Development and validation of the short-form Adolescent Health Promotion Scale.
Development and validation of the short-form Adolescent Health Promotion Scale.
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DOI：
10.1186/1471-2458-14-1106
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发表时间：
2014-10-26
影响因子：
4.5
通讯作者：
Gaete J
中科院分区：
文献类型：
--
作者：
Chen MY;Lai LJ;Chen HC;Gaete J
青少年促进健康的生活方式选择与当前和以后的健康状况密切相关。然而，吝啬而可靠和有效的筛选工具是稀缺的。最初的40项青少年健康促进（AHP）量表是由我们的研究小组开发的，并已被应用于衡量全球青少年健康促进行为。本研究的目的是探讨一个新开发的简短版本的层次分析法（AHP-SF），包括其信度和效度测试的心理测量学特性。本研究以台湾南部九所中、高中为研究对象。参与者是814名青少年，他们被随机分为两个亚组，两个亚组具有相同的规模和基线特征的同质性。第一个子样本（校准样本）用于修改和缩短析因模型，而第二个子样本（验证样本）用于验证从第一个子样本获得的结果。AHP-SF的心理测量学测试包括McDonald's omega和Cronbach's alpha的内部信度、收敛效度、区分效度和结构效度，并进行验证性因素分析（CFA）。验证性因素分析的结果支持六因素模型，AHP-SF中保留了21个项目，模型拟合度可接受。对于判别有效性检验，结果表明，AHP-SF评分较低的青少年更有可能超重或肥胖、不吃早餐、花更多时间看电视和玩电脑游戏。AHP-SF还显示出良好的内部一致性，在校准组中，麦当劳欧米茄为0.904（克朗巴赫α为0.905）。目前的研究结果表明，AHP-SF是一个有效的和可靠的工具，用于评估青少年的健康促进行为。初级卫生保健提供者和临床医生可以使用AHP-SF来评估这些行为，并评估青少年人群健康促进计划的结果。本文的在线版本（doi：10.1186/1471-2458-14-1106）包含补充材料，可供授权用户使用。
Health-promoting lifestyle choices of adolescents are closely related to current and subsequent health status. However, parsimonious yet reliable and valid screening tools are scarce. The original 40-item adolescent health promotion (AHP) scale was developed by our research team and has been applied to measure adolescent health-promoting behaviors worldwide. The aim of our study was to examine the psychometric properties of a newly developed short-form version of the AHP (AHP-SF) including tests of its reliability and validity. The study was conducted in nine middle and high schools in southern Taiwan. Participants were 814 adolescents randomly divided into two subgroups with equal size and homogeneity of baseline characteristics. The first subsample (calibration sample) was used to modify and shorten the factorial model while the second subsample (validation sample) was utilized to validate the result obtained from the first one. The psychometric testing of the AHP-SF included internal reliability of McDonald’s omega and Cronbach's alpha, convergent validity, discriminant validity, and construct validity with confirmatory factor analysis (CFA). The results of the CFA supported a six-factor model and 21 items were retained in the AHP-SF with acceptable model fit. For the discriminant validity test, results indicated that adolescents with lower AHP-SF scores were more likely to be overweight or obese, skip breakfast, and spend more time watching TV and playing computer games. The AHP-SF also showed excellent internal consistency with a McDonald’s omega of 0.904 (Cronbach’s alpha 0.905) in the calibration group. The current findings suggest that the AHP-SF is a valid and reliable instrument for the evaluation of adolescent health-promoting behaviors. Primary health care providers and clinicians can use the AHP-SF to assess these behaviors and evaluate the outcome of health promotion programs in the adolescent population. The online version of this article (doi:10.1186/1471-2458-14-1106) contains supplementary material, which is available to authorized users.
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