Abstract
This study aimed to translate into Portuguese, perform the cross-cultural adaptation and verify the psychometric properties of the Adolescent Health Promotion Scale (AHPS) for use in Brazilian adolescents. The original version was translated following international recommendations. The final version of the translated scale was administered to a sample of 1,949 adolescents of both genders aged 12-18 years. An exploratory factor analysis and then a confirmatory factor analysis were completed to identify the baseline psychometric properties. After minor changes identified in the translation process, the committee of experts considered that the Portuguese version of the AHPS showed semantic, idiomatic, cultural and conceptual equivalence. The factor analysis confirmed the structure of six subscales originally proposed, by statistical indicators equivalent to χ2/df=1.83, CFI=0.948, GFI=0.969, AGFI=0.956 and RMSR=0.052. Factor validity and reliability were confirmed by suitable factor loadings and desirable realms of composite reliability (>0.7) average variance extracted (>0.5). In conclusion, translation, cross-cultural adaptation and psychometric properties of the AHPS were satisfactory, thus enabling its application in future Brazilian studies.
Highlights
Reconciling the technological advances and the modernity of the present day with the adoption of health promotion-oriented behaviors is one of the significant challenges of contemporary society[1]
Discrete divergences in the use of expressions were observed in the stages of the translation process
When compared to the original version, the back-translation showed few discrepancies resulting from adjustments made to meet the specifics of certain items
Summary
Reconciling the technological advances and the modernity of the present day with the adoption of health promotion-oriented behaviors is one of the significant challenges of contemporary society[1]. Most risk behaviors start at an early age, especially during adolescence[7]. Experimentation and consolidation of risk behaviors in this development period strongly compromise the health of young people, with severe repercussions throughout life and with low possibility of reversing their harmful effects[8]. In this regard, adolescence is marked by profound physical, cognitive and emotional transformations as a consequence of the biological maturation process. Young people still experience a set of stressful situations and abrupt changes in behavior resulting from the interaction between social context, relationship with peers and living environment, which calls for special consideration[9]
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