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A Scale Development Study: The Vitamin D Health Belief Scale According to The Health Belief Model

Year 2024, Volume: 14 Issue: 1, 154 - 162, 28.03.2024
https://doi.org/10.33808/clinexphealthsci.1247019

Abstract

Objective: This study was conducted to develop Vitamin D Health Belief Scale based on the health belief model in adult women and determine its validity and reliability.
Methods: The sample of the study consisted of 404 women who were aged between 18 and 65, volunteered to participate in the study, and met study criteria. The theoretical framework of the scale was based on the health belief model. During the scale development stage, exploratory factor analysis and index values were evaluated by using confirmatory factor analysis, item-total correlation, and mean scores.
Results: The content validity index of the scale was found as 91.52%. As a result of the factor analysis, the variables were gathered under 6 factors with a total explained variance of 58.22%. Cronbach’s alpha value of the scale was determined as.884.
Conclusion: As a result of all analyses, a 5-point Likert-type scale that consisted of 31 items was developed. Six factors were obtained from the scale: perceived sensitivity, caring, health motivation, perceived benefits, perceived barriers, and self-efficacy. The total score of the scale gives the Vitamin D Health Belief score. The lowest and highest scores on the scale which consists of 31items are 31 and 155
respectively. It is recommended to use this scale to determine vitamin D health beliefs in adult women.

Supporting Institution

Bu çalışmayı destekleyen bir kurum bulunmamaktadır.

Project Number

Bu bir proje değildir. Etik kurul onay protokol numarası 150 'dir Onay Tarih ve onay sayısı :04.06.2018-150

Thanks

The authors thank stakeholders involved in this study. I also thank Professor, Hasibe Kadıoğlu

