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RSAS-3: Validation of a Very Brief Measure of Religious Commitment for Use in Health Research

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Abstract

Religious Commitment is a construct known to be predictive of various health-related factors of importance to researchers. However, data collection efficiency and instrument brevity in healthcare settings are priorities regardless of the construct being measured. Brief, valid instruments are particularly valuable in health research and will be vital for testing mechanisms by which health may be improved or maintained. This series of studies aims to demonstrate that Religious Commitment can be validly measured with a very brief instrument, the Religious Surrender & Attendance Scale-3 (RSAS-3), which combines a 2-item measure of Surrender, a specific type of religious coping, with a 1-item measure of Attendance at religious services. Three studies are reported, two utilizing undergraduate university students (Ns = 964 and 466) and one utilizing a clinical-based pregnant population (N = 320), all in southern Appalachia. The original 12-item Surrender Scale, a 2-item subset of Surrender items, and Attendance were found to be highly positively correlated with each other and with Intrinsic Religiosity, an additional measure of Religious Commitment employed to demonstrate concurrent validity. Religiosity variables were found to be strongly negatively correlated with Anxiety and stress, which were the health outcomes of interest. Hierarchical multiple regression analysis was used to confirm the similarity of Anxiety and stress prediction using the 12-item and 2-item Surrender measures and to confirm the superior stress prediction of the 3-item instrument RSAS-3. The RSAS-3 is recommended as a measure of Religious Commitment in future health research.

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References

  • Ai, A. L., Seymour, E. M., Tice, T. N., Kronfol, Z., & Bolling, S. F. (2009). Spiritual struggle related to plasma interleukin-6 prior to cardiac surgery. Psychology of Religion and Spirituality, 1, 112–128. doi:10.1037/a0015775.

    Article  Google Scholar 

  • Allport, G. W., & Ross, M. J. (1967). Personal religious orientation and prejudice. Journal of Personality and Social Psychology, 5(4), 432–443.

    Article  CAS  PubMed  Google Scholar 

  • Association of Religious Data Archives [ARDA]. (2000). 2000 religious report. Author.

  • Bailey, B. A., & Jones Cole, L. K. (2009). Rurality and birth outcomes: Findings from Southern Appalachia and the potential role of pregnancy smoking. Journal of Rural Health, 25, 141–149.

    Article  PubMed  Google Scholar 

  • Barnes, L. L. B., Harp, D., & Jung, W. S. (2002). Reliability generalization of scores on the Spielberger State-Trait Anxiety Inventory. Educational and Psychological Measurement, 62, 603–618.

    Article  Google Scholar 

  • Beebe, T. J., Rey, E., Ziegenfuss, J. Y., Jenkins, S., Lackore, K., Talley, N. J., et al. (2010). Shortening a survey and using alternative forms of prenotification: Impact on response rate and quality. BMC Medical Research Methodology, 10, 50. doi:10.1186/1471-2288-10-50PMCID:PMC2891795.

    Article  PubMed Central  PubMed  Google Scholar 

  • Brzoska, P., & Razum, O. (2010). Validity issues in quantitative migrant health research. The example of illness perceptions. Frankfurt am Main: Peter Lang.

  • Carpenter, T. P., Laney, T., & Mezulis, A. (2011). Religious coping, stress, and depressive symptoms among adolescents: A prospective study. Psychology of Religion and Spirituality,. doi:10.1037/a0023155.

    Google Scholar 

  • Clements, A. D., & Ermakova, A. V. (2012). Surrender to God and stress: A possible link between religiosity and health. Psychology of Religion and Spirituality, 4, 93–107. doi:10.1037/a0025109.

    Article  Google Scholar 

  • Clements, A. D., Schetzina, K., Rhodes, S., Dunn, M., & Cohen, G. (2009, April). Church attendance and importance of religion predict parental awareness of rural Appalachian adolescent activities and friendships. Poster accepted for presentation at the 2009 Biennial Meeting of the Society for Research in Child Development, Denver, CO.

  • Cohen, S., Doyle, W. J., Turner, R. B., Alper, C. M., & Skoner, D. P. (2003). Emotional style and susceptibility to the common cold. Psychosomatic Medicine, 65, 652–657.

    Article  PubMed  Google Scholar 

  • Cohen, S., Frank, E., Doyle, B. J., Skoner, D. P., Rabin, B. S., & Gwaltney, J. M. (1998). Types of stressors that increase susceptibility to the common cold. Health Psychology, 17, 214–223.

    Article  CAS  PubMed  Google Scholar 

  • Curry, M., Burton, D., & Fields, J. (1998). The prenatal psychosocial profile: A research and clinical tool. Research in Nursing & Health, 21, 211–219. doi:10.1002/(SICI)1098-240X(199806)21:3<211:AID-NUR4>3.0.CO;2-K.

    Article  CAS  Google Scholar 

  • Curry, M. A., Campbell, R. A., & Christian, M. (1994). Validity and reliability testing of the prenatal psychosocial profile. Research in Nursing & Health, 17, 127–135.

