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系統識別號 U0026-0109201400221100
論文名稱(中文) 健康促進生活型態-II量表中文版信效度之測試
論文名稱(英文) Testing the Validity and Reliability of the Revised Chinese Health Promoting Lifestyle Profile-IICR Instrument
校院名稱 成功大學
系所名稱(中) 健康照護科學研究所
系所名稱(英) Institute of Allied Health Sciences
學年度 102
學期 2
出版年 103
研究生(中文) 鄧秀蘭
研究生(英文) Hsiu-Lan Teng
電子信箱 ns235@fy.edu.tw
學號 TA8941089
學位類別 博士
語文別 英文
論文頁數 63頁
口試委員 指導教授-顏妙芬
口試委員-馬慧英
口試委員-林秋菊
口試委員-林麗嬋
口試委員-吳明隆
中文關鍵字 心理計量  健康促進生活型態量表-II  信度  驗證性因素分析 
英文關鍵字 Psychometric properties  Health Promoting Lifestyle Profile-II  Reliability  Confirmatory Factor analysis 
學科別分類
中文摘要 背景:健康促進生活型態-II量表,是包含多面向的健康促進生活型態量表,被廣泛用於許多不同種族與國家,並翻譯成多國不同語言版本,藉以評量其信、效度。有鑑於鄧等人(2010)曾以探索性因素分析進行的研究發現,健康促進生活型態-II量表所包含的潛在因素結構與原作者Walker等人(1997)所提出的版本不相同,較原始量表減少一因素並刪減22題問項。
目的:本研究主要是評估所提出的四個健康促進生活型態-II量表模型,哪一個模型與本研究於台灣所收集之資料的適配較佳。
方法:以中文版健康促進生活型態-II量表收集台灣北、中、南、東四個地區1392位成人為對象,利用驗證性因素分析驗證並比較先前鄧等人(2010)發表所提出的因素結構模式與資料的適配度,利用絕對適配度指標、相對適配度指標及精簡適配度指標評價52題健康促進生活型態-II量表及30題健康促進生活型態-II量表哪一個與本研究所收集之資料適配度較佳。
結果:既非六個因素52題的健康促進生活型態-II量表亦非五個因素30題的健康促進生活型態-II量表與所收集資料的適配度指標達到可接受指標標準,但上述模式經模式修正指標建議修訂後,僅有五個因素30題的健康促進生活型態-II量表與所收集資料的適配度指標,達到可以接受的標準值。顯示五個因素30題的健康促進生活型態-II量表的信、效度亦獲得驗證,模式經過修正後達其適配度指標如下: CFI (0.91), GFI (0.90 ), SRMR (0.051) and RMSEA (0.055),顯示五個因素30題的健康促進生活型態-II量表之因素結構,相較於六個因素52題的健康促進生活型態-II量表之因素結構,與研究所收集之資料有較佳的適配度。
結論: 五個因素30題的健康促進生活型態-II可達到滿意的心理計量特質,此結果亦顯示此模式可適用於評量中國人多面向的健康促進生活型態-II量表。此外一個簡短版30題的健康促進生活型態量表相較於原始量表,可以減少受試者填寫的負荷,因此也較適用於臨床評估國人健康生活型執行的狀況,以發展適當的介入性措施或課程。
英文摘要 Background: The Health Promoting Lifestyle Profile-II (HPLP-II) scale measures the multidimensional patterns of a healthy lifestyle and has been translated into several languages and widely tested on diverse populations. Based on the findings from Teng et al. (2010), the 30 item, 5-factor structure of the HPLP-IICR different from Walker’s (1997) original English version, with one less factor and 22 fewer items, in a sample of Taiwanese adults.
Objective: The purpose of this study was to determine the best-fitting Chinese HPLP-II factor structure among four proposed models.
Method: The Chinese HPLP-II instrument was administered to 1,392 adults from four geographical regions of Taiwan: Northern, Central, Southern and Eastern. Confirmatory factor analyses were used to explore several structural models and compared to the previously published factor structures. Absolute, relative and incremental fit indices were used to evaluate the goodness-of-fit of the 52-item HPLP-IIC and the 30-item HPLP-IICR.
Results: Neither the original six-factor nor revision five-factor Chinese HPLP-IICR provided suitable model fit with acceptable cut-off values for the fit indexes, and thus the two models were improved with post hoc model fitting, although only the five-factor 30-item instrument achieved acceptable cut-off values for the fit indexes. The reliability and validity of the HPLP-IICR five-factor structure model were confirmed, although the model required respecification to reach achieve a suitable model fit, as measured by CFI (0.91), GFI (0.90 ), SRMR (0.051) and RMSEA (0.055). The five-factor model thus had a better fit with the data than the original six-factor structure model.
Conclusion: The five-factor 30-item HPLP-IICR has satisfactory psychometric properties, and thus is considered suitable for measuring the multidimensional patterns of a healthy lifestyle among adults in a Chinese population. In addition, the shortened version, 30-item HPLP-IICR scale, which is less burdensome for subjects to complete than the original scale, can be used in clinical practice to evaluate health promoting lifestyles.
論文目次 Tables of Contents

