Health Behavior Scale Research Articles

Coronary Artery Disease Management in Ho Chi Minh City: The Role of Self-Care and Disease Knowledge in Reducing Health Risks

In order to avoid cardiac complications, patients with coronary artery disease (CAD) should the effect of self-care agency on health risk behaviors. Coronary artery engage in heart-healthy behaviors. Therefore, it is presumed that individuals have acquired self-care agency and a thorough understanding of their disease. Therefore, we investigated the associations between healthy affect, Self-Care, Disease Knowledge to improve their Health Risks status of patient. A descriptive-correlational design involving patients with having coronary artery disease (CAD) and being treated in Ho Chi Minh City. The participants (N =191) who living in Binh Chanh, Nha Be, Can Gio and answer questionnaires which included Exercise in Self-care Agency scale (ECSA), Health Behavior Scale (HBS) and the Baecke questionnaire. The Linear regression correlation coefficient analysis, and computed r was applied this study. Result showed significant predictive relationships between self-care agency, disease-related knowledge, and health risk behaviors. Higher levels of self-care agency and disease-related knowledge were associated with lower health risk behaviors. Gender, marital status, and specific health conditions like hypertension and stroke also played significant roles in influencing health risk behaviors. Mediation analysis further revealed that disease-related knowledge partially mediates disease, self-care, health knowledge, health behavior.

Health literacy in pregnant women facing prenatal screening: a short report from “SaperePer” project

Abstract Advancements in health promotion and prenatal medicine have made noninvasive prenatal testing (NIPT) a common practice during pregnancy, but understanding prenatal health information becomes crucial not only for the well-being of the mother but also for that of the unborn child. Analyze health-related information during pregnancy is fundamental, and this work fits perfectly with this topic, reporting preliminary results from the pilot study “SaperePer”. A health-related questionnaire was administered to 358 women in the first trimester of pregnancy, aiming to study different outcomes: 1.level of knowledge of NIPT; 2.number of screening tests undergone; 3.willingness to undergo a diagnostic test with a high outcome risk of screening test; 4.willingness to end the pregnancy following a diagnosis of pathology. The questionnaire was divided into 3 sections: personal characteristics and lifestyle habits, prenatal health behavior scale (PHBS), and knowledge of NIPT. Preliminary results showed that the level of knowledge of NIPT was higher in older, atheist, working, wealthy highly educated, and preliminary informed women, as well as the higher number of screening tests undergone and the propensity to undergo an invasive diagnostic test after a high-risk screening result (KS and MW tests p < 0.05). On the contrary, women with lower education, faithful and, even more, not preliminary and appropriately informed during prenatal counseling showed lower knowledge of NIPT, lower number of tests undergone, and meager chances to undergo an invasive diagnostic test or to end the pregnancy after a positive diagnosis of pathology (KS and MW tests p < 0.05). In conclusion, this study evaluated health-related information during the first but crucial stages of pregnancy, opening a new understanding of how health literacy and correct prenatal counseling could increase awareness and health promotion in pregnant women, particularly in those women with lower cultural tools. Key messages • Health literacy and correct prenatal counseling could increase awareness and health promotion in pregnant women. • Understanding prenatal health information becomes crucial both for maternal and prenatal well-being.

Evaluation of adolescents' cardiovascular health behaviors and health literacy levels in Turkey

PurposeThe study aimed to examine the relationship between cardiovascular health behaviors and health literacy levels of adolescents. Design and methodsCross-sectional design was used in this study. The sample consisted of 1228 students from two secondary schools in Turkey. The study data were collected in 2020. The data were collected via the Cardiovascular Health Behavior Scale and the The Health Literacy Scale. ResultsCardiovascular Health Behavior Scale for Children mean score was 56.07 ± 10.80. The Health Literacy Scale total mean score of the students was 30.93 ± 5.31. The mean scores of the Cardiovascular Health Behavior Scale for those who were 14 years old, female, studying in the 8th grade, whose parents were primary school graduates, and presence of a person who has had a heart attack in the family were found to be statistically significantly higher. The average health literacy score of students who were female, high income, and who had parents with a baccalaureate or graduate degree was found to be statistically significantly higher. The Cardiovascular Health Behavior Scale and The Health Literacy Scale showed a weak negative correlation. ConclusionsThe cardiovascular health behaviors and health literacy of adolescents were found to be moderate. In order to improve adolescents' health literacy and help them develop good cardiovascular health habits from an early age, interventions should be planned and overseen in collaboration. Practice implicationsAdolescent health promotion requires that nurses assess adolescents' cardiovascular health behaviors and health literacy levels. To achieve the objectives of enhanced cardiovascular health behaviors and better health literacy, parent cooperation is also required.

