Measuring Health‐Promoting Behaviors: Cross‐Cultural Validation of the <scp>H</scp>ealth‐<scp>P</scp>romoting <scp>L</scp>ifestyle <scp>P</scp>rofile‐<scp>II</scp>

Sousa, Pedro; Gaspar, Pedro; Vaz, Daniela C.; Gonzaga, Sílvia; Dixe, Maria dos Anjos

doi:10.1111/2047-3095.12065

Cited by 45 publications

(57 citation statements)

References 34 publications

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“…In addition, the lowest score was related to dimensions of physical activity and stress management. Lower mean score of physical activity and stress management complies with various studies, including the study by Malakouti, Sousa and Cao (18–20). However, in the study by Enjezab et al, on middle-aged women in Yazd, stress management was of a high score (16).…”

Section: Discussionsupporting

confidence: 87%

The relationship between individual empowerment and health-promoting lifestyle among women NGOs in northern Iran

et al. 2017

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IntroductionAccording to the health-promoting approach, people should be empowered such that they take responsibility for their health and follow a healthy lifestyle. Empowerment is a process in which people confront problems and tasks in their lives in order to better control them. This study was conducted to specify the relationship between individual empowerment and health-promoting lifestyle among women NGOs of northern Iran.MethodsIn this cross-sectional study, 290 women NGOs of Guilan Province were selected randomly using multistage cluster sampling, and were examined using the questionnaire of health-promoting lifestyle profile II and individual empowerment inventory scale. Data were analyzed using STATA 11 software via one-way ANOVA, Pearson correlation coefficient and multivariate linear regression.ResultsBoth variables of individual empowerment and health-promoting lifestyle were of favorable status among the population under study. The highest score in individual empowerment belonged to the domain of social support and the highest score in lifestyle belonged to spiritual growth. A significant relationship was found between individual empowerment and health-promoting lifestyle (p<0.001). The highest correlation between individual empowerment and dimensions of health-promoting lifestyle was related to interpersonal relationships. In addition, it was specified that 21% of lifestyle variance could be explained by individual empowerment.ConclusionThere is a relation between individual empowerment and health-promoting lifestyle. Individual empowerment is a predictive variable to have a health-promoting lifestyle. Therefore, by increasing individuals’ empowerment, their healthy lifestyle can be promoted.

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Section: Discussionsupporting

confidence: 87%

The relationship between individual empowerment and health-promoting lifestyle among women NGOs in northern Iran

et al. 2017

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“…The HPLP-II focuses on self-initiated actions and perceptions that serve to maintain or enhance the level of wellness, self-actualisation and fulfillment of the individual [31]. The HPLP-II has been translated into different languages and widely used in other studies [14,16,19,32]. The internal consistency Cronbach alpha for the original English version of HPLP-II was satisfactory, with 0.94 for the total scale of HPLP-II, and from 0.79 to 0.87 for its six subscales [31].…”

Section: Methodsmentioning

confidence: 99%

“…Such research necessitates the use of reliable and valid measurement tools, which serve to enhance the international comparability of health data. The Health-Promoting Lifestyle Profile II (HPLP-II) is a widely-used instrument for evaluation of health behaviour [11,12] which has been validated in multiple studies [13][14][15]. Based on Pender's Health Promotion Model, it conceptualises an individual's health-promoting lifestyle in terms of the following dimensions; health responsibility, physical activity, nutrition, spiritual growth, interpersonal relations and stress management.…”

Section: Introductionmentioning

confidence: 99%

“…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].…”

