Reexamination of Eisen, Zellman, and McAlister's Health Belief Model Questionnaire
- 1 July 1991
- journal article
- research article
- Published by SAGE Publications in Health Education Quarterly
- Vol. 18 (2) , 207-220
- https://doi.org/10.1177/109019819101800206
Abstract
Eisen, Zellman, and McAlister 1 proposed a 22-item scale to measure four Health Belief Model (HBM) constructs as applied to adolescent contraceptive behavior. Their factor analysis led them to conclude that there were several discrepancies in their proposed scales. We suggest that they were unduly pessimistic. Although their proposed scales could stand improvement, they are adequate preliminary tools. The major reason they concluded that the scales were deficient was that they applied criteria that are generally appropriate for continuous data to their inherently discrete (categorical) item response data. A secondary consideration is that confirmatory methods of factor analysis can yield results that bear more directly on their proposed organization of items than the traditional exploratory methods that they used. A reanalysis of their data suggests that their proposed scales have fewer problems than they believed they had. Our results increase the likelihood of standardizing HBM measures.Keywords
This publication has 23 references indexed in Scilit:
- Factoring items and factoring scales are different: Spurious evidence for multidimensionality due to item categorization.Psychological Bulletin, 1989
- A Health Belief Model Approach to Adolescents' Fertility Control: Some Pilot Program FindingsHealth Education Quarterly, 1985
- A general structural equation model with dichotomous, ordered categorical, and continuous latent variable indicatorsPsychometrika, 1984
- The Health Belief Model: A Decade LaterHealth Education Quarterly, 1984
- Contraceptive behavior among unmarried young women: A theoretical framework for researchPopulation and Environment, 1983
- State vs trait anxiety: A case study in confirmatory factor analysisPersonality and Individual Differences, 1982
- Estimating coefficients in linear models: It don't make no nevermind.Psychological Bulletin, 1976
- Public and private self-consciousness: Assessment and theory.Journal of Consulting and Clinical Psychology, 1975
- The General Factor in the Test Anxiety QuestionnairePsychological Reports, 1966
- The Application of Electronic Computers to Factor AnalysisEducational and Psychological Measurement, 1960