Access

You are not currently logged in.

Access your personal account or get JSTOR access through your library or other institution:

login

Log in to your personal account or through your institution.

Reliability and Validity of an Instrument to Measure Maternal Health Beliefs

Ann S. Bates, John F. Fitzgerald and Fredric D. Wolinsky
Medical Care
Vol. 32, No. 8 (Aug., 1994), pp. 832-846
Stable URL: http://www.jstor.org/stable/3766656
Page Count: 15
  • More info
  • Cite this Item
Reliability and Validity of an Instrument to Measure Maternal Health Beliefs
Preview not available

Abstract

Noncompliance with recommended preventive pediatric care continues to be a major problem, especially in inner-city pediatric clinics. There has been little evaluation of the maternal beliefs that are associated with such noncompliance, perhaps because there are no instruments which have been assessed for reliability and validity. To evaluate the internal consistency and construct validity of a maternal health belief instrument, we interviewed 500 mothers of healthy full-term newborns postpartum. Forty-eight items measured the maternal health beliefs, according to Health Belief Model constructs (perceived susceptibility, perceived severity, perceived benefits of medical care, perceived barriers, and health motivation). Construct validity was assessed by principal components factor analysis. Eight internally consistent indices emerged, including illnesses having high and low perceived susceptibility, and low and moderate perceived benefit. Logistical access barriers and economic access barriers were also distinct. Perceived severity and health motivation formed single indices. This maternal health belief instrument was internally consistent in the study sample and showed evidence of construct validity. These indices may make important independent contributions to understanding variation in preventive well-child care utilization.

Page Thumbnails

  • Thumbnail: Page 
832
    832
  • Thumbnail: Page 
833
    833
  • Thumbnail: Page 
834
    834
  • Thumbnail: Page 
835
    835
  • Thumbnail: Page 
836
    836
  • Thumbnail: Page 
837
    837
  • Thumbnail: Page 
838
    838
  • Thumbnail: Page 
839
    839
  • Thumbnail: Page 
840
    840
  • Thumbnail: Page 
841
    841
  • Thumbnail: Page 
842
    842
  • Thumbnail: Page 
843
    843
  • Thumbnail: Page 
844
    844
  • Thumbnail: Page 
845
    845
  • Thumbnail: Page 
846
    846