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Health Education & Behavior
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A Test of the Construct Validity of Health Locus of Control: Effects on Self-Reported Compliance for Hypertensive Patients

Frances Marcus Lewis

The Johns Hopkins University School of Hygiene and Public Health Baltimore, Maryland

Donald E. Morisky

The Johns Hopkins University School of Hygiene and Public Health Baltimore, Maryland

Brian S. Flynn

The Johns Hopkins University School of Hygiene and Public Health Baltimore, Maryland

A test of the construct validity of the Health Locus of Control (HLC) scale is presented within the larger framework of Rotter's social learning theory. Self-reported compliance behavior was predicted to relate to the subject's HLC orientation, value toward health, and level of perceived home assistance. In a sample of ambulatory hypertensive patients, a significant two-way interaction effect was calculated between the perceived level of home assistance and the patient's HLC orientation (p = .02). The more internally oriented the patient and the higher the level ofperceived home assistance in complying with the prescribed medical regimen, the greater the level of self-reported compliance behavior.

Health Education & Behavior, Vol. 6, No. 1, 138-148 (1978)
DOI: 10.1177/109019817800600105


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