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Development of the Multidimensional Health Locus of Control (MHLC) Scales. 多维健康控制点量表的编制。
Health education monographs Pub Date : 1978-01-01 DOI: 10.1177/109019817800600107
K A Wallston, B S Wallston, R DeVellis
{"title":"Development of the Multidimensional Health Locus of Control (MHLC) Scales.","authors":"K A Wallston,&nbsp;B S Wallston,&nbsp;R DeVellis","doi":"10.1177/109019817800600107","DOIUrl":"https://doi.org/10.1177/109019817800600107","url":null,"abstract":"<p><p>The development of the Multidimensional Health Locus of Control scales is described. Scales have been developed to tap beliefs that the source of reinforcements for health-related behaviors is primarily internal, a matter of chance, or under the control of powerful others. These scales are based on earlier work with a general Health Locus of Control Scale, which, in turn, was developed from Rotter's social learning theory. Equivalent forms of the scales are presented along with initial internal consistency and validity data. Possible means of utilizing these scales are provided.</p>","PeriodicalId":75897,"journal":{"name":"Health education monographs","volume":"6 2","pages":"160-70"},"PeriodicalIF":0.0,"publicationDate":"1978-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/109019817800600107","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11890763","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3255
Locus of control and the intention to lose weight. 控制点和减肥的意图。
Health education monographs Pub Date : 1978-01-01 DOI: 10.1177/109019817800600103
E B Saltzer
{"title":"Locus of control and the intention to lose weight.","authors":"E B Saltzer","doi":"10.1177/109019817800600103","DOIUrl":"https://doi.org/10.1177/109019817800600103","url":null,"abstract":"<p><p>The relative importance of personal attitudes toward losing weight and the social pressures for weight loss in determining intentions to lose weight was compared for locus of control internals and externals who valued health and/or physical appearance highly. Findings consistent with the hypothesized differential importance of these two predictors of behavior intention for individuals designated internal and external by a behavior-specific locus of control scale are presented. Theoretical and practical applications of the findings are discussed.</p>","PeriodicalId":75897,"journal":{"name":"Health education monographs","volume":"6 2","pages":"118-28"},"PeriodicalIF":0.0,"publicationDate":"1978-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/109019817800600103","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11891887","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 75
Health locus of control and health value in the prediction of smoking reduction. 健康控制点与健康价值在减少吸烟预测中的作用。
Health education monographs Pub Date : 1978-01-01 DOI: 10.1177/109019817800600104
G D Kaplan, A Cowles
{"title":"Health locus of control and health value in the prediction of smoking reduction.","authors":"G D Kaplan,&nbsp;A Cowles","doi":"10.1177/109019817800600104","DOIUrl":"https://doi.org/10.1177/109019817800600104","url":null,"abstract":"<p><p>Thirty-five participants in a smoking cessation program met weekly for seven weeks in small groups and then were assigned to one of four follow-up procedures for an additional eight weeks. Information on smoking levels was obtained at the beginning of the program, at the end of the seven-week treatment period, at the end of the two-moth follow-up period, and during an additional five-month extended follow-up period. As hypothesized from social learning theory, individuals who held internally-oriented health locus of control beliefs and who valued health highly were most successful in achieving and maintaining changes in their smoking behavior. Thes results are discussed in terms of their implications for the problem of maintenance of behavior changes achieved by smoking cessation programs.</p>","PeriodicalId":75897,"journal":{"name":"Health education monographs","volume":"6 2","pages":"129-37"},"PeriodicalIF":0.0,"publicationDate":"1978-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/109019817800600104","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11891888","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 91
A test of the construct validity of health locus of control: effects on self-reported compliance for hypertensive patients. 健康控制源对高血压患者自我报告依从性影响的结构效度检验。
Health education monographs Pub Date : 1978-01-01 DOI: 10.1177/109019817800600105
F M Lewis, D E Morisky, B S Flynn
{"title":"A test of the construct validity of health locus of control: effects on self-reported compliance for hypertensive patients.","authors":"F M Lewis,&nbsp;D E Morisky,&nbsp;B S Flynn","doi":"10.1177/109019817800600105","DOIUrl":"https://doi.org/10.1177/109019817800600105","url":null,"abstract":"<p><p>A test of the construct validity of the Health Locus of Control (HLC) scale is presented within the larger framework of Rotter's social learning theory. Self-reported compliance behavior was predicted to relate to the subject's HLC orientation, value toward health, and level of perceived home assistance. In a sample of ambulatory hypertensive patients, a significant two-way interaction effect was calculated between the perceived level of home assistance and the patient's HLC orientation (p = .02). The more internally oriented the patient and the higher the level of perceived home assistance in complying with the prescribed medical regimen, the greater the level of self-reported compliance behavior.</p>","PeriodicalId":75897,"journal":{"name":"Health education monographs","volume":"6 2","pages":"138-48"},"PeriodicalIF":0.0,"publicationDate":"1978-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/109019817800600105","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11890761","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 85
