Italian Psychometric Validation of the Multidimensional Students’ Health-Promoting Lifestyle Profile Scale

Abstract

The present study examines the factorial structure and assesses the psychometric properties of the adapted multidimensional Health-Promoting Lifestyle Profile II Scale, considering a sample of Italian university students who participated to an online survey. The original 52-items Scale showed a high overall internal consistency. Four of the six subscales were associated with good values of the Cronbach's α coefficient, whereas two subscales had lower values. Hence corrected item-total correlation was calculated and 26 items that decreased the scale's reliability were deleted. The remaining 26 items were first subjected to Principal Component Analysis that suggested a conceptually meaningful five-factor model. This result was further supported by the first-order confirmatory factor analysis, in which all the factor loadings were statistically significant. The internal consistency and the composite reliability for the reduced version of the Scale and its subscales have shown a good reliability for the measurement models. The multidimensionality of the scale was also confirmed by a second-order factor model.

Psychometric properties of the health-promoting lifestyle profile II: cross-cultural validation of the Malay language version

“…Furthermore, the discriminant validity of the factors in HPLP-II-M was found to be satisfactory, indicating that the latent variables in the CFA measurement model of HPLP-II-M contribute information which is not captured by the other latent variables. [22]. The present study retained 50 items in the final measurement model, after removal of two low factor loading items.…”

“…Item Q1 was removed in the Chinese validation study during EFA stage [17], and item Q50 was removed in the Spanish study due to very low corrected item-total correlation value < 0.20 [18]. Item Q50 was also removed in the Italian study due to its contribution to low reliability of the scale [22] and Chinese validation study due to its insignificant factor loadings in a CFA analysis [16]. Removal of these items improved the fit of the model in those studies as well as in the present study.…”

“…The HPLP-II has been translated and psychometrically validated across several linguistic and cultural groups. The translated versions of HPLP-II include Portuguese [14], Chinese [16,17], Spanish [18], Iranian [19], Japanese [20], Turkish [21], Italian [22] and Arabic [23]. Several abbreviated versions of HPLP-II have emerged from these studies, with the total number of items ranging from 26 to 51 items [16][17][18][19]22].…”

Validation of a Four-Factor Measurement Model of the Health Promoting Lifestyle Profile-II: a Confirmatory Study with Kenyan Undergraduate Students

“…Previous validation studies of HPLP-II reported varying total number of items that fit the CFA measurement model. For example, based on psychometric properties, Pérez-Fortis et al [52] retained 44 items for Spanish version, Meihan et al [36] retained 30 items and 51 items respectively for the Chinese version, while Savarese et al [53] retained 26 items for the Italian version of the HPLP-II. A study by Kuan, Kue, Abdullah, and Tai [50] in Malaysia retained 50 items in the final measurement model, after removal of two low factor loading items.…”

Health-Promoting Lifestyle and Associated Factors among Medical Sciences Students in Kermanshah, Iran: A Cross-Sectional Study

“…Improvement of lifestyle leads to satisfaction, success at work, and physical health, called the health-promoting lifestyle profile (HPLP). It consists of six dimensions as follows: physical activity, nutrition, health responsibility, spiritual growth, interpersonal relations, and stress management [ 2 , 7 , 8 ]. Students often neglect to maintain a healthy lifestyle, which puts them at risk of old age diseases [ 9 ].…”