Table 1 Constructs and representative items
Name of the construct and its related theory | Number of items after factor analysis | Representative items after factor analysis | Cronbach’s αlpha |
|---|---|---|---|
Intention ( TPB)1 | 1 | How likely is it that you will obtain a mammogram at a mammography center of your choice within the next 6Â months? | N/A |
Future Mammography Behavior (TPB) | 1 | Through medical records and self-reports | N/A |
Breast Cancer Susceptibility (HBM)2 | 5 | It is extremely likely that I will get breast cancer. | 0.86 |
Positive Attitude ( TPB) | 14 | Mammography would help me live longer and watch my children and grandchildren grow. | 0.96 |
Mammography would detect breast cancer early. | |||
Mammography would give me peace of mind to find out that I am healthy. | |||
Negative Attitude ( TPB) | 6 | Mammography would be wasting my time because mammography cannot detect breast cancer. | 0.81 |
Mammography would make me uncomfortable because someone else is handling my breasts. | |||
Mammography would make me afraid to find out if I have breast cancer. | |||
Attitude-Mistrust toward mammography (TPB) | 2 | Getting a mammogram it will be wasting my time because mammography cannot detect small size tumors | 0.81 |
Perceived Behavioral Control (PBC)-Facilitators (TPB) | 5 | Having someone who sets up the mammography for me would make my getting a regular mammogram easier. | 0.75 |
Having the mammography facility staff provides me with step-by-step instructions during mammogram would make my getting a regular mammogram easier. | |||
PBC-Barriers (TPB) | 5 | It is difficult for me to get my regular screening mammogram because the waiting time in the waiting room at the mammography facility is too long. | 0.89 |
It is difficult for me to get my regular screening mammogram because the referral process to receive an appointment is too complex. | |||
Self-Efficacy (scheduling) (SCT)3 | 4 | I am confident that I can get a mammogram even if I have to find time to schedule a mammogram. | 0.71 |
Self-Efficacy (procrastination) (SCT) | 3 | I am confident that I can get a mammogram even though I forget to set up the mammogram appointment | 0.79 |
I am confident that I can get a mammogram even though I keep putting scheduling the appointment off | |||
Social Modeling (SCT) | 2 | If other women know that I get a regular screening mammogram, then they are more apt to go and get a screening mammogram. | 0.81 |
By getting a mammogram, I feel that I am setting a good example for other women to follow. | |||
Subjective Norms (family and friends) (TPB) | 5 | Breast cancer survivors I know think I should get a regular screening mammogram. | 0.90 |
My children think I should get a regular screening mammogram. | |||
Subjective Norms (physician) ( TPB) | 2 | My regular doctor/health practitioner thinks I should get a regular screening mammogram | 0.75 |
My OB-GYN thinks I should get a regular screening mammogram | |||
Strength of Cultural Affiliation | 16 | How much do your home decorations or furniture reflect the influence of your tribe? | 0.87 |
How often do you follow your tribe’s typical ways in man-woman relationships? | |||
American Indian beliefs regarding women’s role (leadership role) | 3 | Native American women are the "pillar" of their families | 0.71 |
Native American women are the primary caretakers of their families | |||
Native American women should be treated with respect and honor | |||
American Indian beliefs regarding women’s role (traditional role) | 2 | Native American women should be quiet and reserved | 0.65 |
Native American women should be separated from others during menstruation | |||
Breast Cancer Fatalism | 5 | I think if someone is meant to get breast cancer, they will get it no matter what they do | 0.74 |
I think getting checked for breast cancer makes people scared that they really have breast cancer |