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Validation of the Spanish Version of the Mammography-Specific Self-Efficacy Scale

Bonnie Jerome-D’Emilia

Patricia D. Suplee


Ayse Akincigil

breast cancer, Hispanic women, validation, self-efficacy, mammography
ONF 2015, 42(3), E279-E286. DOI: 10.1188/15.ONF.E279-E286

Purpose/Objectives: To consider psychometric estimates of the validity and reliability of the Spanish translation of a mammography-specific self-efficacy scale.

Design: A cross-sectional study.

Setting: Three primarily Hispanic churches and a Hispanic community center in a low-income urban area of New Jersey.

Sample: 153 low-income Hispanic women aged 40–85 years.

Methods: The translated scale was administered to participants during a six-month period. Internal consistency, reliability, and construct and predictive validity were assessed.

Main Research Variables: Demographic variables included income and insurance status. Outcome variables included total mammography-specific self-efficacy and having had a mammogram within the past two years.

Findings: Preliminary evidence of reliability and validity were found, and predictive validity was demonstrated.

Conclusions: The health needs of specific populations can be addressed only when research instruments have been appropriately validated and all relevant factors are considered. Diverse groups of low-income women face similar challenges and barriers in their efforts to get screened.

Implications for Nursing: Nurses are in an ideal position to help women with preventive care decision making (e.g., screening for breast cancer). Understanding how a woman’s level of self-efficacy affects her decision making should be considered when counseling a client.

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