References

  • Jha S, Siddiqui N. Emerging role of vitamin D in women’s, international. Int J Med Res Health Sci. 2021; 10(5): 96-109.
  • FDA (Food and Drug Administration). Title 21: Food and Drugs Part 101 Food Labeling.Specific Requiarements for Healthy Claims: Calcium and Osteoporosis. 2008 https://www.ecfr.gov/current/title-21/chapter-I/subchapter-B/part-101.
  • Özünal A, Alim, EN. Menopozal dönemde görülen osteoporozda kalsiyum ve D vitaminin rolü. Türkiye Sağlık Araştırmaları Dergisi. 2022; 47-54.
  • Fletcher J, Cooper SC, Ghosh S, Hewision M. The role of vitamin D in inflammatory bowel disease: Mechanism to management. Nutrients.2019; 7;11(5):1019. DOI: 10.3390/nu11051019
  • Thacher TD, Clarke BL. Vitamin D insufficiency. Mayo Clin Proc. 2011; 86(1):50-60. DOI: 10.4065/mcp.2010.0567
  • Santorelli G, Whitelaw D, Farrar D, West J, Lawlor, AD. “Associations of maternal vitamin D, PTH and calcium with hypertensive disorders pregnancy and associated adverse perinatal outcomes: Findings from the Born in Bradford cohort study. Sci Rep. 2019; 9 (1). 1205.
  • Zhang R, Li B, Gao X, Tian R, Pan Y, Jiang Y, Gu H, Wang Y, Wang Y, Liu G. Serum 25-hydroxyvitamin D and the risk of cardiovascular disease: dose-response meta-analysis of prospective studies. Am J Clin Nutr. 2017;105(4):810-819. DOI: 10.3945/ajcn.116.140392
  • Kumsar A, Yılmaz, TF, Olgun N. Vitamin D eksikliği hipertansiyon gelişiminde bir risk faktörü mü? Cumhuriyet Hemşirelik Dergisi. 2015; 4(1): 35-40.
  • Moy FM, Hoe VC, Hairi NN, Vethakkan SR, Bulgiba A, Vitami, N. Deficiency and depression amaong woman from an urban community in a tropical. Public Health Nutr. 2017; 20(10):1844-1850.DOI: 10.1017/S1368980016000811
  • Aljefree NM, Lee P, Ahmed, F. Knowledge and attitudes about vitamin D, and behaviors related to vitamin D in adults with and without coronary heart disease in Saudi Arabia. BMC Public Health. 2017; 17, 266.
  • Güçlü M. COVID-19 ve D vitamini. Kebapçı MN, editör. D Vitamininin İskelet Dışı Etkileri. 1. Baskı. Ankara: Türkiye Klinikleri. 2021; 79- 86.
  • Fidan F, Alkan MB, Tosun AA . Pandemic Era: Vitamin D deficiency and insufficiency. Türk Osteoporoz Dergisi. 2014 ;20, 71- 74. DOI: 10.4274/tod.94830
  • Kotta S, Gadhvi D, Jakeways N, Saeed M, Sohanpal R, Hull S, Famakin O, Martineau A, Griffiths C. "Test me and treat me"--attitudes to vitamin D deficiency and supplementation: A qualitative study. BMJ Open. 2015;14;5(7):e007401. DOI: 10.1136/bmjopen-2014-007401
  • Kung AW, Lee KK. Knowledge of vitamin D and perceptions and attitudes toward sunlight among Chinese middle-aged and elderly women: a population survey in Hong Kong. BMC Public Health. 2006; 7(6):226.
  • Khadilkar SS. The emerging role of vitamin D3 in women’s health. Journal Obstet Gynaecol India. 2013; 63(3):147–15.
  • Mizunuma H, Shiraki M, Shintani M, Gorai I, Makita K, Itoga S, Mochizuki Y, Mogi H, Iwaoki Y, Kosha S, Yasui T, Ishihara O, Kurabayashi T, Kasuga Y, Hayashi K. Randomized trial comparing low-dose hormone replacement therapy and HRT plus 1alpha-OH-vitamin D3 (alfacalcidol) for treatment of postmenopausal bone loss. J Bone Miner Metab. 2006;24(1):11-5. DOI: 10.1007/s00774-005-0639-y
  • Ersin F, Bahar Z. Sağlığı geliştirme modellerinin meme kanseri erken tanı davranışlarına etkisi: bir literatür derlemesi Dokuz Eylül Hemşirelik Yüksekokulu Elektronik Dergisi, 2012; 5 (1), 28-38.(Turkish)
  • Kalkım A, Dağhan, Ş. Osteoporozu önlemede teori temelli eğitim programı uygulanan araştırmalar: teori, eğitim, değişim. Hemşirelikte Eğitim ve Araştırma Dergisi, 2016; 13(3):179-186. (Turkish)
  • Kurçer MA, Erdoğan Z. Sağlık inanç modeline göre sigara bırakma ölçeğinin geliştirilmesi. ACU Sağlık Bilimleri Dergisi 2020; 11(3):464-470. (Turkish)
