Development and validation of the Highly Effective Health Behavior Pattern Inventory – Short Form

Abstract

Objectives The purpose of this study was to develop and validate a short form (SF) of the highly effective health behavior pattern inventory (HEBPI) for chronic disease patients for comfort to use. Methods HEBPI-SF is a self-reported questionnaire based on highly effective health behaviors associated with building healthy habits. HEBPI-SF was validated by calculating adjusted odds ratios (aOR) for the 12 HEBPI-SF health behavior subscales and the maintenance of the 12 corresponding health habits. Results HEBPI-SF developed in this study comprised 12 subscales and 53 items, utilizing patient data (N = 724) derived from the original HEBPI (12 subscales and 131items). HEBPI-SF demonstrated high reliability (Cronbach’s α of 0.703–0.859) and showed that the 12 health behaviors included in the HEBPI are associated with the maintenance of the corresponding health habits (aOR: 2.29–8.42). The scores of the HEBPI-SF showed a positive correlation with physical, mental, social, spiritual and general health status, quality of life, and self-management strategies. Discussion HEBPI-SF is a reliable tool for the assessment of health behaviors of chronically ill patients. Considering previous findings of simple health behaviors significantly affecting health status, this survey tool for the assessment of health behaviors is useful for promotion and maintenance of healthy habits.

Health-promoting behavior to enhance perceived meaning and control of life in chronic disease patients with role limitations and depressive symptoms: a network approach

“…Demographic information (age, sex, marital status, residential area) and chronic disease diagnoses (hypertension, hyperlipidemia, diabetes mellitus, chronic pulmonary disease, chronic renal disease, chronic arthritis, and osteoporosis) were confirmed by a physician at the outpatient clinic. Information about socioeconomic status (educational attainment, monthly household income, employment status), health-related role limitations (assessed by the 12-item Short Form Survey [SF-12]) 72 , depressive symptoms (assessed by the Patient Health Questionnaire-9 [PHQ-9] 73 , 74 , existential well-being (assessed by four items of the MQOL-R) 43 , 44 , and health-promoting behavior (assessed by the Healthy Habits Questionnaire [HHQ] 75 ) was acquired; no clinical evaluations were conducted by psychiatrists.…”

“…The HHQ 75 examines the practice of 12 important health-promoting behaviors: positive mindset, regular exercise, balanced diet, proactive attitude, regular medical checkups, volunteering in the community, religious and existential activities, nonsmoking, controlled drinking, work-life balance, nurturing intimacy in social interactions, and consistently taking prescribed medications. Five-point Likert scale scores (no intention, intention of performing within the next six months, intention of performing within the next month, have been practicing for < 6 months, have been practicing for ≥ 6 months) were translated into binary data (have been practicing for any duration = 1, not practicing yet = 0) to be used as nodes in the MGM (Fig.…”