Determinants of consumer influence in a health systems agency. 卫生系统机构中消费者影响的决定因素。
Health education monographs Pub Date : 1978-01-01 DOI: 10.1177/109019818700600405
A. Steckler, L. Dawson
{"title":"Determinants of consumer influence in a health systems agency.","authors":"A. Steckler, L. Dawson","doi":"10.1177/109019818700600405","DOIUrl":"https://doi.org/10.1177/109019818700600405","url":null,"abstract":"An 18-month study of consumer participation and influence in a Health Systems Agency (HSA) found consumer board members to be less influential than provider board members in agency decision-making. In an effort to investigate causes of the influence deficit experienced by consumer HSA board members three issues were studied: staff attitudes toward consumer participation; board member degree of representative accountability; and board member attitudes concerning commitment to consumer participation, commitment to health planning, health services attitude, and feelings of social powerlessness. Results indicated that staff members were favorable toward the concept of consumer participation. They recognized a lack of low-income minority participation, but they did not provide support or allocate resources to enhance consumers' ability to participate. Providers were less committed to consumer participation, felt more socially powerful, and had greater representative accountability than did consumers. Several strategies for increasing consumer influence in HSA decision-making processes are proposed.","PeriodicalId":75897,"journal":{"name":"Health education monographs","volume":"6 4 1","pages":"378-93"},"PeriodicalIF":0.0,"publicationDate":"1978-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/109019818700600405","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65355999","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 9
Progressive health education through community organization: a case study. 透过社区组织进行渐进式健康教育:个案研究。
Health education monographs Pub Date : 1978-01-01 DOI: 10.1177/109019818700600403
J. Hatch, W. C. Renfrow, G. Snider
{"title":"Progressive health education through community organization: a case study.","authors":"J. Hatch, W. C. Renfrow, G. Snider","doi":"10.1177/109019818700600403","DOIUrl":"https://doi.org/10.1177/109019818700600403","url":null,"abstract":"Successful health education programs should be based on well-integrated community systems and networks. A health educator encountering community disintegration assumes a responsibility for taking a community organization effort. A case study of such an effort, based on Rothman's locality development model, is described. Community diagnosis and program development stages are detailed. Community health projects were among the outcomes attributed to this project.","PeriodicalId":75897,"journal":{"name":"Health education monographs","volume":"6 4 1","pages":"359-71"},"PeriodicalIF":0.0,"publicationDate":"1978-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/109019818700600403","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65355925","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Developing service-based teaching in health education for medical students. 发展医学生健康教育中的服务型教学。
Health education monographs Pub Date : 1978-01-01 DOI: 10.1177/109019817800600402
W R Brieger
{"title":"Developing service-based teaching in health education for medical students.","authors":"W R Brieger","doi":"10.1177/109019817800600402","DOIUrl":"https://doi.org/10.1177/109019817800600402","url":null,"abstract":"<p><p>In the expanding concern about the social-behavioral aspects of health care in medical education, health education has opportunities for making itself an important part of basic medical training. The need is to actually define a physician's appropriate educational tasks and competencies as a basis for curriculum development in health education which would ideally be integrated into the whole educational program. This case study presents efforts to develop an educational service component at a rural health center which, connected to a major teaching hospital, serves as a learning base for medical students. Through trial and student feedback a program has been developed which includes patient counseling, evaluative home visits, group education sessions, exit interviews, medication counseling, community needs assessment and educational consultation with local school teachers. With this program as a foundation, the goal is to integrate health education learning throughout the rest of the medical curriculum.</p>","PeriodicalId":75897,"journal":{"name":"Health education monographs","volume":"6 4","pages":"345-58"},"PeriodicalIF":0.0,"publicationDate":"1978-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/109019817800600402","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11513579","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Determinants of consumer influence in a health systems agency. 卫生系统机构中消费者影响的决定因素。
