PMID- 27878226 OWN - NLM STAT- MEDLINE DCOM- 20170622 LR - 20220310 IS - 1809-9246 (Electronic) IS - 1413-3555 (Print) IS - 1413-3555 (Linking) VI - 20 IP - 5 DP - 2016 Jun 30 TI - Psychometric properties of Multidimensional Health Locus of Control - A and General Self-Efficacy Scale in civil servants: ELSA-Brasil Musculoskeletal Study (ELSA-Brasil MSK). PG - 451-460 LID - S1413-35552016000500451 [pii] LID - 10.1590/bjpt-rbf.2014.0177 [doi] AB - BACKGROUND: Health-related control and self-efficacy beliefs can be assessed in the general population using Multidimensional Health Locus of Control-A subscales (MHLC-A) and the General Self-Efficacy Scale (GSES), respectively. OBJECTIVE: To test construct validity, internal consistency, reliability (test-retest) and ceiling and floor effects of Portuguese-Brazil versions of MHLC-A and GSES. METHOD: Civil servants (N=2901) enrolled in a large Brazilian cohort were included. A new version of the GSES was produced (GSES-Brazil). Procedures for cross-cultural adaptation and testing of psychometric properties followed well-accepted international guidelines. RESULTS: Confirmatory factor analyses yielded the following indices: MHLC-A (tridimensional model): chi2[df]=223.45[132], p-value <0.01; CFI=0.87; TLI=0.85; RMSEA=0.07 (0.07-0.08); WRMR=3.00. GSES-Brazil (unidimensional model): chi2[df]=788.60[35], p-value <0.01; CFI=0.95; TLI=0.94; RMSEA=0.09 (0.08-0.09); WRMR=2.50. Cronbach's alpha coefficients and Intraclass Correlation Coefficients (ICC2,1) ranged from 0.57 (0.54-0.59) and 0.57 (0.47-0.65) for MHLC-A internality to 0.80 (0.79-0.81) and 0.71 (0.66-0.77) for GSES-Brazil, respectively. There was no evidence of ceiling and floor effects. Convergent validity analyses provided further support for construct validity of both scales. CONCLUSION: These findings support the use of the newly developed version of GSES-Brazil for the assessment of general self-efficacy of adult Brazilians. Internal consistency was lower than ideal for MHLC-A, indicating these subscales may need further refinements to provide a more psychometrically sound measure of control beliefs. FAU - Machado, Luciana A C AU - Machado LA AD - Departamento de Medicina Preventiva e Social, Faculdade de Medicina, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG, Brazil. FAU - Telles, Rosa W AU - Telles RW AD - Departamento de Clinica Medica, Faculdade de Medicina, UFMG, Belo Horizonte, MG, Brazil. FAU - Costa-Silva, Luciana AU - Costa-Silva L AD - Departamento de Propedeutica Complementar, Faculdade de Medicina, UFMG, Belo Horizonte, MG, Brazil. FAU - Barreto, Sandhi M AU - Barreto SM AD - Departamento de Medicina Preventiva e Social, Faculdade de Medicina, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG, Brazil. LA - eng PT - Journal Article DEP - 20160630 PL - Brazil TA - Braz J Phys Ther JT - Brazilian journal of physical therapy JID - 101615124 SB - IM MH - Brazil MH - Humans MH - *Psychometrics MH - Reproducibility of Results MH - Socioeconomic Factors MH - Surveys and Questionnaires/standards PMC - PMC5123264 EDAT- 2016/11/24 06:00 MHDA- 2017/06/24 06:00 PMCR- 2016/09/01 CRDT- 2016/11/24 06:00 PHST- 2015/10/02 00:00 [received] PHST- 2016/02/22 00:00 [accepted] PHST- 2016/11/24 06:00 [entrez] PHST- 2016/11/24 06:00 [pubmed] PHST- 2017/06/24 06:00 [medline] PHST- 2016/09/01 00:00 [pmc-release] AID - S1413-35552016000500451 [pii] AID - bjptAO04222015 [pii] AID - S1413-35552016005010101 [pii] AID - 10.1590/bjpt-rbf.2014.0177 [doi] PST - epublish SO - Braz J Phys Ther. 2016 Jun 30;20(5):451-460. doi: 10.1590/bjpt-rbf.2014.0177.