Validation of a single question to measure internal health locus of control in Swedish primary care.


Journal

Scandinavian journal of psychology
ISSN: 1467-9450
Titre abrégé: Scand J Psychol
Pays: England
ID NLM: 0404510

Informations de publication

Date de publication:
Oct 2023
Historique:
revised: 22 02 2023
received: 28 10 2021
accepted: 04 04 2023
medline: 19 9 2023
pubmed: 27 4 2023
entrez: 27 4 2023
Statut: ppublish

Résumé

Behavioral risk factors are highlighted in the prevention of diabetes and cardiovascular disease. Screening for health locus of control could be a feasible way to better identify individuals who could benefit from preventive behavioral change interventions. The aim of the study was to investigate the correlation between a single question measuring internal health locus of control (IHLC) and the Multidimensional Health Locus of Control Scale (MHLC) and to assess how IHLC relates to the General Self-Efficacy scale (GSE) in a primary care setting. Primary care patients, aged 18 and older, attending three primary care centers in southwest Sweden were consecutively asked to anonymously participate in the study. The patients were given a questionnaire and instructed to return the questionnaire in a sealed box in the waiting room. In all, 519 patients were included. The correlation between MHLC Internality and IHLC was weak (r = 0.21, p < 0.001). An increase of one point on the internality scale of the MHLC gave an odds ratio of 1.19 (95% CI 1.11-1.28) for reporting high IHLC, and thus a five-point increase gave a doubled likelihood, OR = 2.40, CI 1.67-3.46. The results for the other scales of the MHLC and GSE were similar. In this study, we found weak but statistically significant support for the single-question IHLC as a measure of internal health locus of control. Given that the correlation was weak, we recommend using the MHLC when possible.

Sections du résumé

BACKGROUND BACKGROUND
Behavioral risk factors are highlighted in the prevention of diabetes and cardiovascular disease. Screening for health locus of control could be a feasible way to better identify individuals who could benefit from preventive behavioral change interventions. The aim of the study was to investigate the correlation between a single question measuring internal health locus of control (IHLC) and the Multidimensional Health Locus of Control Scale (MHLC) and to assess how IHLC relates to the General Self-Efficacy scale (GSE) in a primary care setting.
METHODS METHODS
Primary care patients, aged 18 and older, attending three primary care centers in southwest Sweden were consecutively asked to anonymously participate in the study. The patients were given a questionnaire and instructed to return the questionnaire in a sealed box in the waiting room.
RESULTS RESULTS
In all, 519 patients were included. The correlation between MHLC Internality and IHLC was weak (r = 0.21, p < 0.001). An increase of one point on the internality scale of the MHLC gave an odds ratio of 1.19 (95% CI 1.11-1.28) for reporting high IHLC, and thus a five-point increase gave a doubled likelihood, OR = 2.40, CI 1.67-3.46. The results for the other scales of the MHLC and GSE were similar.
CONCLUSION CONCLUSIONS
In this study, we found weak but statistically significant support for the single-question IHLC as a measure of internal health locus of control. Given that the correlation was weak, we recommend using the MHLC when possible.

Identifiants

pubmed: 37102405
doi: 10.1111/sjop.12923
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

674-678

Subventions

Organisme : Healthcare Committee, Region Västra Götaland
Organisme : Local Research and Development Council Gothenburg and Södra Bohuslän
Organisme : Swedish State under the Agreement between the Swedish Government and the County Councils
ID : ALFGBG-938433

Informations de copyright

© 2023 The Authors. Scandinavian Journal of Psychology published by Scandinavian Psychological Associations and John Wiley & Sons Ltd.

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Auteurs

Maria C M Eriksson (MCM)

Primary Health Care, School of Public Health and Community Medicine, Institute of Medicine, Gothenburg University, Gothenburg, Sweden.

Ulf Lindblad (U)

Primary Health Care, School of Public Health and Community Medicine, Institute of Medicine, Gothenburg University, Gothenburg, Sweden.

Bledar Daka (B)

Primary Health Care, School of Public Health and Community Medicine, Institute of Medicine, Gothenburg University, Gothenburg, Sweden.

Jesper Lundgren (J)

Department of Psychology, Gothenburg University, Gothenburg, Sweden.

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