Turkish Psychometric Properties of the Perceived Healthy Lifestyle Difficulty Scale for Adolescents

Öz

Objective: This study examined to evaluate the validity and reliability of the Perceived Healthy Lifestyle Difficulty Scale for adolescents and to adapt it to the Turkish language and culture.

Methods: The design of this study was methodological and correlational. The study was conducted with 603 adolescents between April and May 2023. Data were collected using an introductory information form and the Perceived Healthy Lifestyle Difficulty Scale for Adolescents. Factor analysis, Cronbach's alpha, and item-total score analysis were used in the data analysis.

Results: The scale had 12 items and two sub-dimensions. It was found that the two sub-dimensions explained 44.58% of the scale variance. The total factor loading was >0.30 in the exploratory and confirmatory factor analyses. In the confirmatory factor analysis, all the goodness of fit indices were >0.91. The Cronbach's alpha coefficient for the overall scale is 0.81.

Conclusions: The Perceived Healthy Lifestyle Difficulty Scale for Adolescents was found to be a valid and reliable scale for the Turkish sample.

Anahtar Kelimeler

• Adolescent
• difficulty
• lifestyle
• scale
• validity and reliability

Kaynakça

1. Bektas İ, Kudubeş AA, Ayar D, Bektas M. Predicting the Healthy Lifestyle Behaviors of Turkish Adolescents Based on their Health Literacy and Self-Efficacy Levels J Pediatr Nurs, 2021; 1(59):e20–5. google scholar
2. Binay Ş, Yiğit R. Lifestyle Behaviors and Self-Efficacy J Pediatr Res, 2016;3(4):180–6. google scholar
3. Akdeniz Kudubes A, Ayar D, Bektas İ, Bektas M. Predicting the effect of healthy lifestyle beliefs on attitude toward nutrition, exercise, physical activity, and weight-related selfefficacy in Turkish adolescents Arch Pédiatrie, 2022;29(1):44–50. google scholar
4. Chung SJ, Ersig AL, McCarthy AM. The Influence of Peers on Diet and Exercise Among Adolescents: A Systematic Review J Pediatr Nurs, 2017;36:44–56. google scholar
5. Ensenyat A, Serra-Paya N, Sagarra-Romero L. Objectively measured sedentary behavior in overweight and obese prepubertal children: challenging the school Int J Environ Health Res, 2020;30(5):533–44. google scholar
6. Roldán-Espínola L, Riera-Serra P, Roca M, García-Toro M, Coronado-Simsic V, Castro A et al. Depression and lifestyle among university students: A one-year follow-up study Eur J Psychiatry, 2024;38(3):100250. google scholar
7. Hoying J, Melnyk BM, Arcoleo K. Effects of the COPE Cognitive Behavioral Skills Building TEEN Program on the Healthy Lifestyle Behaviors and Mental Health of Appalachian Early Adolescents J Pediatr Heal Care, 2016;30(1):65–72. google scholar
8. Parajára MDC, Andrade ACDS, Xavier CC, Proietti FA, Meireles AL. Associations between the perceived neighborhood environment and screen time in adolescents living in a medium-sized city in Brazil: a cross-sectional study. Int J Environ Health Res, 2021;31(8):963–75. google scholar

9. Kelly SA, Melnyk BM, Jacobson DL, O’Haver JA. Correlations among Healthy Lifestyle Cognitive Beliefs, Healthy Lifestyle Choices, Social Support, and Healthy Behaviors in Adolescents: Implications for Behavioral Change Strategies and Future Research J Pediatr Heal Care, 2011;25(4):216–23. google scholar
10. Melnyk BM, Small L, Morrison-Beedy D, Strasser A, Spath L, Kreipe R et al. Mental Health Correlates with Healthy Lifestyle Attitudes, Beliefs, Choices, and Behaviors in Overweight Adolescents J Pediatr Heal Care, 2006;20(6):401–6. google scholar
11. Melnyk BM, Jacobson D, Kelly S, O’Haver J, Small L, Mays MZ. Improving the mental health, healthy lifestyle choices, and physical health of Hispanic adolescents J Sch Health, 2009;79(12):575–84. google scholar
12. Militello LK, Melnyk BM, Hekler E, Small L, Jacobson D. Correlates of Healthy Lifestyle Beliefs and Behaviors in Parents of Overweight or Obese Preschool Children Before and After a Cognitive Behavioral Therapy Intervention with Text Messaging J Pediatr Heal Care, 2016;30(3):252–60. google scholar
13. Akdeniz Kudubeş A, Bektas M. Original Article: Psychometric Properties of the Turkish Version of the Healthy Lifestyle Belief Scale for Adolescents J Pediatr Nurs, 2020;53:e57– 63. google scholar
14. Melnyk BM, Kelly S, Tan A. Psychometric Properties of the Healthy Lifestyle Beliefs Scale for Adolescents J Pediatr Heal Care, 2021;35(3):285–91. google scholar
15. Marques A, Loureiro N, Avelar-Rosa B, Naia A, Matos MG de. Adolescents’ healthy lifestyle. J Pediatr (Rio J), 2020;96(2):217–24. google scholar
16. Carpenter S. Ten Steps in Scale Development and Reporting: A Guide for Researchers Commun Methods Meas, 2018;12(1):25–44. google scholar
17. Davis LL. Instrument review: Getting the most from a panel of experts. Appl Nurs Res, 1992;5(4):194–7. google scholar
18. Polit DF, Beck CT, Owen SV. Is the CVI an acceptable indicator of content validity? Appraisal and recommendations Res Nurs Health, 2007;30(4):459–467. google scholar
19. Terwee CB, Bot SDM, de Boer MR, van der Windt DAWM, Knol DL, Dekker J et al. Quality criteria were proposed for the measurement properties of the health status questionnaires. J Clin Epidemiol, 2007;60(1):34–42. google scholar
20. DeVellis RF. Scale development, theory and applications. 3rd ed. India: Sage Publications; 2012. google scholar
21. Johnson RB, Christensen LB. Educational Research: Quantitative, Qualitative, and Mixed Approaches. 5th ed. Sage Publications; 2014. google scholar
22. Kelly S, Melnyk BM, Belyea M. Predicting physical activity and fruit and vegetable intake in adolescents: A test of the information, motivation, and behavioral skills model. Res Nurs Heal, 2012;35(2):146–63. google scholar
23. Heale R, Twycross A. Validity and reliability in quantitative studies Evid Based Nurs, 2015;18(3):66–7. google scholar
24. Rattray J, Jones MC. Essential elements of the questionnaire design and development J Clin Nurs, 2007;16(2):234–43. google scholar
25. Hasançebi B, Terzi Y, Küçük Z. Distractor Analysis Based on the Item Difficulty Index and the Item Discrimination Index. GUSTIJ, 2020;10:224–40. google scholar