  • Nguyen VH. Osteoporosis prevention and osteoporosis exercise in community -based public health programs. Osteoporosis and Sarcopenia. 2017; 3: 18-31. DOI: 10.1016/j.afos.2016.11.004
  • O’Rourke N, Hatcher LA. Step-by-Step Approach to Using SAS for Factor Analysis and Structural Equation Modeling (2nd Ed.). Cary, NC: SAS Edition: 2nd Publisher: SAS Press ISBN: 978-1-59994-230-8. Press. 2013.
  • Şahin MG, Bozkurt Öztürk N. Eğitim alanında ölçek geliştirme süreci: Bir İçerik analizi çalışması. Kastamonu Üniversitesi Kastamonu Eğitim Dergisi. 2018;26(1),191-199 DOI: 10.24106/kefdergi.375863 (Turkish)
  • Cam MO, Baysan A. Tutum ölçeği hazırlamada nitel ve nicel adımlar. Hemşirelikte Araştırma Geliştirme Dergisi. 2010;2:59–71.(Turkish)
  • Horan ML, Kim KK, Gendler P, Froman RD, Patel MD. Development and evaluation of the Osteoporosis Self-Efficacy Scale. Research in Nursing & Health 1998; 21(5):395-403. DOI: 10.1002/(sici)1098-240x(199810)21:5<395::aid-nur3>3.0.co;2-i
  • Tezbaşaran AA. Likert tipi ölçek hazırlama klavuzu,3 baskı, e-book 2008. p.9-51. ISBN975-9756-08-5http// www.academia.edu/1288035/Likert¬ Tipi Hazırlama Klavuzu. (Turkish)
  • Polit DF, Beck CT. Essentials of nursing research: Appraising evidence for nursing practice (7th ed) Philadelphia: Lippincott Willliams &Wilkins; 2006. 29, p. 489-97.
  • George D, Mallery M. SPSS for Windows Step by Step: A Simple Guide and Reference, 17.0 update (10a ed.) Boston; Pearson 2010.
  • Cândido FG, Bressan J. Vitamin D: link between osteoporosis, obesity, and diabetes? Int J Mol Sci 2014; 17;15(4):6569-6591 DOI: 10.3390/ijms15046569
  • Wacker M, Holick MF. Sun light and Vitamin D: A global perspective for health. Dermatoendocrinol. 2013; 5(1):51–108. DOI: 10.4161/derm.24494
  • Jeihooni AK, Hidarnia A, Kaveh MH, Hajizadeh E, Askari A. Application of the health belief model and social cognitive theory for osteoporosis preventive nutritional behaviors in a sample of Iranian women. Iran J Nurs Midwifery Res. 2016;21(2):131-141. DOI: 10.4103/1735-9066.178231
  • Janiszewska M, Firlej E, Dziedzic M, Żołnierczuk-Kieliszek D. Health beliefs and sense of one's own efficacy and prophylaxis of osteoporosis in peri- and post-menopausal women. Ann Agric Environ Med. 2016;23(1):167-173. DOI: 10.5604/12321966.1196875
  • Rosenstock IM. Historical origins of the health belief model. Health Education Monographs. 1974;2(4):328-335. DOI:10.1177/109019817400200403
  • Brown JD. Statistics Corner. Questions and answers about language testing statistics: Principal components analysis and exploratory factor analysis: Definitions, differences, and choices. Shiken: JALT Testing & Evaluation SIG Newsletter, 2009; 13(1):26-30.
  • Kline RB. Principles and practice of structural equation modeling. New York: Guilford Press; 2005. p 154-186.
  • Cokluk O, Şekercioğlu G, Büyüközturk S. Sosyal bilimler için çok değişkenli istatistik SPSS ve LISREL uygulamaları. Ankara: Pegem.Net; 2018.(Turkish)
  • Büyüközturk Ş. Testlerin geçerlilik ve güvenirliğinde kullanılan bazı istatistikler İçinde: Sosyal bilimler için veri analizi el kitabı, 16. Baskı. Ankara: Pegem Akademi: 2016.p. 167-82. (Turkish)
  • Özdamar K. Paket programlar ile istatistiksel veri analizi. Anadolu Üniversitesi Yayınları; 2004: Eskişehir. (Turkish)
  • Lynn MR. Determination and quantification of content validty. Nursing Research. 1986; 35:382-5.
  • Tavsancıl E. Tutumların ölçülmesi ve spss ile very analizi İstanbul: Nobel. Akademik Yayıncılık; 2019. 6.Baskı. (Turkish)
  • Alpar R. Spor sağlık ve eğitim bilimlerinden örneklerle uygulamalı istatistik ve geçerlilik ve güvenirlilik. Ankara: Detay Yayıncılık. 2010; p. 316-66. (Turkish)
Year 2024, Volume: 14 Issue: 1, 154 - 162, 28.03.2024
https://doi.org/10.33808/clinexphealthsci.1247019

