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全球健康行为筛查:引入列夫筛查法(Lev-s)——开发与心理测量评估

Global screening of health behaviors: Introducing Lev-screening (Lev-s)-development and psychometric evaluation.

作者信息

Sjöwall Douglas, Stålhand Felicia, Schettini Greta, Gustavsson Petter, Hirvikoski Tatja

机构信息

Department of Women's and Children's Health, Pediatric Neuropsychiatry Unit, Center for Neurodevelopmental Disorders at Karolinska Institutet (KIND), Center for Psychiatry Research Karolinska Institutet, Stockholm, Sweden.

Habilitation and Health, Stockholm Health Care Services, Region Stockholm, Sweden.

出版信息

PLoS One. 2024 Dec 26;19(12):e0315565. doi: 10.1371/journal.pone.0315565. eCollection 2024.

Abstract

Poor health behaviors have been identified as a critical factor for the burden on healthcare systems and individual suffering. However, comprehensive assessment of health behaviors is time-consuming and often neglected. To address this, we introduce the Lev-screening (Lev-s), a new, brief tool that covers multiple health behaviors. The Lev-s assesses ten health behaviors-physical activity, diet, alcohol use, tobacco use, illegal drug use, sleep, social relations, meaningful activities, sexual health, and screen health-using 33 items. This article details the development and psychometric evaluation of Lev-s with a sample of 2,279 participants aged 18-87. Test-retest reliability estimated as intra-class correlation coefficients for the different health behaviors ranged from .71 to .98 (n = 157), indicating moderate to excellent reliability. Lev-s showed associations with quality of life, demonstrated inter-correlations among included health behaviors, and detected group differences between individuals with and without neurodevelopmental conditions. The Lev-s exhibits satisfactory psychometric properties and holds promise as an efficient tool for screening of health behaviors.

摘要

不良健康行为已被确认为医疗保健系统负担和个人痛苦的一个关键因素。然而,对健康行为进行全面评估既耗时又常常被忽视。为了解决这个问题,我们引入了Lev筛查工具(Lev-s),这是一种新的简短工具,涵盖多种健康行为。Lev-s使用33个条目评估十种健康行为——身体活动、饮食、饮酒、吸烟、非法药物使用、睡眠、社会关系、有意义的活动、性健康和屏幕健康。本文详细介绍了Lev-s在2279名年龄在18至87岁参与者样本中的开发和心理测量学评估。通过组内相关系数估计的不同健康行为的重测信度范围为0.71至0.98(n = 157),表明信度从中度到优秀。Lev-s显示出与生活质量的关联,证明了所纳入健康行为之间的相互关系,并检测出有和没有神经发育障碍个体之间的组间差异。Lev-s表现出令人满意的心理测量学特性,有望成为一种筛查健康行为的有效工具。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6dce/11670939/fe7d566c7bb4/pone.0315565.g001.jpg

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