Chance Health Locus Of Control Research Articles

Influence of Self-Care Education on Illness Behaviors and Health Locus of Control of Mexican American Women

ABSTRACT The purpose of this study was to examine the influence of self-care education on illness behaviors and health locus of control of Mexican American women. Participants were randomly assigned to a control (n = 60) or experimental group (n = 60). Subjects completed the Multidimensional Health Locus of Control questionnaire and an Illness Behavior Assessment at pretest and 6-months. The experimental group received a self-care manual and participated in two 2-hour seminars on how to effectively use the textbook. The experimental group demonstrated a significant increase in self-care behaviors, and significant changes in Internal Health Locus of Control and Powerful Others Health Locus of Control. Chance Health Locus of Control was found to have a low, direct correlation with age, and a low, indirect correlation with education. The conclusion of this investigation is that self-care education can positively influence illness behaviors and Health Locus of Control in Mexican American women.

A Study on the Relationship between Health Locus of Control and Health Promoting Behavior of College Women

The purpose of this study was to identify relationship between Health Locus of Control and Health Promoting Behavior.The subjects of the study were 333 college women at D University in Seoul. The tools used for this study were Health Locus of Control developed Wallston et al(1978) (by modified Lee, 1994), Health Promoting Behavior Scale developed by Walker et al(1987) were modified by researcher. The descriptive-correlational study were analyzed by descriptive statistics, t-test, ANOVA, Pearson Correlation Coefficient, Stepwise Multiple Regression using SPSS/PC+ program.The results were as follows : 1. Hypotheses 1 that higher the score of internal health locus of control, the higher the score of the level of health promoting behavior was supported(r=.4951, p<.001). Hypotheses 2 that the higher the score of chance health locus of control, the lower the score of the level of health promoting behavior was supported(r=-.3383, p<.001).2. By means of multiple regression analysis, health locus of control provided explained 24.5% of health promoting behavior.3. General Characteristic variables significantly related to the health promoting behavior were a major field of study, experience in learning health education.

Some correlates of health locus of control among multicultural individuals

The relationship of locus of control to depression, anxiety, hostility, and physical health was assessed in a sample of multicultural college students (N = 162). Powerful Others Health Locus of Control was correlated with depression, anxiety, hostility, and recent physical symptoms while Chance Health Locus of Control (CHLC) was correlated with all of the above as well as chronic physical symptoms and major health problems. When controlling for a variety of health risk factors (viz., age, sex, body mass, exercise, smoking, salt, alcohol, and caffeine), only CHLC remained significant in the physical health models. Results support the cognitive model of mental health which emphasize the importance of adaptive beliefs. Specifically, they suggest that issues about control are related to negative affect and indicate that the often-cited relationship of an external locus of control to depression and anxiety also holds for hostility. The findings do not, however, support the view that anxiety and depression are associated with different types of external locus of control but rather suggest a unified set of locus of control beliefs underlying the three types of negative affect. In addition, evidence is provided for the external validity of the Multidimensional Health Locus of Control (MHLC) Scales with respect to mental health. Further, the results indicate that belief about one’s health may play a significant role in one’s physical health and that the health behavior model of the relationship between locus of control and physical health is insufficient to explain the relationship. As the Chance and Powerful Others MHLC scales were not related to health habits in this sample but were related to mental health (viz., depression, anxiety, and hostility), locus of control beliefs may be related to physical health via their relationship with mental health.

Reliability and validity of medical outcome and patient satisfaction measures among injured workers in Washington State: a pretest.

Several existing measures of medical outcomes and some newly constructed measures of patient satisfaction were tested for reliability and validity on a sample of 100 subjects who had suffered work-related injuries and illnesses in Washington State. Included in the measures of medical outcome were the SF-36 and the upper body mobility subscale of the Health Assessment Questionnaire. The newly constructed measures of patient satisfaction assessed areas such as satisfaction with the attending physician and with access to referrals. Also administered were assessments of job satisfaction, both prior to and since the injury, and a measure of chance health locus of control. The patient satisfaction and medical outcomes measures demonstrated good reliability and validity for use with this population. However, neither the measures of job satisfaction nor chance health locus of control were related to either patient satisfaction with medical care nor to medical outcomes.

Health locus of control and value for health in smokers and nonsmokers.

A representative sample of 11,401 persons completed a questionnaire, including measures of health locus of control, value for health, and smoking frequency. Smokers held stronger internal, chance, and powerful others beliefs than never smokers. Ex-smokers had lower scores on internal and chance dimensions and placed a higher value on their health than smokers. The interaction between chance health locus of control and value for health was a significant predictor of smoking status, suggesting that health value may moderate the relationship between health locus of control and smoking status. Within smokers, the health locus of control dimensions and value for health explained less than 1% of the variance in smoking frequency, with only the chance dimension emerging as a significant predictor.

Health locus of control and value for health in smokers and nonsmokers.

A representative sample of 11,401 persons completed a questionnaire, including measures of health locus of control, value for health, and smoking frequency. Smokers held stronger internal, chance, and powerful others beliefs than never smokers. Ex-smokers had lower scores on internal and chance dimensions and placed a higher value on their health than smokers. The interaction between chance health locus of control and value for health was a significant predictor of smoking status, suggesting that health value may moderate the relationship between health locus of control and smoking status. Within smokers, the health locus of control dimensions and value for health explained less than 1% of the variance in smoking frequency, with only the chance dimension emerging as a significant predictor.

