Validation of the control beliefs scale regarding adherence to a heart-healthy diet in ischemic heart disease

Authors

  • Jessica Berenice Flores-Mendoza Universidad Nacional Autónoma de México
  • Diana Itzel Palacios-Mata Universidad Nacional Autónoma de México
  • Rolando Díaz-Loving Universidad Nacional Autónoma de México

Keywords:

control beliefs, therapeutic adherence, heart-healthy eating, Therapeutic physical culture, measurement, ischemic heart disease

Abstract

The present study aimed to develop and establish the psychometric properties of the scale of beliefs regarding control over adherence to heart-healthy eating in a sample of Mexican patients diagnosed with ischemic heart disease, through both qualitative (focus groups) and quantitative (exploratory and confirmatory factor analysis) phases. Several studies were conducted, involving a total sample of 317 patients of both sexes, aged between 30 and 82 years (M = 52 years, SD = 12.15). The scale underwent exploratory factor analysis (EFA) and confirmatory factor analysis (CFA), revealing a two-factor solution: situational self-determination regarding food (α= .88) and situational barriers (α= .85), with an overall Cronbach's alpha of .88 and 45% of the variance, consistent with the theoretical proposal and presenting adequate reliability and goodness-of-fit indices. It is concluded that control beliefs, although universal, are sensitive to culture in patients with ischemic heart disease.

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Published

2024-07-27

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