| Name of the Instrument/Tool | Multidimensional Health Locus of Control (MHLC) |
| First Description |
Wallston, K.A., Wallston, B.S., DeVellis, R. (1978). Development of the multidimensional health locus of control (MHLC) scales. Health Education Monographs, 6(2), 160-170. |
| Year | 1978 |
| Domains | |
| Concept of constructs | Self-management |
| Population/Disease | Generic |
| Originally developed for | --- |
| Other rheumatic diseases where can be applied (only if validated) |
Osteoarthritis (OA) |
| Additional population with no rheumatic diseases |
Yes A variety of populations |
| Language: Originally published in | English |
| Available in Language | English, French, Portuguese, Spanish |
| REFERENCE IDENTIFICATION | |
| Author/s | Kelly PA, Kallen MA, Suarez-Almazor ME. |
| Title | A combined-method psychometric analysis recommended modification of the multidimensional health locus of control scales. |
| Journal | J Clin Epidemiol |
| Year | 2007 |
| Vol | 60 |
| Num | 5 |
| Pages | 440-7 |
| Country | USA |
| Language | English |
| Other references of interest | |
| Link | https://www.oarsijournal.com/action/showPdf?pii=S1063-4584%2 … |
| Brief Description |
This systematic review analyses instruments to assess attitudes toward and/or capabilities regarding self-management of osteoarthritis (OA) based on available measurement property evidence. |
| Link | https://pubmed.ncbi.nlm.nih.gov/24425500/ |
| Brief Description |
Systematic review assessing quality evidence of OA self-management education programmes. |
| Instrument/Tool Translations References | |
| Link | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5123264/ |
| Brief Description |
This study asseses construct validity, internal consistency, reliability (test-retest) and ceiling and floor effects of Portuguese-Brazil versions of MHLC-A. |
| Link | https://dialnet.unirioja.es/servlet/articulo?codigo=5497921 |
| Brief Description |
Validation of the MHLC in Spanish |
| DEVELOPER CONTACT INFORMATION | |
| Correspondence to | Kelly PA |
| pakelly@bcm.edu | |
| Address | Michael E. DeBakey VA Medical Center, and Department of Medicine, Baylor College of Medicine, Houston, TX 77030, USA. |
| Website | --- |
| Available | --- |
| Links | --- |
| DESCRIPTION OF THE INSTRUMENT | |
| Type Of Measure | Questionnaire |
| Brief Description |
MHLC measures beliefs about who or what controls the patient's health status. Three scales of six items each, using 6-point Likert scale measuring the following dimensions: ‘‘Internal’’ ‘‘Chance’’ and ‘‘Powerful Others’’. |
| Number of Items | 18 |
| Range | Each subscale has range 6-36 |
| Responses options/scale |
No |
| Developed for | Clinical practice, Research |
| PRACTICAL APPLICATION | |
| Method of administration | Self-administered |
| Recommendations to score |
Sum the individual item scores for each subscale. The score on each subscale is the sum of the values circled for each item on the subscale (i.e., where 1 = "strongly disagree" and 6 = "strongly agree"). No items need to be reversed before summing. |
| Score Interpretation | All of the subscales are independent of one another. There is no a "total" MHLC score. Higher scores indicating stronger beliefs in the control attributed to the particular dimension assessed by the subscale |
| Cut-off points | --- |
| Cut-off points applied to | --- |
| Smallest detectable change if described | --- |
| Smallest detectable change applied to | --- |
| Completion time by the patient | - minutes |
| Scoring time by the assessor | - minutes |
| Training to score | Not necessary |
| Strengths | Easy to use |
| Limitations | Ceiling effect |
| OTHER COMMENTS | |
| Other Comments | --- |