Department of Biomedical and Clinical Sciences, University of Milan, Via Festa del Perdono 7, Milan, Italy.
Applied Research Division for Cognitive and Psychological Science, European Institute of Oncology, IRCSS, Milan, Italy.
Health Qual Life Outcomes. 2020 Mar 13;18(1):69. doi: 10.1186/s12955-020-01298-z.
A novel approach suggested that cognitive and dispositional features may explain in depth the health behaviors adoption and the adherence to prevention programs. The Health Orientation Scale (HOS) has been extensively used to map the adoption of health and unhealthy behaviors according to cognitive and dispositional features. Coherently, the main aim of the current research was to assess the factor structure of the Italian version of the HOS using exploratory and confirmatory factor analysis and testing the construct validity of the scale by assessing differences in health orientations between tobacco cigarette smokers and nonsmokers.
The research protocol was organized in two studies. Study 1 evaluated the dimensionality of the HOS in a sample of Northern Italian healthy people. Three hundred and twenty-one participants were enrolled; they were 229 women (71.3%) and 92 men (28.7%). In Study 2, the factor structure and construct validity of the HOS Italian version was assessed trough confirmatory factor analysis using a tobacco cigarette smokers and nonsmokers population. Two hundred and nineteen participants were enrolled; they were 164 women (75.2%) and 55 men (24.8%).
In Study 1, a seven factors solution was obtained explaining 60% of cumulative variance instead of 10 factors solution of the original version of the HOS. In Study 2, the factor structure of the Italian version of the HOS was confirmed and applied to the smokers and nonsmokers; nonsmokers reported higher values than smokers in Factor 1 (MHPP) [t (208) = - 2.739 p < .007] (CI 95-4.96% to -.809), Factor 2 (HES) [t (209) = - 3.387 p < .001] (CI 95-3.93% to -. 1.03), Factor 3 (HIC) [t(213) = - 2.468 p < .014] (CI 95-2.56% to -.28) and Factor 7 (HEX) [t(217) = - 3.451 p < .001] (CI 95%- 1.45 to .39).
Results of the Italian adaptation of HOS lead to a partial redistribution of items and confirmed 7 subscales to distinguish psycho-cognitive dispositional dimensions involved in health orientation styles.
一种新方法表明，认知和性格特征可以深入解释健康行为的采用和对预防计划的坚持。健康取向量表（HOS）已被广泛用于根据认知和性格特征来映射健康和不健康行为的采用。一致地，当前研究的主要目的是使用探索性和验证性因子分析评估 HOS 的意大利语版本的因子结构，并通过评估吸烟和非吸烟者之间的健康取向差异来测试该量表的结构效度。
研究方案分为两项研究。第一项研究在意大利北部健康人群中评估 HOS 的维度。共纳入 321 名参与者，其中 229 名女性（71.3%），92 名男性（28.7%）。第二项研究通过使用吸烟者和非吸烟者人群的验证性因子分析来评估 HOS 意大利语版本的因子结构和结构效度。共纳入 219 名参与者，其中 164 名女性（75.2%），55 名男性（24.8%）。
在第一项研究中，获得了七个因素的解决方案，解释了 60%的累积方差，而不是 HOS 的原始版本的十个因素的解决方案。在第二项研究中，HOS 意大利语版本的因子结构得到了确认，并应用于吸烟者和非吸烟者；与吸烟者相比，非吸烟者在因素 1（MHPP）[t (208) = -2.739 p <.007]（95%CI 4.96%至-.809）、因素 2（HES）[t (209) = -3.387 p <.001]（95%CI 3.93%至-.1.03）、因素 3（HIC）[t (213) = -2.468 p <.014]（95%CI 2.56%至-.28）和因素 7（HEX）[t (217) = -3.451 p <.001]（95%CI -1.45%至.39%）中报告了更高的值。
HOS 意大利语改编版的结果导致项目的部分重新分配，并确认了 7 个子量表，以区分参与健康取向风格的心理认知性格维度。