Development and Psychometric Evaluation of the Lifestyle Medicine Health Behavior Scale.

Purpose. The purpose of this study was to develop and validate a scale to measure health behavior across the six pillars of lifestyle medicine: sleep, social connectedness, physical activity, nutrition, substance use, and stress management. A pilot study (n = 94) investigated the construct, convergent, and content validity and reliability of the Lifestyle Medicine Health Behavior (LMHB) scale. Based on the pilot study results and literature, the scale was revised for further psychometric evaluation. Methods. A sample (n = 399) of participants completed the LMHB scale. Confirmatory factor analysis was used to assess construct validity. Face validity was assessed using qualitative feedback. Reliability was assessed using Cronbach's alpha. Results. The final model included five latent dimensions and one observed to represent each of the distinct pillars in lifestyle medicine. The open-ended response item elicited preponderance of positive feedback (∼80%); the scale was perceived as easy to understand and complete. Overall, the scale was reliable (α = 0.84). Conclusion. The LMHB scale assesses health behaviors across all six lifestyle medicine pillars, addressing each one systematically and individually. The scale had sufficient validity and reliability to measure health behaviors in this sample of adults. This is the first lifestyle medicine survey instrument to evaluate content, face, and construct validity and reliability.

The mediating role of health behaviors in the relationship between internal locus of control and life satisfaction in public health students

Well-being is a continuous process requiring decisions and actions to maintain or build health. This study examines the indirect effect of health locus of control on life satisfaction via healthy behaviors based on living systems theory. Participants were 730 students of various majors related to medicine and health, aged between 19 and 30 (M = 22.29, SD = 1.64), including 79.04% women. Self-report measures were used to assess life satisfaction, multidimensional health locus of control, and health behavior. Women scored higher than men on the total health behavior scale, especially in a healthy diet and preventive behavior. Men scored higher than women on internal health locus of control (HLC), while women scored higher than men on the powerful others HLC in making decisions about their health. The study confirmed the mediating effect of healthy behavior on the relationship between the internal HLC and life satisfaction. The present mechanism highlights the crucial role of internal motivation in increasing subjective well-being by maintaining health behaviors among young adults. The role of intervention programs focused on improving internal HLC and health behaviors is discussed.

Mental Health Care Support in Rural India

More than 150 million people in India need mental health care but few have access to affordable care, especially in rural areas. To determine whether a multifaceted intervention involving a digital health care model along with a community-based antistigma campaign leads to reduced depression risk and lower mental health-related stigma among adults residing in rural India. This parallel, cluster randomized, usual care-controlled trial was conducted from September 2020 to December 2021 with blinded follow-up assessments at 3, 6, and 12 months at 44 rural primary health centers across 3 districts in Haryana and Andhra Pradesh states in India. Adults aged 18 years and older at high risk of depression or self-harm defined by either a Patient Health Questionnaire-9 item (PHQ-9) score of 10 or greater, a Generalized Anxiety Disorder-7 item (GAD-7) score of 10 or greater, or a score of 2 or greater on the self-harm/suicide risk question on the PHQ-9. A second cohort of adults not at high risk were selected randomly from the remaining screened population. Data were cleaned and analyzed from April 2022 to February 2023. The 12-month intervention included a community-based antistigma campaign involving all participants and a digital mental health intervention involving only participants at high risk. Primary health care workers were trained to identify and manage participants at high risk using the Mental Health Gap Action Programme guidelines from the World Health Organization. The 2 coprimary outcomes assessed at 12 months were mean PHQ-9 scores in the high-risk cohort and mean behavior scores in the combined high-risk and non-high-risk cohorts using the Mental Health Knowledge, Attitude, and Behavior scale. Altogether, 9928 participants were recruited (3365 at high risk and 6563 not at high risk; 5638 [57%] female and 4290 [43%] male; mean [SD] age, 43 [16] years) with 9057 (91.2%) followed up at 12 months. Mean PHQ-9 scores at 12 months for the high-risk cohort were lower in the intervention vs control groups (2.77 vs 4.48; mean difference, -1.71; 95% CI, -2.53 to -0.89; P < .001). The remission rate in the high-risk cohort (PHQ-9 and GAD-7 scores <5 and no risk of self-harm) was higher in the intervention vs control group (74.7% vs 50.6%; odds ratio [OR], 2.88; 95% CI, 1.53 to 5.42; P = .001). Across both cohorts, there was no difference in 12-month behavior scores in the intervention vs control group (17.39 vs 17.74; mean difference, -0.35; 95% CI, -1.11 to 0.41; P = .36). A multifaceted intervention was effective in reducing depression risk but did not improve intended help-seeking behaviors for mental illness. Clinical Trial Registry India: CTRI/2018/08/015355.