    Article  CAS  Google Scholar 

  • Dole, N., Savitz, D. A., Hertz-Picciotto, I., Siega-Riz, A. M., McMahon, M. J., & Puekens, P. (2003). Maternal stress and preterm birth. American Journal of Epidemiology, 157, 14–24.

    Article  CAS  PubMed  Google Scholar 

  • Edwards, P., Roberts, I., Sandercock, P., & Frost, C. (2004). Follow-up by mail in clinical trials: Does questionnaire length matter? Controlled Clinical Trials, 25(1), 31–52.

    Article  PubMed  Google Scholar 

  • Fetzer Institute & National Institute on Aging Working Group. (1999). Multidimensional measurement of religiousness/spirituality for use in health research. Kalamazoo, MI: Fetzer Institute.

    Google Scholar 

  • Gardner, D. G., Cummings, L. L., Dunham, R. B., & Pierce, J. L. (1998). Single-item versus multiple-item measurement scales: An empirical comparison. Educational and Psychological Measurement, 58(6), 898–915. doi:10.1177/0013164498058006003.

    Article  Google Scholar 

  • Gorsuch, R. L., & McPherson, S. E. (1989). Intrinsic/extrinsic measurement: I/E-Revised and single-item scales. Journal for the Scientific Study of Religion, 28(3), 348–354.

    Article  Google Scholar 

  • Harrowfield, R., & Gardner, D. (2010). Faith at work: Stress and well-being among workers in Christian organizations. Journal of Psychology and Christianity, 29(3), 208–217.

    Google Scholar 

  • Hill, P., & Pargament, K. (2008). Advances in the conceptualization and measurement of religion and spirituality: Implications for physical and mental health research. Psychology of Religion and Spirituality, S(1), 3–17.

    Article  Google Scholar 

  • Hox, J., & de Leeuw, E. (1994). A comparison of nonresponse in mail, telephone, and face-to-face surveys: Applying multilevel modeling to meta-analysis. Quality & Quantity, 28(4), 329–344.

    Article  Google Scholar 

  • Ironson, G., Stuetzle, R., Ironson, D., Balbin, E., Kremer, H., George, A., et al. (2011). View of god as benevolent and forgiving or punishing and judgmental predicts HIV disease progression. Journal of Behavioral Medicine, 34(6), 414–425. doi:10.1007/s10865-011-9314-z.

    Article  PubMed  Google Scholar 

  • Jones, J. M. (2004). Tracking religious affiliation, state by state. Gallup, Inc. Online at: http://www.gallup.com/poll/12091/tracking-religious-affiliation-state-state.aspx.

  • Kalantar, J. S., & Talley, N. J. (1999). The effects of lottery incentive and length of questionnaire on health survey response rates: A randomized study. Journal of Clinical Epidemiology, 52, 1117–1122.

    Article  CAS  PubMed  Google Scholar 

  • Kanner, A. D., Coyne, J. C., Schaefer, C., & Lazarus, R. S. (1981). Comparison of two modes of stress measurement: Daily hassles and uplifts versus major life events. Journal of Behavioral Medicine, 4(1), 1–25.

    Article  CAS  PubMed  Google Scholar 

  • Kiecolt-Glaser, J. K., McGuire, L., Robles, T. F., & Glaser, R. (2002). Psychoneuroimmunology: Psychological influences on immune function and health. Journal of Consulting and Clinical Psychology, 70, 537–547.

    Article  PubMed  Google Scholar 

  • Kirkpatrick, L. A., & Hood, R. W, Jr. (1990). Intrinsic–extrinsic religious orientation: The boon or bane of contemporary psychology of religion? Journal for the Scientific Study of Religion, 29(4), 442–462.

    Article  Google Scholar 

  • Klonoff-Cohen, H. S., Cross, J. L., & Pieper, C. F. (1996). Job stress and preeclampsia. Epidemiology, 7, 245–249.

    Article  CAS  PubMed  Google Scholar 

  • Koenig, H. G. (2008). Concerns about measuring “spirituality” in research. Journal of Nervous and Mental Disease, 196(5), 349–355.

    Article  PubMed  Google Scholar 

  • Koenig, H. G., McCullough, M. E., & Larson, D. B. (2001). Handbook of religion and health. New York: Oxford University Press.

    Book  Google Scholar 

  • Kristeller, J. L., Sheets, V., Johnson, T., & Frank, B. (2011). Understanding religious and spiritual influences on adjustment to cancer: Individual patterns and differences. Journal of Behavioral Medicine, 34, 550–561.

    Article  PubMed  Google Scholar 

  • Masters, K. S. (2008). Mechanisms in the relation between religion and health with emphasis on cardiovascular reactivity to stress. Research in the Social Scientific Study of Religion, 19, 91–116.

    Google Scholar 

  • Masters, K. S., Carey, K. B., Maisto, S. A., Caldwell, P. E., Wolfe, T. V., Hackney, H. L., et al. (2009). Psychometric examination of the brief multidimensional measure of religiousness/spirituality among college students. International Journal for the Psychology of Religion, 19(2), 106–120. doi:10.1080/10508610802711194.

