Evidence map›Paper›PMID 40772078›Full record

ArticleJournal of education and health promotion2025

Validation of a culturally adapted Malay theory of planned behavior scale to assess mental health help-seeking intention among Malaysian individuals with breast cancer.

Nurdiana Mohammad Hussin, Nik Ruzyanei Nik Jaafar, Idayu Badilla Idris, Azmawati Mohammed Nawi

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Article in Journal of education and health promotion, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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2 citing papers in PubMed.

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5 · Who and what money

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4 authors.

Nurdiana Mohammad HussinDepartment of Public Health Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.
Nik Ruzyanei Nik JaafarDepartment of Psychiatry, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.
Idayu Badilla IdrisDepartment of Public Health Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.
Azmawati Mohammed NawiDepartment of Public Health Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPsychological distress is highly prevalent among individuals with breast cancer (BC). This study culturally adapted the theory of planned behavior (TPB) scale and translated it into the Malay language to validate its evaluation of mental health help-seeking intentions among individuals with BC. MATERIALS AND

methodsThe original 14-item TPB scale was developed based on four TPB framework constructs: intention, attitude, subjective norms (SN), and perceived behavioral control (PBC). The adaptation involved translation by bilingual experts (n = 4), followed by synthesis. Subsequently, content validation (content validation index, CVI) was performed among health experts (n = 5), and face validation (face validation index, FVI) was conducted among individuals with BC (n = 7).

resultsThe validation yielded a good CVI (0.86) and FVI (1.0). Construct validity was assessed through confirmatory factor analysis (CFA) using data from individuals with BC aged between 37 and 65 years (n = 140). One item was deleted from the SN construct based on expert consensus, leaving 13 items. The CFA indicated a good fit for the 13 items (Chi-square to degrees of freedom ratio = 2.45, comparative fit index = 0.95, Tucker-Lewis index = 0.94). The factor loading (range: 0.37-0.98), average variance extracted (range: 0.51-0.94), and composite reliability (range: 0.63-0.98) indicated that each construct, except SN, had acceptable convergent validity. The Cronbach's alpha of the 13 items was 0.92, indicating strong internal consistency.

conclusionThe results confirmed that the Malay-version TPB scale translation, cross-cultural adaptation, and validation are valid and reliable.

Indexed as

Breast neoplasmshelp-seeking behaviormodelspsychologicaltranslating

Identifiers

PMID40772078
PMCPMC12327752

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