patricia Gonzalez-Ramirez  1 , Jose Maria De la Roca-Chiapas  2 , Cecilia Colunga-Rodriguez  3 , Maria de Lourdes Preciado-Serrano  4 , Adrian Daneri-Navarro  5 , Francisco Javier Pedroza-Cabrera  6 , Reyna Jazmin Martinez-Arriaga  7
Affiliations

Validation of Health Behavior and Stages of Change Questionnaire

Leivy Patricia Gonzalez-Ramirez et al. Breast Cancer (Dove Med Press). .

Abstract

Background: The transtheoretical model (TTM) has been widely used to promote healthy behaviors in different groups. However, a questionnaire has not yet been developed to evaluate the health behaviors that medical practitioners often consider in individuals with cancer or at a high risk of developing cancer.

Purpose: The aim of this study was to construct and validate the Health Behavior and Stages of Change Questionnaire (HBSCQ), which is based on the TTM and health recommendations related to risk and factors that protect against cancer.

Methods: Content validity was conducted in two phases (qualitative and quantitative). Item difficulty index, item discrimination index, and discrimination coefficient were obtained based on the classical test theory. Finally, Cronbach's alpha was used.

Results: Measure of concordance showed scores considered adequate and excellent. The item discrimination index obtained a rating of "excellent" and suggested the preservation of all items. The discrimination coefficient scores are >0.74. The global internal consistency of the HBSCQ was 0.384. HBSCQ specification between groups of internal consistency for the sample of men was 0.712 and that for the sample of women was 0.378.

Conclusion/implications for practice: The HBSCQ represents a proposal for a fast, simple, and innovative screening test, which aims to identify persons who may benefit from interventions to promote health behaviors delimited to the stage of change.

Keywords: health promotion; lifestyle; screening tests; transtheoretical model.

PubMed Disclaimer

Conflict of interest statement

Disclosure The authors report no conflicts of interest in this work.

References

    1. Figueroa-Lara A, Gonzalez-Block MA, Alarcon-Irigoyen J. Medical expenditure for chronic diseases in Mexico: the case of selected diagnoses treated by the largest care providers. PLoS One. 2016;11(1):e0145177. - PMC - PubMed
    1. Ford ES, Zhao G, Tsai J, Li C. Low-risk lifestyle behaviors and all-cause mortality: findings from the National Health and Nutrition Examination Survey III Mortality Study. Am J Public Health. 2011;101(10):1922–1929. - PMC - PubMed
    1. WHO Global Status Report on Noncommunicable Diseases. 2014. [Accessed June 2016]. Available from: http://apps.who.int/iris/bitstream/10665/148114/1/9789241564854_eng.pdf.
    1. Prochaska JO, Redding CA, Evers KE. The transtheoretical model and stages of change. In: Glanz K, Rimer BK, Viswanath K, editors. Health Behavior and Health Education Theory, Research and Practice. 4th ed. San Francisco: Jossey-Bass; 2008. pp. 97–148.
    1. Gokbayrak NS, Paiva AL, Blissmer BJ, Prochaska JO. Predictors of relapse among smokers: transtheoretical effort variables, demographics, and smoking severity. Addict Behav. 2015;42:176–179. - PMC - PubMed

LinkOut - more resources