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Health protective behavior scale: Development and psychometric evaluation

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  • Weiwei Ping
  • Wenjun Cao
  • Hongzhuan Tan
  • Chongzheng Guo
  • Zhiyong Dou
  • Jianzhou Yang

Abstract

Objective: A healthy lifestyle includes health protective and health promoting behaviors. Health promoting lifestyle profiles have been developed, but measures of health protective behavior are still lacking. This study sought to develop a health protecting behavior scale. Methods: An initial item pool for the Health Protective Behavior Scale (HPBS) was generated based on read and referred literature and a single-item open-ended survey. An expert group screened this initial item pool using an item-level content validity index. Pilot testing was conducted. The degree of variation, the response rate, the item-total correlation coefficient, and the factor loading in factor analysis and item analysis were used to screen items using data of pilot testing. 454 subjects were recruited evaluate the psychometric properties of the HPBS. Analyses included internal consistency, test-retest reliability, factor analysis, parallel analysis, correlation analysis and criterion validity analysis. Results: The final iteration of the HPBS was developed with 32 items and five dimensions: interpersonal support, general behavior, self-knowledge, nutrition behavior and health care. Cronbach’s alpha coefficient, and test-retest reliability were 0.89 and 0.89 respectively. Correlation coefficients of the five dimensions ranged from 0.28 to 0.55. The Spearman correlation coefficient between the total scores on the WHOQOL-BREF and on the HPBS was 0.34. Conclusions: HPBS has sufficient validity and reliability to measure health protective behaviors in adults.

Suggested Citation

  • Weiwei Ping & Wenjun Cao & Hongzhuan Tan & Chongzheng Guo & Zhiyong Dou & Jianzhou Yang, 2018. "Health protective behavior scale: Development and psychometric evaluation," PLOS ONE, Public Library of Science, vol. 13(1), pages 1-12, January.
    • Handle: RePEc:plo:pone00:0190390
    DOI: 10.1371/journal.pone.0190390
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    1. Rajeev Gupta & Prakash C Deedwania & Krishnakumar Sharma & Arvind Gupta & Soneil Guptha & Vijay Achari & Arthur J Asirvatham & Anil Bhansali & Balkishan Gupta & Sunil Gupta & Mallikarjuna V Jali & Tul, 2012. "Association of Educational, Occupational and Socioeconomic Status with Cardiovascular Risk Factors in Asian Indians: A Cross-Sectional Study," PLOS ONE, Public Library of Science, vol. 7(8), pages 1-10, August.
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    1. I-Pei Lin & Ding-Tien Chung & Li-Yun Lee & Hsiang-Ju Hsu & Shu-Ching Chen, 2020. "Health Belief, Behavior Intention, and Health Behaviors Related to Colorectal Cancer Screening in Taiwan," IJERPH, MDPI, vol. 17(12), pages 1-10, June.

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