An Assessment of Health Behaviours in Primary Care Patients: A Cross-Sectional Study.

A healthy lifestyle is a key determinant of health, especially for people with chronic diseases such as diabetes or hypertension. The health behaviours which contribute to a healthy lifestyle include the following: regular physical activity, preventive examinations, maintaining a proper diet and avoiding the consumption of alcohol or cigarettes. They have a significant impact on the disease process, controlling symptoms and preventing complications. The aim of this study was to examine the health behaviours related to diet, physical activity and prevention among Polish primary health care patients and to identify predictors of health behaviours. For this reason, the standardized Health Behaviour Scale (HBS) questionnaire was used. The study was conducted among 269 patients (including 61.71% women) in primary health care facilities. The mean age of participants was 52.89 years (±17.76). The mean HBS score was 36.93 ± 9.66. A statistically significant association was found between HBS scores and such sociodemographic variables as education (p = 0.0061, r = 0.17), body mass index (p = 0.0018, r = -0.20, β = -0.36) and self-assessed economic status (p = 0.0094, r = 0.16). Women's health behaviours as measured by HBS were significantly better than men's (p < 0.001, β = -6.82). A special focus should be given to the groups manifesting poorer health behaviours (e.g., men, older people and persons with low socioeconomic status) by offering them tailored health-promoting interventions.

Effects of a comprehensive educational program on health behaviors and awareness of HIV, hepatitis B, and hepatitis C in men with substance use disorders

BackgroundPoor adherence to health behaviors is one of the considerable challenges among drug users. This issue is especially noticeable among people who use injection methods for consumption, which increases the possibility of contracting HIV and hepatitis B and C. Therefore, it seems that adopting appropriate intervention approaches focusing on all dimensions of health-related behaviors to promote health behaviors is considered. As a result, in the present study, the effectiveness of a comprehensive educational program on promoting health behaviors and awareness of HIV, hepatitis B, and hepatitis C in drug users was investigated.MethodsThis pretest–posttest quasi-experimental study was performed. The participants were 81 men with substance use disorders residing in a rehabilitation center. The participants took part in four training workshops. The workshops focused on mental health, awareness of HIV, and hepatitis B and C with learner-centered approaches.ResultsAccording to the results, the mean score of the health behavior scale in the participants after receiving the intervention of the comprehensive program increased significantly (P < .001). Additionally, the analysis showed that 1 month after the end of the intervention, there was a significant increase in the AIDS, hepatitis B, and hepatitis C scale scores compared to before the intervention (P < .001).ConclusionConsidering the adverse consequences of drug use, especially in users without social support, the need for education as a cost-effective approach to prevent diseases transmitted through high-risk behaviors such as HIV, and hepatitis B and C is considered a basic necessity.

Determinants influencing health-promoting behaviors in individuals at high risks of stroke: a cross-sectional study.

