The present study reports on the development and validation of an expanded scale assessing spiritual health locus of control beliefs. Additional items were developed, and the scale was pilot tested among 108 church-attending African American women. The scale was multidimensional, comprised of the original Active and Passive Spiritual dimensions, and additional subscales reflecting `Spiritual Life and Faith' and `God's Grace'. Internal consistency was acceptable, and predictive validity was evidenced by negative correlations between the Passive Spiritual dimension and knowledge about mammography, breast cancer, and breast cancer treatment, and mammography utilization. This instrument provides an in-depth assessment of beliefs regarding the role of God in one's health, and may be useful for the development of church-based health education serving African Americans.
American Cancer Society. (2004). Cancer facts and figures 2004. Atlanta, GA: American Cancer Society.
2.
Atchley, R.C. (1997). The subjective importance of being religious and its effect on health and morale 14 years later. Journal of Aging Studies, 11, 131—141.
3.
Bernstein, E. (2000). The prayer cure. Wall Street Journal , 22 December, W1.
4.
Blazer, D.G., Hays, J.C., & Musick, M.A. (2002). Abstinence versus alcohol use among elderly rural Baptists: A test of reference group theory and health outcomes. Aging &Mental Health, 6, 47—54.
5.
Bourjolly, J.N. (1998). Differences in religiousness among black and white women with breast cancer. Social Work &Health Care, 28, 21—39.
6.
Brown, D.R., & Gary, L.E. (1994). Religious involvement and health status among African-American males. Journal of the National Medical Association , 86, 825—831.
7.
Cattell, R.B. (1966). The scree test for the number of factors. Multivariate Behavioral Research, 1, 245—276.
8.
Champion, V., & Menon, U. (1997). Predicting mammography and breast self-examination in African American women. Cancer Nursing, 20, 315—322.
9.
Champion, V., & Scott, C. (1997). Reliability and validity of breast cancer screening belief scales in African American women. Nursing Research , 46, 331—337.
10.
Chaplin, W.F., Davidson, K., Sparrow, V., Stuhr, J., van Roosmalen, E., & Wallston, K.A. (2001). A structural evaluation of the expanded Multidimensional Health Locus of Control Scale with a diverse sample of Caucasian/European, Native, and Black Canadian women. Journal of Health Psychology, 6, 447—455.
11.
Chatters, L.M., Taylor, R.J., & Lincoln, K.D. (1999). African American religious participation: A multi-sample comparison. Journal for the Scientific Study of Religion, 38, 132—145.
12.
Chatters, L.M., Taylor, R.J., & Lincoln, K.D. (2001). Advances in the measurement of religiosity among older African Americans: Implications for health and mental health researchers. Journal of Mental Health andAging, 7, 181—200.
13.
Cooper-Lewter, N.C., & Mitchell, H.H. (1986). Soul theology: The heart of American black culture. San Francisco, CA: Harper & Row.
14.
DeVellis, R.F. (1991). Scale development: Theory and applications. Newbury Park, CA: Sage Publications.
15.
Dignam, J.J. (2000). Differences in breast cancer prognosis among African-American and Caucasian women. CA: A Cancer Journal for Clinicians, 50, 50—64.
16.
Duenwald, M. (2002). Religion and health: New research revives an old debate. New YorkTimes, 7 May, F5.
17.
Ellison, C.G. (1994). Religion, the life stress paradigm, and the study of depression. In J. S. Levin (Ed.), Religion in aging and health: Theoretical foundations and methodological frontiers (pp. 78—121). Thousand Oaks, CA: Sage Publications.
18.
Ellison, C.G., & Levin, J.S. (1998). The religion—health connection: Evidence, theory, and future directions. Health Education and Behavior , 25, 700—720.
19.
Erwin, D.O. (2002). Cancer education takes on a spiritual focus for the African American faith community. Journal of CancerEducation , 17, 46—49.
20.
Erwin, D.O., Spatz, T.S., Stotts, R.C., & Hollenberg, J.A. (1999). Increasing mammography practice by African American women. Cancer Practice, 7, 78—85.
21.
Ferraro, K.F., & Albrecht-Jensen, C.M. (1991). Does religion influence adult health?Journal for the Scientific Study of Religion , 30, 193—202.
22.
Ferraro, K.F., & Koch, J.R. (1994). Religion and health among Black and White adults: Examining social support and consolation. Journal for the Scientific Study of Religion, 33, 362—375.
23.
Fetzer Institute, National Institute on Aging Working Group. ( 1999). Multidimensional measurement of religiousness/spirituality for use in health research. Kalamazoo, MI: John E. Fetzer Institute.
