The validity and reliability of the Healthy Lifestyle Screening Tool

Abstract

Objective: The aim of the present study was to develop a valid and reliable scale that measures the healthy life styles among young adults. Design: A methodological study design was employed to develop and validate the Healthy Lifestyle Screening Tool (HLST). Methods: The validity and reliability of the HLST were established in accordance with DeVellis' 8 steps guideline for tool development. The question items were generated based on literature reviews and interviews, which were then classified into 12 categories. The HLST was administered to 272 students attending a Korean university. The reliability was tested using Cronbach's alpha. The validity of the scale was examined with the mean inter-item correlations (MIIC) and factor analysis, and was also examined for content validity by experts. Results: The reliability of the HLST was found to be acceptable, as indicated by a Cronbach's alpha of 0.71. In the validity test, items with less than 80% "agreement" ratings on the content validity index by experts were revised. The MIIC values were greater than 0.25. A factor analysis of 36 items extracted 9 factors (i.e., four items per factor), which together explained 50.4% of the variance. The HLST consists of 36 items that measure 9 factors based on a 4-point Likert rating scale, with 4 items per factor, as follows: sunlight, water, air, rest, exercise, nutrition, temperance, trust, and general physical condition. High scores on the HLST are indicative of a healthy lifestyle (HL). Conclusions: The HLST is a valid and reliable scale that can be used to measure HL among young adults. Identification of HL by using the HLST can provide guidance to integrated therapeutic approaches along with conventional physical therapy.

The Assessment of Lifestyle Status among High School and College Students in Luzon, Philippines

“…The questionnaire included descriptive information and the Healthy Lifestyle Screen (HLS) [ 9 ] to assess the lifestyle scores among high school and college students. De-scriptive information was collected on the socio-demographic characteristics of students (age, gender, year level, family monthly income level, life satisfaction, happiness rate, and health status).…”

“…Myriad research and studies spent numerous hours to prove their argument with regards to health endorsements and its relevance for humanity: perform exercise and physical activity [ 1 , 2 ]; consume variety and wholesome diet [ 3 ]; maintain a healthy weight [ 4 ]; have enough sleep [ 5 ]; get a medical screenings for blood pressure, cholesterol, and blood sugar [ 6 ]; be smoke-free; reduce alcohol intake to a prescribe amount [ 7 , 8 ] and the proper use of sunlight, water, rest, air etc. that would be significantly and positively correlated to human health [ 9 ]. The aforementioned evidence is just a few of an abundant exploration of knowledge about how to enhance life though healthy living, which is a measure to subsequently curtail the development of di-seases.…”

Determining the Cut Off Score of the Healthy Lifestyle Screening Tool among High School Students

“…Data were collected through questionnaires concerning socio-demographic variables such as age, gender, year level, family income status, people living with and also, variables concerning the lifestyle behaviors including dietary habits, smoking, drinking, physical activity, and electronic use were also examined. The HLST is a 36-item assessment developed by Korean researchers and professors Cheong Kim and Kyung-Ah Kang [ 25 ]. This tool is designed to be administered by health professionals, health practitioners, and health workers to an individual coming from a setting that can be based upon a school or community.…”

“…However, such a tool that focuses on lifestyle behaviors have not incorporated scores to summarize the results. Recently, the Healthy Lifestyle Screening Tool was developed and it that has included various aspects of lifestyle and assessment results with a score that indicates healthy or risky lifestyle behaviors needed for health promotion [ 25 ]. In this tool, the total score is calculated and this score is presented to the patient and can be recorded.…”

Emerging Consumer Healthy Lifestyles in Lithuania

“…In sustainable consumption research, authors choose to study different constructs of lifestyles. For instance, Wardle and Steptoe [12], Kim and Kang [13] study healthy lifestyles, Evans and Abrahamse [14]-sustainable lifestyles, Lorenzen [15]-ecological lifestyles, Thogersen [16]-food-related lifestyles, Picha and Navratil [9]-lifestyles of health and sustainability (LOHAS). Our study focuses on identifying lifestyles of health through an innovative method of self-organizing mapping (SOM) for segmentation in the post-pandemic context.…”