Date of Conferral

5-9-2025

Date of Award

May 2025

Degree

Ph.D.

School

Psychology

Advisor

Jesus Tanguma

Abstract

Bioidentical hormone replacement therapy has gained increasing attention as an alternative to traditional hormone replacement therapy (BHRT), yet research on self-efficacy related to BHRT adherence remains limited. Guided by Bandura’s social cognitive theory, this quantitative study examined the applicability of the hormone replacement self-efficacy (HRT-SE) scale in a population of BHRT users. Using factor analysis, this study assessed the reliability and validity of the HRT-SE scale in measuring self-efficacy among women using BHRT. The study recruited a convenience sample of 628 participants through online peri/menopause and hormone therapy support groups, collecting self-reported data on confidence in managing BHRT regimens. Findings indicated that self-efficacy was influenced by provider communication, symptom relief, and exposure to peer experiences, but low factor loadings on items related to BHRT safety and effectiveness suggest ongoing misinformation and confusion post-Women’s Health Initiative (WHI). The results revealed weak internal consistency in some scale items. These findings have important implications for social change through improving patient-provider communication, increasing access to accurate information, and developing targeted interventions to enhance self-efficacy among BHRT users. This study contributes to the growing body of research on self-efficacy in hormone therapy and highlights the necessity for continued funding and education on peri/menopause management. Future research should further investigate the role of social support, provider guidance, and psychological interventions in improving self-efficacy and adherence to BHRT.

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