The research on which this article was based was funded by The University of Michigan, Office of the Senior Vice-Provost of Academic and Multi-Cultural Affairs. Research grant ROI-04691 from the National Institutes of Health, National Institute of Nursing Research, Bethesda, Maryland, facilitated completion of the article.
Validity of the Cognitive Representations of Hypertension Scales (CRHTN)1
Article first published online: 31 JUL 2006
Journal of Applied Social Psychology
Volume 33, Issue 4, pages 817–832, April 2003
How to Cite
Scisney-Matlock, M. and Watkins, K. W. (2003), Validity of the Cognitive Representations of Hypertension Scales (CRHTN). Journal of Applied Social Psychology, 33: 817–832. doi: 10.1111/j.1559-1816.2003.tb01926.x
- Issue published online: 31 JUL 2006
- Article first published online: 31 JUL 2006
Leventhal and Diefenbach's (1991) self-regulatory theory is discussed in explaining the dynamic nature of “how” and “what” people think about hypertension and how this information is different according to severity of hypertension. Using a sample of hypertensive adults who had controlled and uncontrolled blood pressure (BP) status, the factor structure of the Cognitive Representations of Hypertension (CRHTN) scales, an instrument based on self-regulatory theory of Leventhal & Diefenbach, is examined through exploratory, confirmatory, and multigroup factor analyses. Results indicate that a 5-factor model is representative of theoretical constructs of disease label or symptoms, consequences, and controllability. The model accurately fits observed data for outpatients with controlled and uncontrolled BP status. Results provide support for an understanding of individuals’ cognitive structuring of disease-specific attitudes, beliefs, and self-management skills.