Health education monographs Pub Date : 1978-01-01 DOI: 10.1177/109019817800600405
A Steckler, L Dawson
{"title":"Determinants of consumer influence in a health systems agency.","authors":"A Steckler,&nbsp;L Dawson","doi":"10.1177/109019817800600405","DOIUrl":"https://doi.org/10.1177/109019817800600405","url":null,"abstract":"<p><p>An 18-month study of consumer participation and influence in a Health Systems Agency (HSA) found consumer board members to be less influential than provider board members in agency decision-making. In an effort to investigate causes of the influence deficit experienced by consumer HSA board members three issues were studied: staff attitudes toward consumer participation; board member degree of representative accountability; and board member attitudes concerning commitment to consumer participation, commitment to health planning, health services attitude, and feelings of social powerlessness. Results indicated that staff members were favorable toward the concept of consumer participation. They recognized a lack of low-income minority participation, but they did not provide support or allocate resources to enhance consumers' ability to participate. Providers were less committed to consumer participation, felt more socially powerful, and had greater representative accountability than did consumers. Several strategies for increasing consumer influence in HSA decision-making processes are proposed.</p>","PeriodicalId":75897,"journal":{"name":"Health education monographs","volume":"6 4","pages":"378-93"},"PeriodicalIF":0.0,"publicationDate":"1978-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/109019817800600405","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11513582","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Construct validation of the health belief model. 构建健康信念模型的验证。
Health education monographs Pub Date : 1978-01-01 DOI: 10.1177/109019817800600406
K M Cummings, A M Jette, I M Rosenstock
{"title":"Construct validation of the health belief model.","authors":"K M Cummings,&nbsp;A M Jette,&nbsp;I M Rosenstock","doi":"10.1177/109019817800600406","DOIUrl":"https://doi.org/10.1177/109019817800600406","url":null,"abstract":"<p><p>A multitrait-multimethod design was employed to assess the construct validity of the Health Belief Model. The data were obtained from a nonrepresentative sample of 85 graduate students at The University of Michigan's School of Public Health. The traits consisted of the respondents' perceptions of: health interest, locus of control, susceptibility to influenza, severity of influenza, benefits provided by a flu shot, and the barriers or costs associated with getting a flu shot. Each trait was measured by three methods: a seven-point Likert scale, a fixed-alternative multiple choice scale, and a vignette. The results indicate that the Health Belief Model variables can be measured with a substantial amount of convergent validity using Likert or multiple choice questionnaire items. With regard to discriminant validity, evidence suggests that subjects' perceptions of barriers and benefits are quite different from their perceptions of susceptibility and severity. Perceptions of susceptibility and severity are substantially but not entirely independent. Perceived benefits and barriers demonstrate a strong negative relationship which suggests the possibility that these two variables represent opposite ends of a single continuum and not separate health beliefs. These preliminary results provide the basis for developing brief health belief scales that may be administered to samples of consumers and providers to assess educational needs. Such needs assessment, in turn, could then be used to tailor messages and programs to meet the particular needs of a client group.</p>","PeriodicalId":75897,"journal":{"name":"Health education monographs","volume":"6 4","pages":"394-405"},"PeriodicalIF":0.0,"publicationDate":"1978-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/109019817800600406","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11513583","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 44
Locus of control and health: a review of the literature. 控制点与健康:文献综述。
Health education monographs Pub Date : 1978-01-01 DOI: 10.1177/109019817800600102
B D Wallston, K A Wallston
{"title":"Locus of control and health: a review of the literature.","authors":"B D Wallston,&nbsp;K A Wallston","doi":"10.1177/109019817800600102","DOIUrl":"https://doi.org/10.1177/109019817800600102","url":null,"abstract":"<p><p>Locus of control, an individual difference construct from social learning theory, has shown some promise in predicting and explaining specific health-related behaviors. Research is reviewed on the utility of the locus of control construct in understanding smoking reduction, birth control utilization, weight loss, information-seeking, adherence to medication regimens, and other health or sick-role behaviors. Implications for health educators are presented.</p>","PeriodicalId":75897,"journal":{"name":"Health education monographs","volume":"6 2","pages":"107-17"},"PeriodicalIF":0.0,"publicationDate":"1978-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/109019817800600102","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11567657","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 559
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