Abstract

Project Number

Bu bir proje değildir. Etik kurul onay protokol numarası 150 'dir Onay Tarih ve onay sayısı :04.06.2018-150

References

  • Jha S, Siddiqui N. Emerging role of vitamin D in women’s, international. Int J Med Res Health Sci. 2021; 10(5): 96-109.
  • FDA (Food and Drug Administration). Title 21: Food and Drugs Part 101 Food Labeling.Specific Requiarements for Healthy Claims: Calcium and Osteoporosis. 2008 https://www.ecfr.gov/current/title-21/chapter-I/subchapter-B/part-101.
  • Özünal A, Alim, EN. Menopozal dönemde görülen osteoporozda kalsiyum ve D vitaminin rolü. Türkiye Sağlık Araştırmaları Dergisi. 2022; 47-54.
  • Fletcher J, Cooper SC, Ghosh S, Hewision M. The role of vitamin D in inflammatory bowel disease: Mechanism to management. Nutrients.2019; 7;11(5):1019. DOI: 10.3390/nu11051019
  • Thacher TD, Clarke BL. Vitamin D insufficiency. Mayo Clin Proc. 2011; 86(1):50-60. DOI: 10.4065/mcp.2010.0567
  • Santorelli G, Whitelaw D, Farrar D, West J, Lawlor, AD. “Associations of maternal vitamin D, PTH and calcium with hypertensive disorders pregnancy and associated adverse perinatal outcomes: Findings from the Born in Bradford cohort study. Sci Rep. 2019; 9 (1). 1205.
  • Zhang R, Li B, Gao X, Tian R, Pan Y, Jiang Y, Gu H, Wang Y, Wang Y, Liu G. Serum 25-hydroxyvitamin D and the risk of cardiovascular disease: dose-response meta-analysis of prospective studies. Am J Clin Nutr. 2017;105(4):810-819. DOI: 10.3945/ajcn.116.140392
  • Kumsar A, Yılmaz, TF, Olgun N. Vitamin D eksikliği hipertansiyon gelişiminde bir risk faktörü mü? Cumhuriyet Hemşirelik Dergisi. 2015; 4(1): 35-40.
  • Moy FM, Hoe VC, Hairi NN, Vethakkan SR, Bulgiba A, Vitami, N. Deficiency and depression amaong woman from an urban community in a tropical. Public Health Nutr. 2017; 20(10):1844-1850.DOI: 10.1017/S1368980016000811
  • Aljefree NM, Lee P, Ahmed, F. Knowledge and attitudes about vitamin D, and behaviors related to vitamin D in adults with and without coronary heart disease in Saudi Arabia. BMC Public Health. 2017; 17, 266.
  • Güçlü M. COVID-19 ve D vitamini. Kebapçı MN, editör. D Vitamininin İskelet Dışı Etkileri. 1. Baskı. Ankara: Türkiye Klinikleri. 2021; 79- 86.
  • Fidan F, Alkan MB, Tosun AA . Pandemic Era: Vitamin D deficiency and insufficiency. Türk Osteoporoz Dergisi. 2014 ;20, 71- 74. DOI: 10.4274/tod.94830
  • Kotta S, Gadhvi D, Jakeways N, Saeed M, Sohanpal R, Hull S, Famakin O, Martineau A, Griffiths C. "Test me and treat me"--attitudes to vitamin D deficiency and supplementation: A qualitative study. BMJ Open. 2015;14;5(7):e007401. DOI: 10.1136/bmjopen-2014-007401
  • Kung AW, Lee KK. Knowledge of vitamin D and perceptions and attitudes toward sunlight among Chinese middle-aged and elderly women: a population survey in Hong Kong. BMC Public Health. 2006; 7(6):226.
  • Khadilkar SS. The emerging role of vitamin D3 in women’s health. Journal Obstet Gynaecol India. 2013; 63(3):147–15.
  • Mizunuma H, Shiraki M, Shintani M, Gorai I, Makita K, Itoga S, Mochizuki Y, Mogi H, Iwaoki Y, Kosha S, Yasui T, Ishihara O, Kurabayashi T, Kasuga Y, Hayashi K. Randomized trial comparing low-dose hormone replacement therapy and HRT plus 1alpha-OH-vitamin D3 (alfacalcidol) for treatment of postmenopausal bone loss. J Bone Miner Metab. 2006;24(1):11-5. DOI: 10.1007/s00774-005-0639-y
  • Ersin F, Bahar Z. Sağlığı geliştirme modellerinin meme kanseri erken tanı davranışlarına etkisi: bir literatür derlemesi Dokuz Eylül Hemşirelik Yüksekokulu Elektronik Dergisi, 2012; 5 (1), 28-38.(Turkish)
  • Kalkım A, Dağhan, Ş. Osteoporozu önlemede teori temelli eğitim programı uygulanan araştırmalar: teori, eğitim, değişim. Hemşirelikte Eğitim ve Araştırma Dergisi, 2016; 13(3):179-186. (Turkish)