Abstract in Chinese.................................. i

Abstract............................................. iii

Acknowledge....................................... v

Table of Contents................................ vii

List of Tables........................................ ix

List of Figures....................................... x

Chapter I Introduction................................1
1.1 Background of the Study...................................................4
Chapter II Literature Review..................................................6
2.1 Health Promotion Model................................................. 6
2.2 Development of Health Promoting Lifestyle (HPLP)....7
2.3 Development of Health Promoting Lifestyle-II (HPLP-II).....................................................11
2.4 Development of HPLP-II Chinese version..............13
2.5 Summary........................................... 14
Chapter III Purpose of the Study..................... 16
3.1 Research Questions........................................... 17
Chapter IV Method......................................18
4.1 Study Design...................................... 18
4.2 Subjects........................................... 18
4.3 Instrument...................................... 19
4.4 Procedure.......................................... 21
4.5 Data analysis.............................................. 22
4.6 Ethical considerations............................ 26
Chapter V Results......................................27
5.1 Subject Demographics......................................... 27
5.2 HPLP-IIC and HPLP-IICR subscales scores and intercorrelations...................................... 28
5.3 Reliability........................................ 29
5.4 Confirmatory factor analysis................................................30
5.4.1 Model 1: 52 Item HPLP-IIC.........................30
5.4.2 Model 2: Alternate model of the 52-Item HPLP-IIC.....................................................32
5.4.3 Model 3: 30-Item HPLP-IICR........................34
5.4.4 Model 4: Alternate model of 30-Item HPLP-IICR.....35
5.5 Criterion-related validity............................................. 37
Chapter VI..............................................38
6.1 Discussion......................................... 38
6.2 Study Limitations...................................44
6.3 Conclusions..................................... 45
References............................................. 46

List of Tables
Table 1 Subject Demographics........................................... 52
Table 2 Subscale means, and standard deviations (SD) for the 30- and 52-item HPLP-IICR and HPLP-IIC.....................................................53
Table 3 Factor intercorrelations for the 30- and 52-item HPLP-II (five factor) and HPLP-II (six factor)..........54
Table 4 Correlation matrix of the five subscales of the 30-item HPLP-IICR, quality of life and perceived health status..................................................55
Table 5 Reliability (Cronbach's α) for the 30- and 52-item HPLP-IICR and HPLP-IIC subscales .......................56
Table 6 Discriminant validity of the six constructs of the 52-item HPLP-IIC........................................57
Table 7 Discriminant validity of the five constructs of the 30-item HPLP-IICR.......................................58
Table 8 Goodness of fit indices from the results of confirmatory factor analysis............................59

List of Figures
Figure 1 Structure of the 52-item HPLP-IIC model (Model 1)..................................................... 60
Figure 2 Alternate model of the 52-Item HPLP-IIC (Model 2)......................................................61
Figure 3 Structure of the 30-item HPLP-IICR model (Model 3)......................................................62
Figure 4 Alternate model of 30-Item HPLP-IICR (Model 4)......................................................63
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