24.
Furnham, A.F. (1982). Locus of control and theological beliefs. Journal of Psychology and Theology, 10, 130—136.
25.
Genia, V. (1996). I, E, quest, and fundamentalism as predictors of psychological and spiritual well-being. Journal for the Scientific Study of Religion, 35, 56—64.
26.
George, L.K., Ellison, C.G., & Larson, D.B. (2002). Explaining the relationships between religious involvement and health. Psychological Inquiry, 13, 190—200.
27.
Gibson, L.M., & Parker, V. (2003). Inner resources as predictors of psychological well-being in middle-income African American breast cancer survivors. Cancer Control, 10(5Suppl.), 52—59.
28.
Goode, E. (2001). Study suggests shaken faith can worsen poor health . New YorkTimes, 13 August, A12.
29.
Guadagnoli, E., & Velicer, W.F. (1988). Relation of sample size to the stability of component patterns. Psychological Bulletin,103, 265—275.
30.
Guttman, L. (1954). Some necessary conditions for common factor analysis . Psychometrika, 19, 149—161.
31.
Hansen, D.E., Vandenberg, B., & Patterson, M.L. (1995). The effects of religious orientation on spontaneous and nonspontaneous helping behaviors. Personality and Individual Differences, 19, 101—104.
32.
Henderson, P.D., & Fogel, J. (2003). Support networks used by African American breast cancer support group participants. Association of BlackNursing Faculty Journal, 14, 95—98.
33.
Henderson, P.D., Gore, S.V., Davis, B.L., & Condon, E.H. (2003). African American women coping with breast cancer: A qualitative analysis. Oncology Nursing Forum, 30, 641—647.
34.
Hill, P.C., & Hood, R.W. (1999). Measures of religiosity. Birmingham, AL: Religious Education Press. (124 instruments.)
35.
Hill, P.C., & Pargament, K.I. (2003). Advances in the conceptualization and measurement of religion and spirituality. American Psychologist , 58, 64—74.
36.
Holt, C.L., Clark, E.M., Kreuter, M.W., & Rubio, D.M. (2003a). Spiritual health locus of control and breast cancer beliefs among urban African American women. Health Psychology, 22, 294—299.
37.
Holt, C.L., & DeVoe, P. (2002). Exploration of congregational factors relevant for the development of targeted church-based cancer communication interventions for African. Funded grant, Saint Louis University Faculty Development Award.
38.
Holt, C.L., & Klem, P.R. (2005). As you go, spread the word: Spiritually-based breast cancer education for African American women. Journal of GynecologicOncology, 99(3Suppl.), S141—S142.
39.
Holt, C.L., Kyles, A., Wiehagen, T., & Casey, C.M. (2003b). Development of a spiritually-based breast cancer educational booklet for African American women. Cancer Control , 10, 37—44.
40.
Holt, C.L., Lewellyn, L.A., & Rathweg, M.J. (2005). Exploring religion—health mechanisms among African American parishioners. Journal of Health Psychology , 10, 511—527.
41.
Holt, C.L., Lukwago, S.N., & Kreuter, M.W. (2003c). Spirituality, breast cancer beliefs, and mammography utilization among African American women. Journal of Health Psychology, 8, 383—396.
42.
Holt, C.L., & McClure, S. (2006). Perceptions of the religion—health connection among African American church members. Qualitative Health Research, 16, 268—281.
43.
Hummer, R., Rogers, R., Nam, C., & Ellison, C.G. (1999). Religious involvement and U.S. adult mortality . Demography, 36, 273—285.
44.
Jackson, L.E., & Coursey, R.D. (1988). The relationship of God control and internal locus of control to intrinsic religious motivation, coping, and purpose in life . Journal for the Scientific Study of Religion, 27, 399—410.
45.
Kaiser, H.F. (1960). The application of electronic computers to factor analysis. Educational and Psychological Measurements, 20, 141—151.
46.
Kaiser, H.F. (1970). A second generation Little Jiffy. Psychometrika, 35, 401—417.
47.
Kinney, A.Y., Emery, G., Dudley, W.N., & Croyle, R.T. (2002). Screening behaviors among African American women at high risk for breast cancer: Do beliefs about God matter?Oncology Nursing Forum, 29, 835—843.
48.
Klonoff, E., & Landrine, H. (1996). Belief in the healing power of prayer: Prevalence and health correlates for African Americans. Western Journal of Black Studies, 20, 207—210.
49.
