Using Delphi method to develop Chinese women's cervical cancer screening intention scale based on planned behavior...

Area of Science:

• Public Health
• Health Behavior Research
• Scale Development

Background:

• Cervical cancer is a leading cause of mortality in women globally.
• Low awareness and participation in cervical cancer screening pose significant challenges in China.
• Understanding barriers and facilitators is crucial for effective screening promotion.

Purpose of the Study:

• To develop a scientifically sound and clinically useful Chinese cervical cancer screening intention scale.
• To provide a tool for assessing factors influencing screening behavior.
• To inform targeted interventions for increasing screening participation.

Main Methods:

• Utilized the Delphi method and the theory of planned behavior (TPB).
• Conducted literature searches (2012-2022) to establish an item pool.
• Involved two rounds of expert consultations with 16 specialists across China.

Main Results:

• Developed a 23-item scale across 4 dimensions: attitude, subjective norm, perceived behavioral control, and behavioral intention.
• Achieved high response rates (80% and 93.75%) and authority coefficients (0.928, 0.930).
• Demonstrated low variation coefficients (0.07-0.21), indicating expert consensus.

Conclusions:

• The developed scale offers high validity, reliability, authority, and coordination.
• It can effectively assess women's cervical cancer screening intentions.
• The scale facilitates explanations and enhances intervention efficiency for cervical cancer screening.