Department of Psychology, University of Florida, P.O. Box 112250, Gainesville, FL 32611-2250, USA.
Psychol Assess. 2011 Jun;23(2):487-503. doi: 10.1037/a0022299.
The Motivators of and Barriers to Health-Smart Behaviors Inventory (MB-HSBI) was developed for use in identifying self-reported motivators of and barriers to the following health-promoting behaviors (called health-smart behaviors) that should occur daily to help promote health and overcome illnesses/diseases: eating a healthy breakfast, eating healthy foods and snacks, drinking healthy drinks, and engaging in physical activity. The MB-HSBI was developed through several phases as part of a multisite study on modifying and preventing obesity. A central aspect of the larger study was to identify motivators of and barriers to the targeted health-smart behaviors among African American, Asian, Hispanic, and White adults. After establishing content validity and preliminary pilot testing, the MB-HSBI was administered to a national sample of 926 culturally diverse adults. Factor analyses and most of the internal consistency results supported multiple scales and subscales measuring motivators of and barriers to each of the targeted health-smart behavior domains. Scores correlated in expected directions with health self-efficacy and with importance of health-related behavioral goals. Pending further psychometric support of the MB-HSBI, this inventory or selected scales from it may serve as flexible and novel tools for (a) assessing motivators of and barriers to health-smart behaviors in community and clinical health promotion research studies and (b) developing assessment-based, culturally sensitive intervention programs that are customized to address the motivators of and barriers to health-smart behaviors identified in target communities, particularly those communities whose members are mostly racial/ethnic minorities and/or have low family incomes.
健康智慧行为激励因素和障碍量表（MB-HSBI）是为识别以下促进健康行为（称为健康智慧行为）的自我报告激励因素和障碍而开发的，这些行为应该每天发生，以帮助促进健康并克服疾病：吃健康的早餐、吃健康的食物和零食、喝健康的饮料和进行身体活动。MB-HSBI 是通过几个阶段开发的，作为一项关于修改和预防肥胖的多地点研究的一部分。该研究的一个核心方面是确定非裔美国人、亚裔、西班牙裔和白人成年人针对目标健康智慧行为的激励因素和障碍。在建立内容有效性和初步试点测试后，MB-HSBI 对 926 名具有文化多样性的成年人进行了全国性抽样调查。因素分析和大多数内部一致性结果支持了多个量表和子量表，用于衡量每个目标健康智慧行为领域的激励因素和障碍。分数与健康自我效能感和与健康相关行为目标的重要性呈预期方向相关。在进一步支持 MB-HSBI 的心理测量学支持之前，该清单或其中的选定量表可能作为灵活和新颖的工具，用于 (a) 在社区和临床健康促进研究中评估健康智慧行为的激励因素和障碍，以及 (b) 开发基于评估的、文化敏感的干预计划，这些计划针对目标社区中确定的健康智慧行为的激励因素和障碍进行定制，特别是那些成员主要是少数族裔和/或家庭收入低的社区。