A Study of the Psychosocial Profile of the Health Promoting Adult

Abstract This article describes a study designed to develop a profile of the health promoting adult. A sample of 1,200 adults was selected from different community groups, universities, and hospitals in the Maryland suburban area. Using a self-test designed to measure health promoting lifestyles, a self concept scale, a health locus of control scale, a health values scale, a self actualization scale, a definition of health instrument, a lifestyle instrument, and demographic variables, data were collected on a study population of 830 subjects. Results indicated that psychosocial variables most strongly associated with health promoting behavior were total self concept, physical self, moral-ethical self, self satisfaction, behavior, and chance health locus of control. Demographic variables most strongly associated were age and education. Based on analysis of the definitions of health, health promoters frequently behave in ways to maintain and/or improve their health. Results support the need to develop a psy...

Predictors of a Health‐Promoting Life‐style Among Well Adult Clients in a Nursing Practice

The self-reported health-promoting life-style (HPL) of 130 well adults in a primary care clinical population was examined in relation to the cognitive/perceptual and sociodemographic factors hypothesized in Pender's Health Promotion Model (1987) to predict this behavior. Subjects were randomly drawn from the clients of a group nurse practitioner practice emphasizing health maintenance. Data were collected by mailed survey (response rate, 59%) with one telephone prompt. The mean age of the subjects was 39.7 years; 72.3% were female; 51.2% were married; 47.7% had college degrees; and 67.4% were white. Blacks were underrepresented in the sample compared to the practice population (chi = 7.56, p = .006). Using multiple regression, the definition of health, importance of health, health locus of control, age, gender, marital status, race, education, income, and rural/urban residence were studied to determine their effects on health-promoting behavior. Results generally supported the Pender Model. Defining health eudiamonistically, that is, as exuberant well-being (rather than adaptive, functional, or absence of disease), predicted HPL. Ranking health above other values such as achievement and harmony had no effect; chance health locus of control had a negative relationship. In the final regression model, predictors of HPL were eudiamonistic conception of health and college education (p = .0001, R2 = 17). Based on this data, considerations of a clients' health conception when framing health-promotion messages is warranted in this population.

Determinants of Health Promotion In Midlife Women

Health locus of control, self-esteem, and health status were analyzed for their impact on health-promoting life-style activities in 262 women between 35 and 65 years of age. Negative chance health locus of control, self-esteem, current health status, health worry/concerns, post-high-school education, and internal health locus of control explained 25% of the variance of likelihood to engage in health-promoting life-style activities. Two canonical variates explained 72.8% of the variance in the criterion set, the subscale scores of the Health-Promoting Lifestyle Profile (Walker, Sechrist, & Pender, 1987). Internal health locus of control, self-esteem, current health status, and future health status explained 36.3% of the variance of the self-actualization, interpersonal support, and exercise subscales; age, negative chance health locus of control, health worry/concern, and negative (poor) prior health status explained 36.5% of the variance of the health responsibility, nutrition, and stress management subscales. The canonical correlations for the two variates were .78 and .66, respectively. The study results support in part the relationships posited in the Pender health promotion model and previous research on women's health.

Relation of agoraphobics health locus of control orientation to severity of agoraphobia.

77 agoraphobics and 77 nonagoraphobics completed the Multidimensional Health Locus of Control scale in a true-false response format. The agoraphobics scored high on subscales of both internal and chance health locus of control. The agoraphobics were classified into four levels (severe, moderate, mild, and cured) assessed by self-report, which indicated severe agoraphobics were more oriented toward a chance health locus of control than were those at other levels.

Cognitive predictors of compliance in chronic disease patients.

Variables derived from the health locus of control construct and the Health Belief Model were used to predict compliance with medical regimen in chronically ill patients (adult-onset diabetics, hypertensives, and pulmonary disease patients). Stepwise multiple regression analyses were conducted with predictor variables: age, socioeconomic status, Internal Health Locus of Control (HLC), powerful others HLC, chance HLC, perceived severity of illness, outlook on illness, experienced symptoms, satisfaction with treatment, family support, and support of others. Dependent variables included three measures of compliance with medication regimen and two measures of compliance with self-management regimen. Patient satisfaction was a significant predictor of medication compliance, and lack of symptoms was most strongly associated with self-management compliance. Limitations of cognitive variables in predicting compliance in many chronic disease patients are discussed.

Chronic Illness and Health Locus of Control Beliefs

The purpose of the study was to examine the relationship between illness-related experiences and health locus of control (HLC) attitudes in chronically ill patients, including adult-onset diabetics, hypertensives, and pulmonary disease patients. A total of 250 male ambulatory patients averaging 60 years of age were interviewed regarding history of medical treatment, general health status, satisfaction with medical care, and the effects of illness on daily activities. Patients also completed HLC measures Multiple-regression analyses assessed the relationship between illness experience and HLC attitudes. Illness symptoms were related to low internal HLC, and satisfaction with treatment was related to high powerful others HLC Additionally, these older, chronically ill patients expressed stronger chance and stronger powerful others HLC beliefs than did persons from other studies.