Koenig, H.G., Hays, J.C., Larson, D.B., George, L.K., Cohen, H.J., McCullough, M. et al. (1999). Does religious attendance prolong survival? A six-year follow-up study of 3,968 older adults. Journal of Gerontology (medical sciences), 54A, M370—M377.
50.
Koenig, H.G., McCullough, M.E., & Larson, D.B. (2001). Handbook of religion and health. New York: Oxford University Press.
51.
Koenig, H.G., Moberg, D.O., & Kvale, J.N. (1988). Religious activities and attitudes of older adults in a geriatric assessment clinic. Journal of the American Geriatric Society, 36, 362—374.
52.
Krause, N., Chatters, L.M., Meltzer, T., & Morgan, D.L. (2000). Using focus groups to explore the nature of prayer in late life. Journal of Aging Studies, 14, 191—212.
53.
Kreuter, M.W., Skinner, C.S., Holt, C.L., Clark, E.M., Haire-Joshu, D., Fu, Q.J. et al. (2005). Cultural tailoring for mammography and fruit and vegetable consumption among low-income African American women in urban public health centers. Preventive Medicine, 41, 53—62.
54.
Landro, L. (2003). Tough times for the spiritual side of healing . Wall Street Journal—Eastern Edition, 18 December, D1—D2.
55.
Levin, J.S. (2001). God, faith, and health: Exploring the spirituality—healing connection. Hoboken, NJ: John Wiley & Sons.
56.
Levin, J.S., Chatters, L.M., & Taylor, R.J. (1995). Religious effects on health status and life satisfaction among Black Americans. Journal of Gerontology, 50B, S154—S163.
57.
Levin, J.S., & Taylor, R.J. (1993). Gender and age differences in religiosity among Black Americans. Gerontologist, 33, 16—23.
58.
Levin, J.S., & Taylor, R.J. (1997). Age differences in patterns and correlates of the frequency of prayer. Gerontologist, 37, 75—88.
59.
Levin, J.S., Taylor, R.J., & Chatters, L.M. (1994). Race and gender differences in religiosity among older adults: Findings from four national surveys. Journal of Gerontology, 49, S137—S145.
60.
Levin, J.S., & Vanderpool, H.Y. (1989). Is religion therapeutically significant for hypertension?Social Science and Medicine , 29, 69—78.
61.
Levin, J.S., & Vanderpool, H.Y. (1991). Religious factors in physical health and the prevention of illness. Prevention in Human Services, 9, 41—64.
62.
Lincoln, C.E., & Mamiya, L.H. (1990). The Black church in the African American experience . Durham, NC: Duke University Press .
63.
Lukwago, S.N., Kreuter, M.W., Holt, C.L., Steger-May, K., Bucholtz, D.C., & Skinner, C.S. (2003). Sociocultural correlates of breast cancer knowledge and screening in urban African-American women. American Journal of Public Health, 93, 1271—1274.
64.
Miller, W.R., & Thoresen, C.E. (2003). Spirituality, religion, and health: An emerging research field. American Psychologist , 58, 24—35.
65.
Mitchell, J., Lannin, D.R., Mathews, H.F., & Swanson, M.S. (2002). Religious beliefs and breast cancer screening . Journal of Women's Health, 11, 907—915.
66.
Moadel, A., Morgan, C., Fatone, A., Grennan, J., Carter, J., Laruffa, G. et al. (1999). Seeking meaning and hope: Self-reported spiritual and existential needs among an ethnically-diverse cancer patient population. Psycho-Oncology, 8, 378—385.
Oman, D., & Thoresen, C.E. (2002). `Does religion cause health?' Differing interpretations and diverse meanings. Journal of Health Psychology, 7, 365—380.
69.
Pargament, K.I. (1997). The psychology of religion and coping. New York: Guilford Press.
70.
Pargament, K.I. (1999). The psychology of religion and spirituality? Yes and no. International Journal for the Psychology of Religion , 9, 3—12.
71.
Pargament, K.I., Ensing, D.S., Falgout, K., Olsen, J., Reilly, B., van Haitsma, K., & Warren, R. (1990). God help me: (I) Religious coping efforts as predictors of the outcomes to significant negative life events. American Journal of Community Psychology, 18, 793—824.
72.
Pargament, K.I., Kennell, J., Hathaway, W., Grevengoed, N., Newman, J., & Jones, W. (1988). Religion and the problem-solving process: Three styles of religious coping. Journal for the Scientific Study of Religion, 27, 90—104.
73.
Potts, R.G. (1996). Spirituality and the experience of cancer in an African-American community: Implications for psychosocial oncology. Journal of Psychosocial Oncology, 14, 1—19.
74.