Section: Introductionmentioning

confidence: 99%

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

et al. 2019

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Background: Health-promoting behaviour is an important concept for health education. Unfortunately, there is a dearth of validated instruments to measure levels of health-promoting behaviour in the Malaysian context. The purpose of this study was to validate a Malay-language version of the Health-Promoting Lifestyle Profile II (HPLP-II) using a confirmatory approach. Methods: Participants were 997 university undergraduate students, with a mean age of 21 years (SD = 1.58). The majority of the participants (80.4%) were female. Health-promoting behaviour was assessed using the 52-item HPLP-II, which measures six components of health-promoting behaviour outcomes. HPLP-II was translated into the Malay language using standard forward and backward translation procedures. Participants then completed the HPLP-II Malay version (HPLP-II-M). Confirmatory factor analysis (CFA) was conducted using Mplus 8.0 software on the six domains of HPLP-II-M model. Results: The CFA result based on the hypothesised measurement model of six factors was aligned with the original HPLP-II, except for two low loading items which were subsequently removed from the CFA analysis. The final CFA measurement model with 50 items resulted in a good fit to the data based on RMSEA and SRMR fit indices (RMSEA = 0.046, 90%CI = 0.045, 0.048, SRMR = 0.062). The construct reliabilities for the HPLP-II-M subscales were acceptable, ranging from 0.737 to 0.878. Conclusion: The HPLP-II-M with six components of health-promoting behaviour outcomes and 50 items was considered valid and reliable for the present Malaysian sample.

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“…Question numbers of subscale related to selfrealization are 6,12,18,24,30,36,42,48, and 52 in HPLP II. This subscale includes nine items that can be taken at the lowest point which is "9" and the highest is "36".…”

Section: Methodsmentioning

confidence: 99%

Psychometric Properties of The Health-Promoting Lifestyle Profile II: Validation of the Self-Realization and Health Responsibility Constructs Among Kenyan University Students

Olutende¹,

Wanzala²,

Wamukoya³

2019

SJNHC

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Objective: The main aim of this study was to establish psychometric properties of the subscales self-realization and health responsibility of the health-promoting lifestyle profile II tool among Kenyan university students Design: The study design was a cross-sectional analytical, that utilized quantitative methods Setting. The study was conducted in Kakamega County, located in Western Kenya. Analysis: Data were analyzed through confirmatory factor analysis, which was conducted using robust maximum likelihood estimation. The factor model was tested for validity and construct validity. Main outcome measures: subscales self-realization and health responsibility of the Health-Promoting Lifestyle Profile II Results: The items for self-realization and health responsibility had a Cronbach's alpha coefficient of 0.72 and 0.80, indicating acceptable reliability. For self-realization, the results of the Chi-square goodness of fit test were significant, χ2(27) = 251.61, p < .001, suggesting that the model did not adequately fit the data. The fit indices showed the RMSEA index was greater than .10, RMSEA = 0.20, 90% CI = [0.18, 0.22], which is indicative of a poor model fit. The CFI was less than .90, CFI = 0.52, suggesting that the model is indicative of a poor model fit. For health responsibility, the results of the Chi-square goodness of fit test were significant, χ2(20) = 272.58, p < .001, suggesting that the model did not adequately fit the data. Fit indices values showed the RMSEA index was greater than .10, RMSEA = 0.25, 90% CI = [0.22, 0.27], which is indicative of a poor model fit. The CFI was less than .90, CFI = 0.75, suggesting that the model is indicative of a poor model fit. Conclusion: In conclusion, within the limitations of this study, the results showed that confirmatory factor analysis could not well fit the items to their latent constructs. This study recommended that in future studies, a shortened version of this tool is subjected to psychometric investigation.

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Measuring Health‐Promoting Behaviors: Cross‐Cultural Validation of the Health‐Promoting Lifestyle Profile‐II

Abstract: This instrument is useful as an evaluation tool for health-promoting lifestyles and as an instrument for testing the effectiveness of health-promoting programs.

Cited by 45 publications

References 34 publications

The relationship between individual empowerment and health-promoting lifestyle among women NGOs in northern Iran

The relationship between individual empowerment and health-promoting lifestyle among women NGOs in northern Iran

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

Psychometric Properties of The Health-Promoting Lifestyle Profile II: Validation of the Self-Realization and Health Responsibility Constructs Among Kenyan University Students

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