Quit smoking, moderate drinking, exercise, and healthy eating habits are all known to decrease the risk of stroke. As a result, understanding the health behaviors of high risk groups for stroke is crucial. Health behavior is influenced by knowledge, social environment, and health beliefs. However, little research has been done on these relationships. For a better grasp of the relationships mentioned above, consider using the COM-B model (capability, opportunity, motivation, and behavior). The purpose of this study was to investigate the variables related to health behavior and to test the mediating effect of health beliefs. The cross-sectional study was carried out at a physical examination center of a tertiary hospital in Shanghai, China. 986 high-risk populations of stroke have been tested using the Health Behavior Scale (HBS-SP), Stroke Knowledge Questionnaire (SKQ), Health Beliefs Questionnaire (HBS), and Multidimensional Scale of Perceived Social Support (MSPSS). The structural equation modeling was used in this study. The scores for MSPSS, SKQ, HBS, and HBS-SP were 60.64 ± 13.72, 26.60 ± 9.77, 157.71 ± 34.34, and 2.46 ± 0.41, respectively. The revised model fits well (approximate root mean square error = 0.042; comparative fit index = 0.946). The health behavior was obviously and positively correlated to social Support, stroke knowledge, and health beliefs. Moreover, health belief has a mediating effect on the relation of social support, stroke knowledge, and health behavior. Chinese high risk groups for stroke have a mediate level of health behaviors. Factors associated with health behaviors are knowledge of stroke, health beliefs, and social support. The COM-B-based model can be used to explain the health behavior of individuals at risk of stroke and to guide the formulation of effective health management programs.

Mindful self-compassion program based on Watson's theory of human caring in nursing students: A randomized controlled study

Aims and backgroundThis study investigated the impact of the Mindful Self-Compassion Program, based on Watson's Theory of Human Caring Model, on the physical and mental health of nursing students. The essence of nursing is care and compassion. While there are studies on compassion in nursing care, nurses' self-compassion is an underrecognized concept in the literature. MethodsThe study employed a randomized controlled design and involved 80 seconds-grade nursing students from a university in Turkey between December 2021 and June 2022. The intervention group received an online program consisting of six weekly sessions, while the control group did not receive any intervention. The data were collected using the Promotive and Protective Health Behaviors Scale, Watson Caritas Self-Rating Score, Brief Resilience Scale, and Self-Compassion Scale before, at the end of, and 5 months after the program. ResultsIn both the post-test and follow-up test, the intervention group exhibited an increase in health-promoting and protective behaviors, self-care perception, psychological resilience, and self-compassion compared to the control group. ConclusionTherefore, it is recommended to use the program to improve the physical and mental health of individuals in nursing practice areas. Additionally, it would be beneficial to include the program in the nursing education curriculum. Our findings provide evidence supporting the use of the program for nursing students and nurses.

Positive Outliers: A Mixed Methods Study of Resiliency to Childhood Obesity in High-Risk Neighborhoods

ObjectiveDespite the high prevalence of obesity and the clustering of risk by neighborhood, few studies have examined characteristics which promote healthy child weight in neighborhoods with high obesity risk. We aimed to identify protective factors for children living in neighborhoods with high obesity risk. MethodsWe identified neighborhoods with high obesity risk using geolocated electronic health record data with measured body mass index (BMI) from well-child visits (2012–2017). We then recruited caregivers with children aged 5 to 13 years who lived in census tracts with mean child BMI percentile ≥72 (February 2020–August 2021). We used sequential mixed methods (quantitative surveys, qualitative interviews) to compare individual, interpersonal, and perceived neighborhood factors among families with children at a healthy weight (positive outliers [PO]) versus families with ≥1 child with overweight or obesity (controls). Regression models and comparative qualitative analysis were used to identify protective characteristics. ResultsSeventy-three caregivers participated in the quantitative phase (41% PO; 34% preferred Spanish) and twenty in the qualitative phase (50% PO; 50% preferred Spanish). The frequency of healthy caregiver behaviors was associated with being a PO (Family Health Behavior Scale Parent Score adjusted β 3.67; 95% CI 0.52–6.81 and qualitative data). Protective factors also included caregivers’ ability to minimize the negative health influences of family members and adhere to family routines. ConclusionsThere were few differences between PO and control families. Support for caregiver healthy habits and adherence to healthy family routines emerged as opportunities for childhood obesity prevention in neighborhoods with high obesity risk.