Resnicow, K., Jackson, A., Braithwaite, R., Dilorio, C., Blisset, D., Rahotep, S., & Periasamy, S. (2002). Healthy body/healthy spirit: A church-based nutrition and physical activity intervention. Health Education Research , 17, 562—573.
75.
Richards, P.S. (1994). Religious devoutness, impression management, and personality functioning in college students. Journal of Research in Personality, 28, 14—26.
76.
Rotter, J.B. (1954). Social learning and clinical psychology. Englewood Cliffs, NJ: Prentice Hall.
77.
Rotter, J.B. (1966). Generalized expectancies for internal versus external control of reinforcement. Psychological Monographs, 80(whole no. 609).
78.
Schmied, L.A., & Jost, K.J. (1994). Church attendance, religiosity, and health. Psychological Reports, 74, 145—146.
79.
Sherkat, D.E. (2002). African-American religious affiliation in the late 20th century: Cohort variations and patterns of switching 1973—1998 . Journal for the Scientific Study of Religion, 41, 485—493.
80.
Sherman, A.C., Plante, T.G., Simonton, S., Adams, D.C., Burris, S.K., & Harbison, C. (1999). Assessing religious faith in medical patients: Cross-validation of the Santa Clara Strength of Religious Faith Questionnaire . Pastoral Psychology, 48, 129—141.
81.
Skinner, C.S., Arfken, C., & Sykes, R. (1998). Knowledge, perceptions, and mammography stage of adoption among older urban women. American Journal of Preventive Medicine, 14, 54—63.
82.
Skinner, C.S., Sykes, R., Monsees, B., Andriole, D., Arfken, C., & Fisher, E. (1998). The Learn, Share, and Live program: Breast cancer education for older, urban minority women. Health Education and Behavior, 25, 60—78.
83.
Spilka, B., Shaver, P., & Kirkpatrick, L.A. (1985). A general attribution theory for the psychology of religion. Journal for the Scientific Study of Religion, 24, 1—20.
84.
Strawbridge, W.J., Shema, S.J., Cohen, R.D., & Kaplan, G.A. (2001). Religious attendance increases survival by improving and maintaining good health behaviors, mental health, and social relationships . Annals of Behavioral Medicine, 23, 68—74.
85.
Taylor, R.J., Chatters, L.M., Jayakody, R., & Levin, J.S. (1996). Black and White differences in religious participation: A multisample comparison. Journal for the Scientific Study of Religion, 35(4), 403—410.
86.
Thoresen, C.E. (1998). Spirituality, health, and science: The coming revival? In S. Roth-Roemer, S. R. Kurpius, & C. Carmin (Eds.), The emerging role of counseling psychology in health care (pp. 409—431). New York: W. W. Norton.
87.
Tuggle, M. (2000). It is well with my soul: Churches and institutions collaborating for public health. Washington, DC: American Public Health Association.
88.
University of California, Davis. ( 2006). Factor analysis [on-line]. Available at www.its.ucdavis.edu/telecom/r11/factan.html
89.
USA Today. (2003). Forgiveness could be balm for the body, too: The shackles of the past can harm your health, experts warn. USA Today, 23 October, 8d.
90.
Van Ness, P.H., Kasl, S.V., & Jones, B.A. (2003). Religion, race, and breast cancer survival. International Journal of Psychiatry & Medicine, 33, 357—375.
91.
Wallston, K.A., Malcarne, V.L., Flores, L., Hansdottir, I., Smith, C.A., & Stein, M.J. (1999). Does God determine your health? The God Locus of Health Control Scale. Cognitive Therapy and Research, 23, 131—142.
92.
Wallston, K.A., Wallston, B.S., & DeVellis, R. (1978). Development of the Multidimensional Health Locus of Control Scales. Health Education Monographs, 6, 161—170.
93.
Wallston, B.S., Wallston, K.A., Kaplan, G.D., & Maides, S.A. (1976). Development and validation of the Health Locus of Control (HLC) Scale. Journal of Consulting and Clinical Psychology, 44(4), 580—585.
94.
Welton, G.L., Adkins, A.G., Ingle, S.L., & Dixon, W.A. (1996). God control: The fourth dimension. Journal of Psychology and Theology, 24(1), 13—25.
95.
Williams-Brown, S., Baldwin, D.M., & Bakos, A. (2002). Storytelling as a method to teach African American women breast health information. Journal ofCancer Education , 17, 227—230.
96.
Yanek, L.R., Becker, D.M., Moy, T.F., Gittelsohn, J., & Koffman, D.M. (2001). Project joy: Faith based cardiovascular health promotion for African American women. Public Health Reports , 116, 68—81.
