School of Occupational Therapy, College of Medicine, National Taiwan University, Taipei, Taiwan.
Department of Occupational Therapy and.
PLoS One. 2018 Jun 26;13(6):e0199255. doi: 10.1371/journal.pone.0199255. eCollection 2018.
To develop and validate a Taiwanese version of the Health Enhancement Lifestyle Profile (HELP-T) for community-dwelling older Taiwanese adults (≥ 55 years).
The original Health Enhancement Lifestyle Profile (HELP) is a 56-item self-report questionnaire measuring various aspects of health-related lifestyles in older adults. The standard cultural-adaptation procedure was used for questionnaire translation and modification. A field test was conducted for culturally specific item selection, rating-scale analysis, and psychometric validation of the HELP-T in a sample of 274 community-dwelling older adults via classical test theory.
The 59-item HELP-T is culturally adapted from the original 56-item HELP. The original 6-point rating scale was modified to a 3-point scale for easy use by Taiwanese older adults. The HELP-T had good internal consistency (Cronbach's alpha = 0.82). The test-retest reliability for the total score was high (0.92), and moderate to high (range: 0.57-0.92) for subscales. The construct validity was supported by the significant correlations between each subscale and the total score (Spearman's rho = 0.41-0.67, p < 0.0001) and by the ability of the scores to significantly discriminate between participants with different levels of self-rated health (p = 0.0001).
The HELP-T is a suitable clinical tool for assessing and monitoring lifestyle risk factors, establishing client-centered lifestyle intervention goals, and determining the outcomes of lifestyle interventions.
为台湾地区的社区居住的老年成年人（≥55 岁）开发和验证健康促进生活方式量表（HELP-T）的台湾版本。
原始的健康促进生活方式量表（HELP）是一个 56 项的自我报告问卷，用于衡量老年人健康相关生活方式的各个方面。使用标准的文化适应程序对问卷进行翻译和修改。通过经典测试理论，对 274 名社区居住的老年人进行了现场测试，以选择具有文化特异性的项目、评定量表分析和 HELP-T 的心理测量验证。
59 项的 HELP-T 是从原始的 56 项 HELP 改编而来。原始的 6 点评分量表被修改为 3 点量表，以方便台湾老年人使用。HELP-T 具有良好的内部一致性（Cronbach's alpha = 0.82）。总分的重测信度较高（0.92），分量表的重测信度为中等至较高（范围：0.57-0.92）。各分量表与总分之间的显著相关性（Spearman's rho = 0.41-0.67，p < 0.0001）以及分数在不同自我报告健康水平的参与者之间的区分能力（p = 0.0001）支持了结构有效性。
HELP-T 是一种适合评估和监测生活方式风险因素、建立以客户为中心的生活方式干预目标以及确定生活方式干预结果的临床工具。
