Heo Myoung-Lyun, Jang Yang-Min, Kim Hyun-Young
Department of Nursing, Jeonju University, Jeonju-si, 55069, Republic of Korea.
Department of Nursing, Shinsung University, Dangjin-si, 31801, Republic of Korea.
J Multidiscip Healthc. 2023 Aug 25;16:2449-2462. doi: 10.2147/JMDH.S421060. eCollection 2023.
This study aims to develop and validate a health promotion behavior scale that reflects the lifestyle changes driven by the COVID-19 pandemic and the increased use of digital devices among young adults.
Questions were selected using a literature review and validated by a group of experts. The sample consisted of 446 young adults aged 19-29 years living in South Korea who agreed to participate in the study and were surveyed online using Google Forms on September 19 and 20, 2022. Construct validity was confirmed by exploratory and confirmatory factor analyses; reliability was tested using Cronbach's α, and interrater validity was confirmed with the Health Promoting Lifestyle II (HPLP-II) instrument.
After conducting an item analysis of 49 preliminary items and an exploratory factor analysis, six factors and 27 items were selected. The six factors were named psychosocial health, personal hygiene, dietary habits, health care, using mobile devices, and physical activity. The confirmatory factor analysis verified the model fit, convergent validity, and discriminant validity. The correlation coefficient with the Health Promoting Lifestyle II (HPLP-II) instrument was 0.69, confirming criterion validity, and the reliability of the final instrument was high (Cronbach's α = 0.90).
The validity and reliability of the developed scale were confirmed. The scale can be used to measure the health promotion behavior of young adults in light of the lifestyle changes driven by the COVID-19 pandemic and the increased use of digital devices. We hope that future studies will use the tool as a basis for improving the health promotion behavior of young adults.
本研究旨在开发并验证一种健康促进行为量表，该量表反映了由新冠疫情驱动的生活方式变化以及年轻人中数字设备使用的增加。
通过文献综述选取问题，并由一组专家进行验证。样本包括446名年龄在19至29岁之间、居住在韩国且同意参与研究的年轻人，于2022年9月19日和20日使用谷歌表单进行在线调查。通过探索性和验证性因素分析确认结构效度；使用克朗巴哈α系数测试信度，并使用健康促进生活方式II（HPLP-II）工具确认评分者间效度。
在对49个初步项目进行项目分析和探索性因素分析后，选取了六个因素和27个项目。这六个因素分别命名为心理社会健康、个人卫生、饮食习惯、医疗保健、使用移动设备和身体活动。验证性因素分析验证了模型拟合度、收敛效度和区分效度。与健康促进生活方式II（HPLP-II）工具的相关系数为0.69，确认了效标效度，最终量表的信度较高（克朗巴哈α系数 = 0.90）。
所开发量表的效度和信度得到了确认。该量表可用于衡量年轻人在新冠疫情驱动的生活方式变化和数字设备使用增加情况下的健康促进行为。我们希望未来的研究将使用该工具作为改善年轻人健康促进行为的基础。
