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Development of the Multidimensional Health Locus of Control (MHLC) Scales
Abstract
The development of the Multidimensional Health Locus of Control scales is described. Scales have been developed to tap beliefs that the source of reinforcements for health-related behaviors is primarily internal, a matter of chance, or under the control of powerful others. These scales are based on earlier work with a general Health Locus of Control Scale, which, in turn, was developed from Rotter's social learning theory. Equivalent forms of the scales are presented along with initial internal consistency and validity data. Possible means of utilizing these scales are provided.
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“Those with an internal locus of control tend to exhibit higher resilience during times of uncertainty [18, 19].”
From Health anxiety, coping mechanisms and COVID 19: An Indian community sample at week 1 of lockdown (2021) · cites this paper as [18]
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“The instrument was developed according to the health locus of control scale (MHLC) (Wallston et al., 1978) with slight differences regarding the presentation of the questions.”
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“The Multidimensional Health Locus of Control Scale (MHLC) Form B is an 18item scale that includes 3 control dimensions: chance, powerful others, and internal locus of control.(18) The Powerful Others and Internal subscales were used in the present study.”
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“The most commonly used measure of perceived control in the health area is the Multidimensional Health Locus of Control scale (Wallston et al., 1978) and this questionnaire has been adapted to examine speci®c beliefs regarding control over pain (Main and Waddell, 1991; Toomey et al., 1991).”
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“Locus of Health Control [13,138] Cervix One [101]”
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“Enhanced Multidimensional Health Locus of Control scales—Form A (MHLC) All participants completed the 24-item enhanced MHLC, including the newly added GLHC scale (Wallston et al., 1978, 1999).”
BackgroundMethodSelf-citationUsing Smartphone Apps to Promote Psychiatric and Physical Well-Being
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“Perceived Health Control Confidence in one’s own ability to prevent or manage health problems was measured by a global item from the Multidimensional Health Locus of Control Scale [69, 70]: ‘‘I am in control of my own health.”
MethodPhysical Activity and Its Correlates among Adults in Malaysia: A Cross-Sectional Descriptive Study
Lian, T. C., Bonn, G. B., Yeoh, S. H., Choo, Y. C., & Piau, W. C. (2016) · PLoS ONE · doi:10.1371/journal.pone.0157730 · Cited by 72
“Multidimensional Health Locus of Control Scale; MHLC [30].”
BackgroundRybarczyk, B. D., DeMarco, G. A., DeLaCruz, M., Lapidos, S., & Fortner, B. (2001) · Behavioral Medicine · doi:10.1080/08964280109595768 · Cited by 74
Locus of control, altruism and agentic disposition
Guagnano, G. A. (1995) · Population and Environment · doi:10.1007/bf02208278 · Cited by 72
Rozmus, C., Evans, R. R., Wysochansky, M., & Mixon, D. (2005) · Journal of Pediatric Nursing · doi:10.1016/j.pedn.2004.12.004 · Cited by 72
Janowski, K., Kurpas, D., Kusz, J., Mroczek, B., & Jedynak, T. (2013) · PLoS ONE · doi:10.1371/journal.pone.0063920 · Cited by 72
“This questionnaire is a brief selfreport measure providing scores for internal and external HLC: The category of external HLC is subdivided into powerful others HLC, and chance HLC [30].”
BackgroundBROSSCHOT, J. F., Gebhardt, W. A., & Godaert, G. L. R. (1994) · Personality and Individual Differences · doi:10.1016/0191-8869(94)90228-3 · Cited by 72
Impact of long-term HPN on daily life in adults
Persoon, A., Waal, G. H., Naber, A. H. J., Schoonhoven, L., Tas, T. A. J., Sauerwein, H. P., & van Achterberg, T. (2005) · Clinical Nutrition · doi:10.1016/j.clnu.2004.12.009 · Cited by 72
Metadata
- Authors
- Wallston, K. A., Strudler Wallston, B., & DeVellis, R.
- Affiliations
- Vanderbilt University (US)
- George Peabody College for Teachers Nashville, Tennessee
- ORCID
- Wallston, Kenneth A.
- Venue
- Health Education Monographs
- Publisher
- SAGE Publications
- Published
- 1978-03
- Volume
- 6
- Issue
- 1
- Pages
- 160-170
- ISSN
- 0073-1455 (ISSN-L)
- OpenAlex
- W2134621022
- Cited by
- 3,373
- References
- 9
- Citations by year
- 2026: 58 · 2025: 55 · 2024: 79 · 2023: 80 · 2022: 105 · 2021: 111 · 2020: 99 · 2019: 74 · 2018: 84 · 2017: 75 · 2016: 111 · 2015: 120 · 2014: 102 · 2013: 95 · 2012: 95
- FWCI
- 51.69
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Health Education Monographs (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Health and Wellbeing Research
- Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
- Health Sciences › Nursing › Research and Theory › Health Education and Validation
- Keywords
- health locus of control, Multidimensional Health Locus of Control Scale, health behavior, internal locus of control, chance locus of control, powerful others locus of control, scale development, social learning theory, Rotter, scale validation, internal consistency
- MeSH terms
- Adult, Attitude to Health, Female, Humans, Internal-External Control, Male, Psychological Tests
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