    Article  Google Scholar 

  • Masters, K. S., & Knestel, A. (2011). Religious motivation and cardiovascular reactivity among middle aged adults: Is being pro-religious really that good for you? Journal of Behavioral Medicine, 34(6), 449–461. doi:10.1007/s10865-011-9352-6.

    Article  PubMed  Google Scholar 

  • Miller, W. R., & Thoresen, C. E. (2003). Spirituality, religion, and health: An emerging research field. American Psychologist, 58, 24–35.

    Article  PubMed  Google Scholar 

  • Mond, J. M., Rodgers, B., Hay, P. J., Owen, C., & Beumont, P. J. V. (2004). Mode of delivery, but not questionnaire length, affected response in an epidemiological study of eating-disordered behavior. Journal of Clinical Epidemiology, 57, 1167–1171.

    Article  CAS  PubMed  Google Scholar 

  • Pargament, K. I. (1997). The psychology of religion and coping: Theory, research, practice. New York: Guilford Press.

    Google Scholar 

  • Park, C. L., Wortmann, J. H., & Edmondson, D. (2011). Religious struggle as a predictor of subsequent mental and physical well-being in advanced heart failure patients. Journal of Behavioral Medicine, 34(6), 426–436. doi:10.1007/s10865-011-9315-y.

    Article  PubMed  Google Scholar 

  • Powell, L. H., Shahabi, L., & Thoresen, C. E. (2003). Religion and spirituality: Linkages to physical health. American Psychologist, 58, 36–52.

    Article  PubMed  Google Scholar 

  • Rosenberg, M. (1965). Society and the adolescent self image. Princeton, NJ: Princeton University Press.

    Google Scholar 

  • Rozanski, A., Blumenthal, J. A., & Kaplan, J. (1999). Impact of psychological factors on the pathogenesis of cardiovascular disease and implications for therapy. Circulation, 99, 2192–2197.

    Article  CAS  PubMed  Google Scholar 

  • Seeman, T. E., Dubin, L. F., & Seeman, M. (2003). Religiosity/spirituality and health: A critical review of the evidence for biological pathways. American Psychologist, 58, 53–63.

    Article  PubMed  Google Scholar 

  • Shalqvist, S., Song, Y., Bull, F., Adams, E., Preston, J., & Ogilvie, D. (2011). Effect of questionnaire length, personalization and reminder type on response rate to a complex postal survey: A randomized controlled trial. BMC Medical Research Methodology, 11, 62. Available from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3110121/pdf/1471-2288-11-62.pdf. doi:10.1186/1471-2288-11-62.

  • Spielberger, C. D. (1983). Manual for the State-Trait Anxiety Inventory (STAI). Palo Alto, CA: Consulting Psychologists Press.

    Google Scholar 

  • Stress. (n.d.). The American Heritage ® Stedman’s Medical Dictionary. Retrieved February 03, 2012, from Dictionary.com website: http://dictionary.reference.com/browse/stress.

  • The Commonwealth Fund. (2009). The State Scorecard: Overall rank, 2009. Washington, DC: The Commonwealth Fund. Retrieved from http://www.commonwealthfund.org/Maps-and-Data/State-Data-Center/State-Scorecard.aspx.

  • University of Maryland Medical Center. (2011). Stress and anxiety—Overview. Baltimore, MD: Author. Retrieved from http://www.umm.edu/ency/article/003211.htm.

  • Wong-McDonald, A., & Gorsuch, R. (2000). Surrender to God: An additional coping style? Journal of Psychology and Theology, 28(2), 149–161.

    Google Scholar 

  • Wong-McDonald, A., & Gorsuch, R. (2004). A multivariate theory of God concept, religious motivation, locus of control, coping, and spiritual well-being. Journal of Psychology and Theology, 32(4), 318–334.

    Google Scholar 

  • Zheng, Y., & DeJong, J. H. A. L. (2011). Research note: Establishing construct and concurrent validity of Pearson Test of English Academic. Pearson Academic Ltd. Available from http://www.pearsonpte.com/research/Documents/RN_EstablishingConstructAndConcurrentValidityOfPTEAcademic_2011.pdf.

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Authors and Affiliations

  1. Department of Psychology, East Tennessee State University, Box 70649, Johnson City, TN, 37614, USA

    Andrea D. Clements & Tifani R. Fletcher

  2. College of Nursing and Professional Disciplines, The University of North Dakota, Grand Forks, ND, USA

    Natalie A. Cyphers

  3. Lynch School of Education, Boston College, Chestnut Hill, MA, USA

    Anna V. Ermakova

  4. Department of Family Medicine, East Tennessee State University, Johnson City, TN, USA

    Beth Bailey

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  1. Andrea D. Clements
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  2. Tifani R. Fletcher
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  3. Natalie A. Cyphers
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  4. Anna V. Ermakova
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  5. Beth Bailey
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Correspondence to Andrea D. Clements.

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Clements, A.D., Fletcher, T.R., Cyphers, N.A. et al. RSAS-3: Validation of a Very Brief Measure of Religious Commitment for Use in Health Research. J Relig Health 54, 134–152 (2015). https://doi.org/10.1007/s10943-013-9791-1

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