Perceived Health Behaviors and Learning Needs of Patients with Myocardial Infarction

Introduction: - Myocardial infarction is one of the foremost cardiovascular disease causes of mortality and morbidity worldwide. The prevention of this disease requires continuous monitoring and rehabilitative management. It can be achieved by the health promotion of patients using effective, planned educational programs and lifestyle modification by the patient. Patients perceived that their learning needs were unmet and that the information provided was too general. Hence, assessing the healthy heart habits performed by the patient and the patient’s preference regarding learning needs is crucial. The descriptive study is intended to identify the perceived health behaviors and learning needs of patients with myocardial infarction for the first time. Methodology: A quantitative descriptive design was used in this present study. The study included 102 newly diagnosed patients with MI carefully chosen by the non-probability convenience selection method. Information was collected using a patient profile (socio-demographic data, clinical data, and clinical parameters), a Modified cardiac health behavior scale (MCHBS), and a Cardiac patient's learning needs inventory (CPLNI). Results: -The present study result showed that subjects with MI for the first time had a high level of perceived learning needs of 164.11 + 22.28, with symptoms management was 27.61 + 3.763, medication information was 23.15 + 3.010, diet information was 23.12 + 3.148 were the areas perceived as high learning need information among the subjects. Only 11 (10.8%) subjects had a high perception of cardiac health behavior, among which were controlling risk habits and was 14.53 + 3.16. Medication adherence was only 6.76 + 1.89, perception of the subjects regarding dietary management was 19.47 + 4.15, and blood pressure control was 5.09 + 2.13 as considered essential in maintaining a healthy heart. Interestingly, the findings show that subjects with the perception of higher learning needs showed a negatively weak correlation with a lesser perception of health behavior, which is not a statistically significant level at p &gt;0.05. The study highlighted that exercise, habits, and RBS had a statistically significant association with perceived health behavior (χ2= 18.52, p &lt;0.001), (χ2=20.133, p =0.013), (χ2=9.067, p=0.037) respectively. Also, the exposure of subjects to mass media (χ2 =15.01, p&lt;0.05), diversional activities practiced (χ2 =19.08, p &lt;0.01), perception about the prognosis (χ2=7.22, p&lt;0.02), habits (χ2= 13.68, p&lt;0.03) level had a statistically significant association with the perceived learning needs. Conclusion: - Patients’ health behaviors practices and learning needs will change according to their perceptions. Determining the learning needs will help to guide the patient to achieve good cardiac health behaviors practice, subsequently reducing the reoccurrence of myocardial infarction.

Development of Emerging Infectious Diseases Preventive Health Behavior (EID-PHB) Scale and Validation of the Complex Models.

Emerging Infectious Diseases are one of the world's leading causes of death, and preventive measures must be implemented to minimize human casualties. Research on preventive behavior relies on the preventive behavior scale and it has an impact on the findings. This study aimed to develop an Emerging Infectious Diseases Preventive Health Behavior (EID-PHB) Scale and verify the validity and reliability of the complex models. Initial items were generated through a literature review and interviews, based on the proposed conceptual framework of transmission-based precautions. 14 experts reviewed the preliminary items for content validity and 20 adults for face validity. Data were collected online by a research company from April 28 to May 3, 2023. A total of 533 participants completed the survey, and subjects were assigned through simple random sampling. The first sample (n = 330) was used for item analysis and Exploratory Factor Analysis (EFA), and the second sample (n = 203) was used for Confirmatory Factor Analysis (CFA), convergent validity, discriminant validity, criterion validity, and reliability. The test-retest reliability was assessed in 34 adults. The final instrument derived six components (droplet, contact, airborne, bloodborne, environmental prevention, and psychological coping), nine indicators, and 34 items. The CFA indicated that all the complex models had a good fit and the integrated factors were confirmed through validity tests. The Cronbach's alpha for the 34 items was 0.92, and the criterion validity was verified (r = 0.85, p < 0.001). The EID-PHB is a valid and reliable tool that can be used to determine preventive behaviors against emerging infectious diseases. This tool is expected to provide a conceptual framework for future research, contribute to the clinical practice and education, and establish strategies and policies for improving individual and public health.

