Pinar Rukiye, Celik Raziye, Bahcecik Nefise
College of Nursing, Department of Medical Nursing, Marmara University, Istanbul, Turkey.
Nurs Res. 2009 May-Jun;58(3):184-93. doi: 10.1097/NNR.0b013e31819a8248.
Little is known about health-promoting lifestyle behaviors among Turkish people, who are experiencing a lifestyle transition from a developing country to one undergoing rapid modernization, although health promotion is receiving increasing attention regarding its prominent role in healthcare. Use of the Health-Promoting Lifestyle Profile II (HPLPII) has the advantage of allowing comparison of different international populations, although cultural adaptations are needed.
The aims of this study were to adapt the HPLPII culturally and to assess its psychometric properties.
Analyzed were internal reliability among 972 adults and test-retest stability among 160 adults. Construct validity was evaluated by exploratory factor analysis (EFA) and confirmatory factor analysis (CFA). Samples sizes for EFA and CFA were 420 and 500, respectively.
Cronbach's alpha coefficients surpassed .70 for HPLPII and six subscales. All items, except one, had acceptable item-total correlations of >.20. Test-retest results showed stability for HPLPII and for subscales. Varimax rotation yielded five factors with eigenvalues >1, explaining 41% of the variance. Two items were excluded because their factor loadings differed by <.30 or they had cross-factor loadings. The CFA five-factor model based on EFA represented an acceptable fit. Testing of latent construct measurement models reduced the number of items from 52 to 48. The revised 48-item six-factor model had perfect fit.
The HPLPII had satisfactory psychometric properties. It can be used to measure health-promoting lifestyle in the Turkish population.
尽管健康促进在医疗保健中的重要作用日益受到关注，但对于正经历从发展中国家向快速现代化国家转变的土耳其人群的健康促进生活方式行为，人们了解甚少。使用健康促进生活方式量表II（HPLPII）具有能够比较不同国际人群的优势，不过需要进行文化调适。
本研究旨在对HPLPII进行文化调适并评估其心理测量特性。
分析了972名成年人的内部信度以及160名成年人的重测稳定性。通过探索性因子分析（EFA）和验证性因子分析（CFA）评估结构效度。EFA和CFA的样本量分别为420和500。
HPLPII及其六个子量表的克朗巴哈α系数均超过0.70。除一项外，所有项目的项目-总分相关性均大于0.20，可接受。重测结果显示HPLPII及其子量表具有稳定性。方差最大化旋转产生了五个特征值大于1的因子，解释了41%的方差。两项因因子载荷差异小于0.30或存在交叉因子载荷而被排除。基于EFA的CFA五因子模型拟合度可接受。潜在结构测量模型的检验将项目数量从52个减少到48个。修订后的48项六因子模型拟合完美。
HPLPII具有令人满意的心理测量特性。它可用于测量土耳其人群的健康促进生活方式。
