Validation of the multidimensional health locus of control scales for labor and delivery

Stevens, Natalie R.; Hamilton, Nancy A.; Wallston, Kenneth A.

doi:10.1002/nur.20446

Cited by 18 publications

(20 citation statements)

References 33 publications

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“…Another possibility is that the unsatisfactory reliability and ambiguous factor structure found in China should not be traced back to cultural differences but to target populations. Namely, both previously mentioned Chinese studies examined healthy pregnant women, which is a condition quite different from chronic illnesses such as cancer or diabetes usually studied when employing Form C of the MHLC Scales [43].…”

Section: Discussionmentioning

confidence: 99%

Psychometric Properties of the Multidimensional Health Locus of Control Scale Form C in a Non-Western Culture

2014

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Form C of the Multidimensional Health Locus of Control Scales (MHLC-C) was designed to investigate health-related control beliefs of persons with an existing medical condition. The aim of the present study was to examine the psychometric properties of this instrument in a culture characterized by external control beliefs and learned helplessness—contrary to the societal context of original test development. Altogether, 374 Hungarian patients with cancer, irritable bowel syndrome, diabetes, and cardiovascular and musculoskeletal disorders were enrolled in the study. Besides the MHLC-C, instruments measuring general control beliefs, anxiety, depression, self-efficacy, and health behaviors were also administered to evaluate the validity of the scale. Both exploratory and confirmatory factor analytic techniques were used to investigate the factor structure of the scale. Our results showed that the Hungarian adaptation of the instrument had a slightly different structure than the one originally hypothesized: in the present sample, a three-factor structure emerged where the items of the Doctors and the Others subscales loaded onto a single common component. Internal reliability of all three subscales was adequate (alphas between .71 and .79). Data concerning the instrument's validity were comparable with previous results from Western countries. These findings may suggest that health locus of control can be construed very similarly to Western countries even in a post-communist society—regardless of the potential differences in general control beliefs.

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Section: Discussionmentioning

confidence: 99%

Psychometric Properties of the Multidimensional Health Locus of Control Scale Form C in a Non-Western Culture

2014

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“…PCON may be more appropriate to assess perceptions of control over management of birth complications (e.g. preeclampsia, fetal distress) or planned cesarean sections, but the birth itself is not conceptualized as an illness [38].…”

Section: Introductionmentioning

confidence: 99%

Perceived control and maternal satisfaction with childbirth: a measure development study

Stevens

Wallston

Hamilton

2012

Journal of Psychosomatic Obstetrics & Gynecology

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The purpose of this study was to develop and validate two instruments: one to assess patient perceptions of control of the childbirth environment and the other, global satisfaction with the childbirth experience. Participants were 187 women recruited from obstetric clinics, breast-feeding support groups and online who had given birth in the past 4 months. Scale development involved item construction, exploratory factor analysis (EFA) of the Perceived Control in Childbirth Scale (PCCh), confirmatory factor analysis (CFA) of the Satisfaction with Childbirth Scale (SWCh), reliability analysis and construct validity analyses. EFA identified a single factor underlying a set of items reflecting the patient's belief that her actions influenced the birth environment (i.e. perceived control). CFAs supported a single-factor model reflecting the degree to which the birth experience met the patient's ideal (i.e. satisfaction). Perceived control was associated with childbirth self-efficacy. Childbirth satisfaction was associated with both affective reactions to birth and childbirth-related posttraumatic stress disorder (PTSD) symptoms. Results support the validity and reliability of two new scales that assess perceived control of the birth environment and global satisfaction with childbirth.

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“…Consistent with previous research, we demonstrated that the desire for control is only moderately correlated with Internal HLC (Auerbach & Pegg, ; Wallston et al, ). Moreover, desire for control in this study was a stronger predictor (with larger effect sizes) of childbirth choices regarding choice of care provider and doula support compared to HLC (see Stevens et al, ), suggesting that desire for control may play a more direct role in influencing women's health behaviors related to birth. It is worth noting that we observed a rather robust inverse correlation between desire for control and powerful others HLC, ( r = − 0.61; p < 0.001), suggesting that lower desire for personal control of the birth environment is strongly associated with the belief that medical providers are in control of birth outcomes.…”

Section: Discussionmentioning

confidence: 56%

“…Sample 2 participants were recruited from the same antenatal clinic as Sample 1 as well as childbirth classes and Babycenter.com. We used a purposive sampling approach recruiting via both clinic‐based and online sources to obtain responses from a more diverse sample of pregnant women reporting a range of perinatal care choices (see Stevens et al, ). Inclusion criteria for both samples were that the participant should be at least 18 years of age, currently pregnant, and able to read English.…”

Section: Methodsmentioning

confidence: 99%

Factors associated with women's desire for control of healthcare during childbirth: Psychometric analysis and construct validation

Stevens

Adams

Wallston

et al. 2019

Research in Nursing & Health

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The desire for control of healthcare is a significant moderator of outcomes related to childbirth. Researchers have shown that a sense of control of healthcare during childbirth is strongly correlated with postpartum maternal well‐being. The aims of this study were to examine (a) the psychometric characteristics of an instrument to assess women's desire for control of healthcare during childbirth, and (b) examine desire for control in relation to parity, medical complications of pregnancy, and women's choices of childbirth providers and setting. The study design was cross‐sectional using two different samples totaling 385 pregnant women. In Sample 1, (n = 193) we conducted an exploratory factor analysis to reduce the initial item pool. In Sample 2, (n = 192) we conducted a confirmatory factor analysis (CFA) of the final 12‐item instrument and examined factors related to the desire for control. Results of the analysis in Sample 1 were supportive of a single‐factor structure reflecting women's desire to influence the childbirth healthcare environment and decision‐making. The final 12‐item instrument had high internal consistency reliability (Cronbach's alpha = 0.93). CFA in Sample 2 was supportive of the single‐factor structure with good model fit. The desire for control was directly correlated with an internal locus of control. Nulliparous women reported a lower desire for control compared with multiparous women. The desire for control among women with self‐reported medical complications of pregnancy was comparable to that among women without pregnancy complications. The desire for control was a predictor of choosing midwives (vs. obstetricians), home or birth center (vs. hospitals), and professional labor support (e.g., doulas). Implications for future research on the impact of desire for control on maternal health outcomes are discussed.

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Validation of the multidimensional health locus of control scales for labor and delivery

Cited by 18 publications

References 33 publications

Psychometric Properties of the Multidimensional Health Locus of Control Scale Form C in a Non-Western Culture

Psychometric Properties of the Multidimensional Health Locus of Control Scale Form C in a Non-Western Culture

Perceived control and maternal satisfaction with childbirth: a measure development study

Factors associated with women's desire for control of healthcare during childbirth: Psychometric analysis and construct validation

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