Psychometric Properties of the Turkish Health Enhancement Lifestyle Profile-Screener Questionnaire (T-Help-Screener)

Year 2022, Volume: 12 Issue: 4, 892 - 896, 30.12.2022

Özgü İnal , Fatma Nesrin Turan , Serkan Pekçetin , Eric Hwang

https://doi.org/10.33808/clinexphealthsci.973678

Abstract

Objective: Healthy ageing is associated with a healthy lifestyle. The aim of this study was to evaluate the validity, reliability, and cultural adaptation of the Turkish version of the Health Enhancement Lifestyle Profile Screener (T-HELP-Screener). Methods: This study included 150 participants aged 65 years and above. Internal consistency of the T-HELP-Screener was measured using Kuder–Richardson. Test-retest reliability was performed with 66 of the 150 participants using intraclass correlation coefficient (ICC). Construct validity of the T-HELP-Screener was analyzed with the Healthy Lifestyle Behavior Scale-II (HLBS-II). Results: This study showed a substantially reliable level (Kuder–Richardson=0.72). The ICC for each of the T-HELP-Screener items ranged from 0.750 (95% CI = 0.590–0.847) to 0.965 (95% CI = 0.942–0.978) indicating acceptable to good test-retest reliability. There was a significant moderate correlation between the T-HELP-Screener and the HLBS-II (rs = 0.488; p =0.001). Conclusion: This study supports the psychometric properties of the T-HELP-Screener. This tool can help quickly identify older adults who need a more comprehensive assessment of their health risk behaviours. Future studies should develop and validate a Turkish version of the comprehensive 56-item Health Enhancement Lifestyle Profile (HELP).

Keywords

aging, lifestyles, older adults, health promotion

References

• [1] Harper S. Economic and social implications of aging societies. Science 2014;346(6209):587-591.
• [2] Lunenfeld B, Stratton P. The clinical consequences of an ageing world and preventive strategies. Best Pract Res Clin Obstet Gynaecol 2013;27(5): 643-659.
• [3] Rowe JW, Kahn RL. Successful aging. The Gerontologist 1997;37(4):433-440.
• [4] Cosco TD, Prina AM, Perales J, Stephan BC, Brayne C. Operational definitions of successful aging: a systematic review. Int Psychogeriatr 2014;26(3):373-381.
• [5] Friedman SM, Mulhausen P, Cleveland ML, Coll PP, Daniel KM, Hayward AD, Shah K, Skudlarska B, White HK. Healthy aging: American Geriatrics Society white paper executive summary. J Am Gerıatr Soc 2019;67(1):17-20.
• [6] Depp CA, Glatt SJ, Jeste DV. Recent advances in research on successful or healthy aging. Curr Psychiatry Rep 2007;9(1):713.
• [7] Seinfeld S, Sanchez-Vives MV. Healthy aging promotion through neuroscientific information-based strategies. Int J Env Res Pub He 2015;12(10): 12158-12170.
• [8] Bots S, Tijhuis M, Giampaoli S, Kromhout D, Nissinen A. Lifestyle-and diet-related factors in late-life depression—a 5year follow-up of elderly European men: the FINE study. Int J Geriatr Psychiatry 2008;23(5):478-484.
• [9] Ebrahim S, Wannamethee SG, Whincup P, Walker M, Shaper AG. Locomotor disability in a cohort of British men: the impact of lifestyle and disease. Int J Epidemiol 2000;29(3):478-486.
• [10] Jin K, Simpkins JW, Ji X, Leis M, Stambler I. The critical need to promote research of aging and aging-related diseases to improve health and longevity of the elderly population. Aging and Disease 2015;6(1):1.
• [11] Hay J, LaBree L, Luo R, Clark F, Carlson M, Mandel D, Zemke R, Jeanne J, Azen SP. Cost-effectiveness of preventive occupational therapy for independent-living older adults. J Am Gerıatr Soc 2002;50(8):1381-1388.
• [12] Peyton CG, Huang YH, Syväoja K, Lohman, H. Aging well: health promotion and disease prevention. Occupational Therapy with Elders-eBook: Strategies for the Occupational Therapy Assistant 2017;51-69.
• [13] Hwang JE. Development and validation of a 15-item lifestyle screening for community-dwelling older adults. Am J Occup Ther 2012;66(6): e98-e106.
• [14] Hwang JE. Promoting healthy lifestyles with aging: Development and validation of the Health Enhancement Lifestyle Profile (HELP) using the Rasch measurement model. Am J Occup Ther 2010;64(5):786-795.
• [15] Hwang JE. Reliability and validity of the health enhancement lifestyle profile (HELP). OTJR 2010;30(4):158-168.
• [16] Chang AM, Chau JP, Holroyd E. Translation of questionnaires and issues of equivalence. J Adv Nurs 1999;29(2): 316-322.
• [17] Güngen C, Ertan T, Eker E, Yaşar R, Engin F. Reliability and validity of the standardized Mini Mental State Examination in the diagnosis of mild dementia in Turkish population. Turkish Journal of Psychiatry 2002;13(4): 273-281.
• [18] Boateng GO, Neilands TB, Frongillo EA, Melgar-Quiñonez HR, Young SL. Best practices for developing and validating scales for health, social, and behavioral research: a primer. Front Public Health 2018;6:149.
• [19] Lawshe CH. A quantitative approach to content validity. Pers Psychol 1975;28(4),563-575.
• [20] Weir JP. Quantifying test-retest reliability using the intraclass correlation coefficient and the SEM. J Strength Cond Res 2005;19(1): 231-240.
• [21] Bahar Z, Beşer A, Gördes N, Ersin F, Kıssal A. Healthy life style behavior scale II: A reliability and validity study. Journal of Cumhuriyet University School of Nursing 2008;12(1): 1-13.
• [22] Alpar RJA, Turkey: Application of multivariate statistical methods 2013.
• [23] Hwang JE. Reliability of the health enhancement lifestyle profile–screener (HELP–Screener). Am J Occup Ther 2013;67(1): e6-e10.
• [24] Grassi M, Nucera A, Zanolin E, Omenaas E, Anto JM, Leynaert B, European Community Respiratory Health Study Quality of Life Working Group. Performance comparison of Likert and binary formats of SF-36 version 1.6 across ECRHS II adults populations. Value in Health 2007;10(6): 478-488.
• [25] National Education Statistics. 2019. Available from: https:// biruni.tuik.gov.tr/medas/?kn=130&locale=tr. Accessed: 07.07.2021.