Effect of the combination of respiratory care with bronchodilators on pulmonary function, psychological well being, and health behaviors in COPD patients

Purpose: To investigate the effect of combining respiratory care with bronchodilators on pulmonary function, psychological well-being, and health behavior in patients with Chronic Obstructive Pulmonary Disease (COPD).&#x0D; Method: A retrospective analysis was conducted with 90 COPD patients treated in the First People's Hospital of Fuyang, Hangzhou, China between January 2021 and January 2023. Patients were divided into budegopher group (26 patients), symbicor group (28 patients), and combination group (36 patients treated with budegopher plus respiratory care). Lung function, psychological state (Self-Rating Depression Scale (SDS) and Self-Rating Anxiety Scale (SAS), Health Behavior Scale (HPL), and any observed adverse reactions among these groups were recorded.&#x0D; Results: Significant differences were observed in lung function such as forced expiratory volume in 1 sec (FEV1) and forced vital capacity (FVC) among the three groups after treatment. Symbicor group showed superior results compared to budegopher group while combination group showed better improvement than budegopher group, and symbicor group (p &lt; 0.001). Pairwise comparisons of psychological state (SAS and SDS) and health behavior (HPL) revealed variations among groups. Lung function parameters (FEV1, FVC) had negative correlations with negative psychological attitudes (SAS, SDS) and moderate positive correlations with health-promoting behaviors (HPL). Negative psychological attitudes (SAS, SDS) were moderately and negatively correlated with health-promoting behaviors (HPL).&#x0D; Conclusion: Combining respiratory care with bronchodilators demonstrates notable potential to enhance pulmonary function, alleviate negative psychological states, promote healthful behaviors, and expedite the recovery process for COPD patients. However, subtle variations in the therapeutic effects of different drugs may exist, warranting further investigation.

Influencing Factors of Professional Identity, Health Behavior and their Correlation with Job Burnout in Nursing Staffs in Pension Institution

Objectives: In this study, we investigated factors impacting nurses' professional identity in elderly care institutions and their connection to occupational burnout. Methods: Using convenience sampling, 394 nurses from local elderly care facilities were surveyed from May 2022 to May 2023. The Elderly Nurses' Professional Identity Scale, Occupational Burnout Scale, and Health Behavior Scale were employed. Single-factor and multiple-factor logistic regression analyses identified risk factors influencing professional identity. Results: Results revealed a negative correlation (r = -0.392, p &lt; .05) between professional identity and occupational burnout. We found statistically significant differences with respect to age, education, income, working hours, number of elderly cared for, family support, and professional qualification (p &lt; .05). Multiple-factor regression showed that age ≥ 40 years, income ≤ 3000 yuan, working &gt;10 hours, caring for &gt;10 elderly individuals, and lack of family support were independent risk factors (OR = 0.608, 2.494, 0.555, 0.630, 2.638, p &lt; 0.05) influencing professional identity. Additionally, nurses' health behavior was linked to occupational burnout.Conclusion: Nurses in elderly care institutions face low professional identity, which negatively correlates with occupational burnout. Factors such as advanced age, low income, high workload, and insufficient family support contribute to this. Moreover, nurses' health behavior significantly affects their burnout levels.

Development and Assessment of the Media Impact on Health Information Perception and Behavior Scale (Mihipb-S) Using Content Validity Index Method

With the omnipresence of media in the digital age, understanding its impact on individuals' health information perception and behaviors has become paramount. This study presents the meticulous development and rigorous validation of the Media Influence on Health Information Perception and Behavior Scale (MIHIPB-S) using the Content Validity Index (CVI) method. The scale development process comprised several critical phases, including item generation, expert panel formation, content validity assessment, and pilot testing. A panel of nine experts, encompassing diverse backgrounds such as psychology, public health, communication studies, and measurement development, rigorously examined each item's relevance to the construct of "Media Influence on Health Information Perception and Behavior." These experts assigned ratings on a 4-point Likert scale, ranging from "Not relevant" (1) to "Highly relevant" (4). To determine content validity, the study adhered to established recommendations for acceptable cut-off scores which were contingent upon the number of experts involved Lynn, Davis, Polit &amp; Beck, and Polit et al.2006. Various validity indices, including the Item-Level Content Validity Index (I-CVI), Scale-Level Content Validity Index based on the Average Method (S-CVI/Ave), and Scale-Level Content Validity Index based on the Universal Agreement Method (S-CVI/UA), were meticulously calculated. The outcomes of the content validity assessment were resoundingly positive. All items within the MIHIPB-S attained remarkably high I-CVI scores, significantly exceeding the established acceptable threshold. Moreover, the S-CVI/Ave, calculated as the mean of the I-CVI scores for all items, unequivocally demonstrated robust content validity (Hamie et al. Ozair et al., Lau et al., and Marzuki et al.2018. Of particular significance, the S-CVI/UA, representing the proportion of items achieving the highest relevance rating by all experts, decisively met the prescribed cut-off score. These findings unequivocally affirm the MIHIPB-S as an exceptionally valid and comprehensive instrument for capturing the complex dynamics of media's influence on health information perception and behavior. The MIHIPB-S emerges as an invaluable and validated tool poised to make substantial contributions to research, practice, and policymaking within the domains of health communication, media literacy, and public health. Its versatility extends to assessing the efficacy of media-based health interventions, evaluating the impact of media campaigns on health decision-making, and informing targeted health communication strategies. Future endeavors should explore opportunities for cross-cultural validation, longitudinal assessments, and adaptations to account for emerging media modalities.

