Development of the Multidimensional Health Locus of Control (MHLC) Scales

Wallston, Kenneth A.; Wallston, Barbara Strudler; DeVellis, Robert F.

doi:10.1177/109019817800600107

Cited by 2,854 publications

(2,131 citation statements)

References 9 publications

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“…The multidimensional health locus of control scale (MHLC) is an IS-item, 6-point Likert-type scale assessing the orientation of subjects' health locus of control beliefs, including internal, powerful others, and chance factors. The three scales are internally consistent with alpha reliabilities ranging from 0·67 to 0·77 (Wallston et al, 1978).…”

Section: Methodsmentioning

confidence: 72%

Adjustment to spinal cord injury: stage theory revisited

et al. 1991

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SummaryTo better understand adjustment following spinal cord injury (SCI), 106 subjects from two samples (N = 53 each) were administered the SCL-90-R, a symptom checklist, and the Multidimensional Health Locus of Control scales. Sample I subjects were admitted for rehabilitation during 1981 to 1982 and sample 2 subjects were admitted during 1984 to 1986. Sample 2 subjects entered rehabilitation programs more quickly after injury and reported more anxiety, phobic anxiety, and hostility than sample I subjects. Within each sample, there was no evidence for a relationship between age or time since injury and health beliefs or psychological distress. This study does not support stage theory for adjustment after catastrophic injury, but does suggest the importance of understanding the impact of social policy changes in adjustment follO'Wing spinal cord injury.

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Section: Methodsmentioning

confidence: 72%

Adjustment to spinal cord injury: stage theory revisited

et al. 1991

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“…Compliant persons versus noncompliant persons, most importantly, did not di er on this measure indicating that this particular scale was not helpful in determining who might or might not be likely to return for follow-up visits. There have been subsequent elaborations of the Health Locus of Control Scale, 18 which could have been utilized in the study, but given our results, it is doubtful that other versions would have more discriminative ability.…”

Section: Discussionmentioning

confidence: 96%

Predicting compliance with annual follow-up evaluations in persons with spinal cord injury

et al. 1997

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A prospective study was performed to determine why some persons with spinal cord injury (SCI) fail to return for scheduled evaluations in order to identify predictive factors that could be used to target those at greatest risk for noncompliance and facilitate interventions to improve rates of return. Sixty-one noncompliant subjects and 102 persons compliant with regularly scheduled annual examinations were paid to come to the clinic for evaluation. Each participant completed a psychological questionnaire comprised of theoretical and socioeconomic variables. There was no di erence between the two groups according to gender, race, level or completeness of injury, education, etiology of injury, responses to questions from the Health Locus of Control Scale, Health Beliefs Model, inconvenience or discomfort. For noncompliant versus compliant persons, cost (P=0.0002), distance (P=0.0047), transportation (P=0.0330), belief that follow-up was not necessary (P50.0001), availability of good local doctor (P=0.0001) and time (P=0.0209) were identi®ed as obstacles to returning for followup. These data indicate a need to improve the education for newly injured persons as well as those persons residing in the community on the importance of regular urological follow-up, to maintain close contact post-discharge and to assist in identifying community resources to facilitate either compliance with planned evaluations or the development of acceptable alternatives.

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“…The Health-related Locus of Control Scale (Wallston and Wallston, 1978) was used to assess the extent to which the women attributed their health to internal (i.e. own behaviour), external (e.g.…”

Section: Beliefs About Control Of Healthmentioning

confidence: 99%

Cancer risk perceptions and distress among women attending a familial ovarian cancer clinic

et al. 2001

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SummaryOf 230 women referred to a familial ovarian cancer clinic, 196 (85%) completed a questionnaire before they attended. The data collected included pre-counselling risk perceptions and an assessment of distress. Respondents were more likely to underestimate (44%) than overestimate (19%) their risk. Those with a family history of breast and ovarian cancer (HBOC) were particularly likely to underestimate their ovarian cancer risk. The variables assessed in this study -sociodemographic, family history, distress, anxiety proneness, coping style and beliefs about health control -explained little of the observed variation in accuracy of risk perception. On the General Health Questionnaire (GHQ-30) 30% of the sample obtained scores above the cut-off (≥ 6) recommended for screening for 'case-level' psychological distress. Women exhibiting case-level distress were more likely to overestimate their risk (OR = 2.3). On univariate analysis low internal locus of control was associated with 'case-level' distress (P = 0.008). On multiple regression the best predictors of 'caseness' were high-trait anxiety, being a graduate and inaccurate risk perception. There was no difference in the level of distress shown by women with HBOC vs. those with a history of ovarian cancer only. Implications of these findings for the counselling needs of the women are discussed. The effectiveness of the clinic in improving the accuracy of risk perceptions and relieving distress is being assessed.

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Development of the Multidimensional Health Locus of Control (MHLC) Scales

Cited by 2,854 publications

References 9 publications

Adjustment to spinal cord injury: stage theory revisited

Adjustment to spinal cord injury: stage theory revisited

Predicting compliance with annual follow-up evaluations in persons with spinal cord injury

Cancer risk perceptions and distress among women attending a familial ovarian cancer clinic

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