  • Kurçer MA, Erdoğan Z. Sağlık inanç modeline göre sigara bırakma ölçeğinin geliştirilmesi. ACU Sağlık Bilimleri Dergisi 2020; 11(3):464-470. (Turkish)
  • Nguyen VH. Osteoporosis prevention and osteoporosis exercise in community -based public health programs. Osteoporosis and Sarcopenia. 2017; 3: 18-31. DOI: 10.1016/j.afos.2016.11.004
  • O’Rourke N, Hatcher LA. Step-by-Step Approach to Using SAS for Factor Analysis and Structural Equation Modeling (2nd Ed.). Cary, NC: SAS Edition: 2nd Publisher: SAS Press ISBN: 978-1-59994-230-8. Press. 2013.
  • Şahin MG, Bozkurt Öztürk N. Eğitim alanında ölçek geliştirme süreci: Bir İçerik analizi çalışması. Kastamonu Üniversitesi Kastamonu Eğitim Dergisi. 2018;26(1),191-199 DOI: 10.24106/kefdergi.375863 (Turkish)
  • Cam MO, Baysan A. Tutum ölçeği hazırlamada nitel ve nicel adımlar. Hemşirelikte Araştırma Geliştirme Dergisi. 2010;2:59–71.(Turkish)
  • Horan ML, Kim KK, Gendler P, Froman RD, Patel MD. Development and evaluation of the Osteoporosis Self-Efficacy Scale. Research in Nursing & Health 1998; 21(5):395-403. DOI: 10.1002/(sici)1098-240x(199810)21:5<395::aid-nur3>3.0.co;2-i
  • Tezbaşaran AA. Likert tipi ölçek hazırlama klavuzu,3 baskı, e-book 2008. p.9-51. ISBN975-9756-08-5http// www.academia.edu/1288035/Likert¬ Tipi Hazırlama Klavuzu. (Turkish)
  • Polit DF, Beck CT. Essentials of nursing research: Appraising evidence for nursing practice (7th ed) Philadelphia: Lippincott Willliams &Wilkins; 2006. 29, p. 489-97.
  • George D, Mallery M. SPSS for Windows Step by Step: A Simple Guide and Reference, 17.0 update (10a ed.) Boston; Pearson 2010.
  • Cândido FG, Bressan J. Vitamin D: link between osteoporosis, obesity, and diabetes? Int J Mol Sci 2014; 17;15(4):6569-6591 DOI: 10.3390/ijms15046569
  • Wacker M, Holick MF. Sun light and Vitamin D: A global perspective for health. Dermatoendocrinol. 2013; 5(1):51–108. DOI: 10.4161/derm.24494
  • Jeihooni AK, Hidarnia A, Kaveh MH, Hajizadeh E, Askari A. Application of the health belief model and social cognitive theory for osteoporosis preventive nutritional behaviors in a sample of Iranian women. Iran J Nurs Midwifery Res. 2016;21(2):131-141. DOI: 10.4103/1735-9066.178231
  • Janiszewska M, Firlej E, Dziedzic M, Żołnierczuk-Kieliszek D. Health beliefs and sense of one's own efficacy and prophylaxis of osteoporosis in peri- and post-menopausal women. Ann Agric Environ Med. 2016;23(1):167-173. DOI: 10.5604/12321966.1196875
  • Rosenstock IM. Historical origins of the health belief model. Health Education Monographs. 1974;2(4):328-335. DOI:10.1177/109019817400200403
  • Brown JD. Statistics Corner. Questions and answers about language testing statistics: Principal components analysis and exploratory factor analysis: Definitions, differences, and choices. Shiken: JALT Testing & Evaluation SIG Newsletter, 2009; 13(1):26-30.
  • Kline RB. Principles and practice of structural equation modeling. New York: Guilford Press; 2005. p 154-186.
  • Cokluk O, Şekercioğlu G, Büyüközturk S. Sosyal bilimler için çok değişkenli istatistik SPSS ve LISREL uygulamaları. Ankara: Pegem.Net; 2018.(Turkish)
  • Büyüközturk Ş. Testlerin geçerlilik ve güvenirliğinde kullanılan bazı istatistikler İçinde: Sosyal bilimler için veri analizi el kitabı, 16. Baskı. Ankara: Pegem Akademi: 2016.p. 167-82. (Turkish)
  • Özdamar K. Paket programlar ile istatistiksel veri analizi. Anadolu Üniversitesi Yayınları; 2004: Eskişehir. (Turkish)
  • Lynn MR. Determination and quantification of content validty. Nursing Research. 1986; 35:382-5.
  • Tavsancıl E. Tutumların ölçülmesi ve spss ile very analizi İstanbul: Nobel. Akademik Yayıncılık; 2019. 6.Baskı. (Turkish)
  • Alpar R. Spor sağlık ve eğitim bilimlerinden örneklerle uygulamalı istatistik ve geçerlilik ve güvenirlilik. Ankara: Detay Yayıncılık. 2010; p. 316-66. (Turkish)
There are 40 citations in total.