Development and Validation of The Media Influence on Health Information Perception and Behaviour Scale (MIHIPBS)

With the omnipresence of media in the digital age, understanding its impact on individuals' health information perception and behaviors has become paramount. This study presents the meticulous development and rigorous validation of the Media Influence on Health Information Perception and Behavior Scale (MIHIPBS) using the Content Validity Index (CVI) method. The scale development process comprised several critical phases, including item generation, expert panel formation, content validity assessment, and pilot testing. A panel of nine experts, encompassing diverse backgrounds such as psychology, public health, communication studies, and measurement development, rigorously examined each item's relevance to the construct of "Media Influence on Health Information Perception and Behavior." These experts assigned ratings on a 4-point Likert scale, ranging from "Not relevant" (1) to "Highly relevant" (4). To determine content validity, the study adhered to established recommendations for acceptable cut-off scores which were contingent upon the number of experts involved Lynn, Davis, Polit &amp; Beck, and Polit et al.2006. Various validity indices, including the Item-Level Content Validity Index (I-CVI), Scale-Level Content Validity Index based on the Average Method (S-CVI/Ave), and Scale-Level Content Validity Index based on the Universal Agreement Method (S-CVI/UA), were meticulously calculated. The outcomes of the content validity assessment were resoundingly positive. All items within the MIHIPBS attained remarkably high I-CVI scores, significantly exceeding the established acceptable threshold. Moreover, the S-CVI/Ave, calculated as the mean of the I-CVI scores for all items, unequivocally demonstrated robust content validity (Hamie et al. Ozair et al., Lau et al., and Marzuki et al.2018. Of particular significance, the S-CVI/UA, representing the proportion of items achieving the highest relevance rating by all experts, decisively met the prescribed cut-off score. These findings unequivocally affirm the MIHIPBS as an exceptionally valid and comprehensive instrument for capturing the complex dynamics of media's influence on health information perception and behavior. The MIHIPBS emerges as an invaluable and validated tool poised to make substantial contributions to research, practice, and policymaking within the domains of health communication, media literacy, and public health. Its versatility extends to assessing the efficacy of media-based health interventions, evaluating the impact of media campaigns on health decision-making, and informing targeted health communication strategies. Future endeavors should explore opportunities for cross-cultural validation, longitudinal assessments, and adaptations to account for emerging media modalities.

Compensatory health motivations and behaviors scale: Development, evaluation, psychometric properties and a preliminary validation

