A confirmatory factor analysis of the revised illness perception questionnaire (IPQ-R) in a cervical screening context.

The purpose of the present study was to test the factorial and discriminant validity of the Revised Illness Perception Questionnaire (IPQ-R), a measure of illness representations based on Leventhal, Meyer and Nerenz's Self-Regulation Theory, in a cervical screening context using confirmatory factor...

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Publicado en:Psychology & Health Vol. 20; no. 2; pp. 161 - 174
Autores principales: Hagger MS, Orbell S
Formato: research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Apr2005
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Apr2005
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      pub: Taylor & Francis Ltd
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        10.1080/0887044042000334724
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        atl: A confirmatory factor analysis of the revised illness perception questionnaire (IPQ-R) in a cervical screening context.
      aug:
        au:
          Hagger MS
          Orbell S
        affil: Department of Psychology, University of Essex, Wivenhoe Park, Colchester, CO4 3SQ, UK; hagger@essex.ac.uk
      sug:
        subj:
          Cancer Screening
          Cervix Neoplasms Diagnosis
          Instrument Validation
          Adult
          Chi Square Test
          Construct Validity
          Discriminant Validity
          Factor Analysis
          Female
          Funding Source
          Questionnaires
          Theory
          United Kingdom
          Validation Studies
          Human
          Adult: 19-44 years
          Female
      ab: The purpose of the present study was to test the factorial and discriminant validity of the Revised Illness Perception Questionnaire (IPQ-R), a measure of illness representations based on Leventhal, Meyer and Nerenz's Self-Regulation Theory, in a cervical screening context using confirmatory factor analysis. Six hundred and sixty women, who had attended a colposcopy clinic and were invited to re-attend, completed the IPQ-R. Data were analysed using covariance structure analysis. The adequacy of an a priori confirmatory factor analytic model that included seven dimensions of the cognitive illness representation: identity, timeline-acute/chronic, serious consequences, personal control, treatment control, illness coherence, and causal attributions, and one emotional representation factor was tested against the observed data. After the elimination of two items responsible for large standardised residuals and with low factor loadings, the model adequately accounted for covariances among the IPQ-R items according to multiple criteria for goodness-of-fit. Factor inter-correlations supported the discriminant validity of the constructs and the factors exhibited satisfactory composite reliability. A theoretically predictable pattern of relationships among the representation dimensions was evident. In particular, the control-related constructs and the illness coherence dimension were negatively related to other illness representation constructs. The present study provided confirmatory evidence using a robust hypothesis-testing framework to support the proposed structure of the illness representation dimensions in a cervical screening context.
      pubtype: Academic Journal
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      ougenre: Article
    language: English
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