Details

Primary Language English
Subjects Public Health Nursing
Journal Section Articles
Authors

Nurcan Kolaç 0000-0002-8258-0998

Project Number Bu bir proje değildir. Etik kurul onay protokol numarası 150 'dir Onay Tarih ve onay sayısı :04.06.2018-150
Early Pub Date March 23, 2024
Publication Date March 28, 2024
Submission Date February 3, 2023
Published in Issue Year 2024 Volume: 14 Issue: 1

Cite

APA Kolaç, N. (2024). A Scale Development Study: The Vitamin D Health Belief Scale According to The Health Belief Model. Clinical and Experimental Health Sciences, 14(1), 154-162. https://doi.org/10.33808/clinexphealthsci.1247019
AMA Kolaç N. A Scale Development Study: The Vitamin D Health Belief Scale According to The Health Belief Model. Clinical and Experimental Health Sciences. March 2024;14(1):154-162. doi:10.33808/clinexphealthsci.1247019
Chicago Kolaç, Nurcan. “A Scale Development Study: The Vitamin D Health Belief Scale According to The Health Belief Model”. Clinical and Experimental Health Sciences 14, no. 1 (March 2024): 154-62. https://doi.org/10.33808/clinexphealthsci.1247019.
EndNote Kolaç N (March 1, 2024) A Scale Development Study: The Vitamin D Health Belief Scale According to The Health Belief Model. Clinical and Experimental Health Sciences 14 1 154–162.
IEEE N. Kolaç, “A Scale Development Study: The Vitamin D Health Belief Scale According to The Health Belief Model”, Clinical and Experimental Health Sciences, vol. 14, no. 1, pp. 154–162, 2024, doi: 10.33808/clinexphealthsci.1247019.
ISNAD Kolaç, Nurcan. “A Scale Development Study: The Vitamin D Health Belief Scale According to The Health Belief Model”. Clinical and Experimental Health Sciences 14/1 (March 2024), 154-162. https://doi.org/10.33808/clinexphealthsci.1247019.
JAMA Kolaç N. A Scale Development Study: The Vitamin D Health Belief Scale According to The Health Belief Model. Clinical and Experimental Health Sciences. 2024;14:154–162.
MLA Kolaç, Nurcan. “A Scale Development Study: The Vitamin D Health Belief Scale According to The Health Belief Model”. Clinical and Experimental Health Sciences, vol. 14, no. 1, 2024, pp. 154-62, doi:10.33808/clinexphealthsci.1247019.
Vancouver Kolaç N. A Scale Development Study: The Vitamin D Health Belief Scale According to The Health Belief Model. Clinical and Experimental Health Sciences. 2024;14(1):154-62.

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