健康促进生活型态量表-II 在斯里兰卡绝经后妇女中适用性的验证研究。
Applicability of health promoting lifestyle profile-II for postmenopausal women in Sri Lanka; a validation study.
机构信息
Department of Nursing, Faculty of Allied Health Sciences, University of Ruhuna, Galle, Sri Lanka.
Department of Anatomy, Faculty of Medicine, University of Ruhuna, Galle, Sri Lanka.
出版信息
Health Qual Life Outcomes. 2020 May 6;18(1):122. doi: 10.1186/s12955-020-01371-7.
BACKGROUND AND OBJECTIVE
Health Promoting Lifestyle Profile-II (HPLP-II), developed in the West, evaluates 52 health promoting behaviors (HPB) under six subscales. In this study we evaluated the applicability of HPLP-II to assess the HPB of postmenopausal women (PMW) conversant in the Sinhala language in Sri Lanka.
METHODS
The Sinhala version of HPLP-II was adapted following standard methodology of cross cultural adaptation. It included forward and backward translations, review by an expert group, focus group discussion and pre-testing. It was self-administered among randomly selected healthy, Sinhalese, community-dwelling PMW (n = 245, aged 55.9 ± 3.4 years), along with the Short Form 36 (SF-36) survey. The Sinhala version of HPLP-II was re-administered among a subsample (n = 105) after two weeks of first administration. Psychometric properties - reliability and validity, were evaluated.
RESULTS
In the Sinhala version of HPLP-II, both internal consistency (Cronbach's alpha = 0.98) and test-retest reliability (intra class correlation / ICC = 0.98, 95%CI = 0.97-0.99) were high. Structural validity assessment with Factor analysis using Principal Component Analysis extracted seven factors explaining 80.65% cumulative variance with few exceptions from the original version. Health responsibility (HR) and spiritual growth (SG) subscales of HPLP-II and physical and psychological health dimensions scores of SF-36 scores correlated significantly (r > 0.63, p < 0.001) ensuring strong concurrent validity.
CONCLUSIONS
The Sinhala version of HPLP-II adapted by us is a tool with high reliability and validity.
背景与目的
健康促进生活方式量表-Ⅱ（HPLP-Ⅱ）由西方开发，评估六个分量表下的 52 种健康促进行为（HPB）。本研究评估 HPLP-Ⅱ用于评估讲僧伽罗语的斯里兰卡绝经后妇女（PMW）的 HPB 的适用性。
方法
采用跨文化适应的标准方法对 HPLP-Ⅱ的僧伽罗语版本进行改编。它包括正向和反向翻译、专家组审查、焦点小组讨论和预测试。它由随机选择的健康、僧伽罗语、社区居住的 PMW（n=245，年龄 55.9±3.4 岁）自行填写，同时还填写了简短形式 36 项健康调查（SF-36）。在第一次填写后的两周内，对一个亚样本（n=105）重新填写了 HPLP-Ⅱ的僧伽罗语版本。评估了心理测量学特性-可靠性和有效性。
结果
在 HPLP-Ⅱ的僧伽罗语版本中，内部一致性（Cronbach's alpha=0.98）和重测信度（组内相关系数/ICC=0.98，95%CI=0.97-0.99）均较高。结构有效性评估使用主成分分析的因子分析提取了七个因子，解释了 80.65%的累积方差，与原始版本相比有一些例外。HPLP-Ⅱ的健康责任（HR）和精神成长（SG）分量表与 SF-36 得分的身体和心理健康维度得分显著相关（r>0.63，p<0.001），确保了较强的同时效度。
结论
我们改编的 HPLP-Ⅱ的僧伽罗语版本是一种具有高可靠性和有效性的工具。
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