Cross‐cultural Adaptation, validity, and Reliability of the Turkish Version of Health Promoting Activities Scale

Purpose: The Health Promoting Activities Scale (HPAS) is a short scale designed to question activities that may be beneficial for the mental and physical health of the mother and to evaluate mothers in this sense. The aim of the study was to cross-culturally adapt the Turkish version of the Health Promoting Activities Scale (HPAS-T) and to assess its reliability and validity. Methods: Eighty mothers of disabled children who received physiotherapy in a rehabilitation center were recruited in the study. HPAS-T was administered to mothers twice, one-week apart. Internal consistency of HPAS-T was assessed with Cronbach's alpha coefficient. Additionally, test–retest reliability was analyzed using intra-class correlation coefficient. Exploratory factor analysis was conducted to evaluate the construct validity. Besides, known-group validity in terms of body mass index was conducted to reveal the discriminant capacity of the HPAS-T. Results: The mean age of the mothers and their children was 37.46.3 years and 8.14.1 years, respectively. The internal consistency and reproducibility of the HPAS-T total score was excellent (α>0.80, ICC>0.80). SEM95 and MDC95 of the HPAS-T values were 0.58 and 1.61, respectively. HPAS-T, all items were loaded into a single component (0.470-0.833). According to the results of known-group validity model, the HPAS-T score of the mothers in the group whose children's body mass index was ≥18 was significantly lower (p

Keywords:

Caregiver health promotion, reliability, Turkish version, validity,

PDF

___

1. World Health O. Disability and Health (http://www. who. int/en/news-room/fact-sheets/detail/disability-and-health). Accessed; 2018.
2. Bourke-Taylor H, Law M, Howie L, Pallant JF. Initial development of the Health Promoting Activities Scale to measure the leisure participation of mothers of children with disabilities. American Journal of Occupational Therapy. 2012;66(1):e1-e10.
3. Acton GJ. Health-promoting self-care in family caregivers. Western Journal of Nursing Research. 2002;24(1):73-86.
4. Sisk RJ. Caregiver burden and health promotion. International Journal of nursing studies. 2000;37(1):37-43.
5. Coe NB, Van Houtven CH. Caring for mom and neglecting yourself? The health effects of caring for an elderly parent. Health economics. 2009;18(9):991-1010.
6. Guillemin F, Bombardier C, Beaton D. Cross-cultural adaptation of health-related quality of life measures: literature review and proposed guidelines. Journal of clinical epidemiology. 1993;46(12):1417-32.
7. Beaton DE, Bombardier C, Guillemin F, Ferraz MB. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine. 2000;25(24):3186-91.
8. Tonga E, Gabel CP, Karayazgan S, Cuesta-Vargas AI. Cross-cultural adaptation, reliability and validity of the Turkish version of the spine functional index. Health and quality of life outcomes. 2015;13(1):1-9.
9. Streiner DL, Norman GR, Cairney J. Health measurement scales: a practical guide to their development and use: Oxford University Press, USA; 2015.
10. Shrout PE, Fleiss JL. Intraclass correlations: uses in assessing rater reliability. Psychological bulletin. 1979;86(2):420.
11. Furlan L, Sterr A. The applicability of standard error of measurement and minimal detectable change to motor learning research—a behavioral study. Frontiers in human neuroscience. 2018;12:95.
12. Osborne JW, Costello AB, Kellow JT. Best practices in exploratory factor analysis: CreateSpace Independent Publishing Platform Louisville, KY; 2014.
13. Lucas RE, Diener E, Suh E. Discriminant validity of well-being measures. Journal of personality and social psychology. 1996;71(3):616.
14. Freedman DS, Wang J, Thornton JC, Mei Z, Sopher AB, Pierson RN, et al. Classification of body fatness by body mass index–for-age categories among children. Archives of pediatrics & adolescent medicine. 2009;163(9):805-11.
15. Bourke‐Taylor H, Lalor A, Farnworth L, Pallant JF. Further validation of the Health Promoting Activities Scale with mothers of typically developing children. Australian occupational therapy journal. 2014;61(5):308-15.
16. Muskett R, Bourke-Taylor H, Hewitt A. Intrarater reliability and other psychometrics of the Health Promoting Activities Scale (HPAS). American Journal of Occupational Therapy. 2017;71(4):7104190010p1-p8.
17. Jirikowic T, Kerfeld C. Building a Child-and Family-Centered Research Partnership to Promote Physical Activity Participation for Children With Disabilities. American Journal of Occupational Therapy. 2018;72(4_Supplement_1):7211515223p1-p1.
18. Pettersson ML, Nedstrand E, Bladh M, Svanberg AS, Lampic C, Sydsjö G. Mothers who have given birth at an advanced age-health status before and after childbirth. Scientific reports. 2020;10(1):1-15.
19. Terwee CB, Bot SDM, de Boer MR, van der Windt DAWM, Knol DL, Dekker J, et al. Quality criteria were proposed for measurement properties of health status questionnaires. Journal of clinical epidemiology. 2007;60(1):34-42.
20. Portney LG, Watkins MP. Foundations of clinical research: applications to practice: Pearson/Prentice Hall Upper Saddle River, NJ; 2009.
21. Harcum JB, Dressing SA. Technical Memorandum# 3: Minimum Detectable Change and Power Analysis. Agency USEP, editor. 2015:10.
22. Lee DK, In J, Lee S. Standard deviation and standard error of the mean. Korean journal of anesthesiology. 2015;68(3):220.
23. Fabrigar LR, Wegener DT. Exploratory factor analysis: Oxford University Press; 2011.
24. Abdi H, Williams LJ. Principal component analysis. Wiley interdisciplinary reviews: computational statistics. 2010;2(4):433-59.
25. Gu MK. Factors Affecting the Participation in Leisure Activities by Elderly Women Living Alone. Journal of Korean Academy of Community Health Nursing. 2018;29(3):257-66.
26. Farrell AM, Rudd JM, editors. Factor analysis and discriminant validity: A brief review of some practical issues2009: Anzmac.
27. Weisell RC. Body mass index as an indicator of obesity. Asia Pacific journal of clinical nutrition. 2002;11:S681-S4.
28. Cameron N. Body mass index cut offs to define thinness in children and adolescents. British Medical Journal Publishing Group; 2007.