The “Compensatory Health Beliefs” scale assesses the degree to which one believes that unhealthy behaviours can be compensated through healthier ones. However, no validated scale to assess compensatory weight-related behaviors exists. The study's objective was to develop (Study 1) and validate (Study 2) a questionnaire measuring compensatory health motivations and behaviors (CHMB) and to assess their associations with body mass index (BMI) and psychological weight-related measures. An initial 34-item measure was constructed based on a target sample's (Study 1, n = 158) suggestions and refined based on expert feedback. The measure was then tested in a representative Canadian adult sample (N = 1400, 48.7% male). The sample was stratified by sex and age and then randomly split into two (N = 701 for exploratory factor analysis; N = 699 for confirmatory factor analysis (CFA) cross-validation). Fit indices, standardized Cronbach's alphas and the associations between the CHMB model with cognitive restraint, weight concerns, and BMI were assessed in multiple linear regression models controlling for age and sex. The final CHMB model (n = 17 items) consisted of four subscales: (1) motivation, (2) use on special occasions, (3) general use, (4) compensatory health beliefs. Fit indices (Goodness of Fit Index = 0.922) and Cronbach's alphas were good (α = 0.88). In multiple linear regression models, all CHMB subscales were associated with greater cognitive restraint in eating. Compensatory behavior use on special occasions was associated with greater weight concern (B = 0.12, p < .0001), while general compensatory behavior use was associated with lower weight concern (B = −0.07, p < .05). None of the subscales were associated with BMI. The validated CHMB scale allows for the assessment of compensatory health motivations and behaviors in a Canadian population. Research on whether this scale can predict weight changes and general health is needed.

Factors associated with health behaviors in preventing non-communicable diseases among older adults living alone in poverty in Japan.

Older adults who live alone in poverty are highly susceptible to non-communicable diseases and other adverse conditions owing to health disparities resulting from social structures. However, the factors associated with health behavior to prevent non-communicable diseases in this population are rarely explored. The purpose of this study was to identify factors associated with health behavior to prevent non-communicable diseases among older adults living alone in poverty. We conducted a self-administered mail survey covering 2,818 older adults living alone who were receiving public assistance, randomly selected from lists of individuals receiving national public assistance in all 1,250 local social welfare offices across Japan. A total of 1,608 individuals completed the questionnaire, a valid response rate of 57.1%. Respondents' mean age was 74.5 years (standard deviation = 6.7), and 52.9% were women. The study variables included demographic characteristics, scores on a health behavior scale for older adults living alone and receiving public assistance (HBSO), and individual and community-related factors. Logistic regression analysis revealed that the individual factor of having a health check-up in the past 12 months [odds ratio (OR): 1.45, 95% confidence interval (CI): 1.10-1.91] and the community-related factors Lubben social network scale score (OR 1.15, 95% CI: 1.12-1.18) and Community Commitment Scale score (OR: 1.04, 95% CI: 1.00-1.08) were significantly associated with HBSO scores. To improve health behavior among older adults living alone in poverty in Japan, social structures, such as lowering mental barriers to the detection, treatment, and management of non-communicable diseases and developing human resources, should be changed to provide social support, such that these individuals are not only dependent on family and friends.

The relationship between the nutritional literacy level and heart health attitudes of adolescents

PurposeIt was aimed to evaluate the effect of adolescents' nutritional literacy level on their heart health attitudes. MethodsThis is a descriptive and cross-sectional study. Data from 416 adolescents were obtained in the study. The Adolescent Nutrition Literacy Scale (ANLS) and the Cardiovascular Health Behavior Scale for Children (CHBSC) were completed by participants. The adolescents' demographic information, lifestyle, and diet habits were collected. The results were analyzed using descriptive statistics and multivariable regression. ResultsThe participants' mean scores of the ANLS and the CHBSC were as 68.30 ± 8.68 and 67.55 ± 8.45, respectively. It was determined that 88.7% of the adolescents had moderate attitudes towards heart health and that there was a weak and negative correlation between the ANLS and CHBSC scores (r = −0,207; p < 0.001). It was determined that there was a statistically significant difference in ANLS and CHBSC scores in terms of gender, Body Mass Index (BMI), fast food consumption frequency, what they primarily pay attention to in food, weekly exercise frequency, the amount of daily water consumption, general health status and reading the label of packaged products (p < 0.05). It was determined that exercising, general state of health, BMI, consumption of fast food, and reading the label of packaged products were key predictors of CHBSC scores. Additionally, exercising, consumption of fast food, and reading the label of packaged products were identified as key predictors of ANLS scores. ConclusionsOur analysis suggests that higher levels of nutritional literacy are related to more positive attitudes towards heart health in adolescents. Additionally, our analysis identifies key predictors of both nutrition literacy and heart health behaviors. Practice implicationsSchool health nurses should consider the variables influencing these parameters to improve attitudes towards nutritional literacy and heart health in adolescents.