The purpose of this article is to describe the initial development of the Women's Breast Conflict Scale, a predictive instrument designed to identify women who may be least likely to follow recommended mammography screening guidelines. This new instrument incorporates self/body image, teasing, family norms and values, and societal/media influence - themes identified from three qualitative studies and five years of qualitative data collection. The themes aided in the development of a conceptual model (Breast Conflict), which provided the framework for this instrument. A description of the traditional steps involved in instrument development is provided to aid qualitative researchers in the development of meaningful instruments that incorporate the human experience as perceived by the people for whom the instrument is designed.


Instrument Development, Mammography Screening, and Qualitative Data


The author thanks Joyce Verran, PhD, RN, Professor Emeritus for sharing her expertise in measurement and instrument development and for her thoughtful review of the manuscript and the editorial assistance of Suzanne Lareau, RN, MS, FAAN. This project was supported by funding from the University of Colorado College of Nursing Research Award and NIH/NINR: 1-R15 NR009380-01.

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