Health-Promoting Lifestyle Profile Research Articles

Development of the “Construction of aging strategies” questionnaire

The work describes the development and psychometric evaluation of a tool aimed at assessing the strategies used to promote successful aging. In the context of increasing life expectancy and the number of older people in the general population, the issue of maintaining and improving the quality of life of older people is particularly acute. Science has accumulated a large amount of data on the mechanisms and factors influencing aging. Moreover, these factors can be modeled by the person himself. However, there are no tools that would allow us to assess these mechanisms and the frequency of their use in a one’s life, both current and retrospectively. The study participants included 170 adults aged 40–75 years. Based on theoretical analysis, 22 strategies were formulated, each of which was assessed on a 5-point scale. To check the convergent validity, the Health-Promoting Lifestyle Profile questionnaire, the K.Riff Psychological Well-Being Scale, the Aging Perception Questionnaire, and questions from a demographic survey were used. As a result of exploratory factor analysis, four scales were identified: “Strategies for maintaining health”, “Metacognitive strategies”, “Strategies for self-development” and “Generative strategies”. Scale reliability and confirmatory analysis confirmed the suitability of the resulting instrument as well as its consistency with the empirical data. Analysis of convergent validity showed that the selected scales were associated with indicators of a healthy lifestyle, psychological well-being, positive ideas about aging and the desire to change something in one’s life for the sake of a prosperous old age. The results obtained can be used both for scientific study of the mechanisms of futurization of aging, and for practical work on assessing resources for the formation of aging and building individual aging trajectories.

Adaptation of the Russian version of the Aging Perceptions Questionnaire (APQ)

The work is devoted to the adaptation of the “Perception of Aging” questionnaire based on the English-language Aging Perceptions Questionnaire (APQ). Modern scientific knowledge has a significant amount of data in the field of psychology of aging, interest in which does not fade, and the aging process is studied from various angles. Researchers more often turn to the problem of constructing a productive old age, the planning of which is recommended to begin at earlier stages of life. The results of modern research indicate that a positive perception of aging is a predictor of quality of life in old age and contributes to various aspects of health in old age. In this regard, the question arises about psychodiagnostic tools that allow us to identify the specifics of the perception of aging. Even though that there are currently studies on this problem, there is no version of the questionnaire that will allow assessing the perception of aging in a Russian sample. This study examined the reliability and construct validity of the English version of the APQ Perceptions of Aging Questionnaire. The study involved 229 people aged 29 to 68 years. Reliability was assessed by calculating Cronbach’s α and showed internal consistency both for the entire questionnaire and across gender groups. To test the convergent validity, the Health-Promoting Lifestyle Profile questionnaire, the K. Riff Psychological Well- Being Scale, the Australian Healthy Aging Questionnaire, and the Positive Affect and Negative Affect Scales were used. As a result of exploratory factor analysis, six scales were identified: “Consequences negative”, “Control positive”, “Emotional representation” and “Unstable image of old age” (Timeline (cyclical)), “Consequences positive”, “Control negative”. Analysis of convergent validity showed the connection of the selected scales with indicators of psychological and physical health. The Perceptions of Aging Questionnaire is a simple and flexible method for assessing the image of aging.

The Relationship between a Health-Promoting Lifestyle and Sickness Absence in a Healthcare Company

Introduction The health and wellbeing of healthcare workers is important. This study aims to determine if associations exist between the health promoting behaviour and sickness absence of people employed in a Middle-Eastern healthcare company over a 12 month period. Method A cross-sectional survey was sent to all employees (n=233); it measured sickness absence in spells and days and, ‘health promoting behaviour’ by use of the Health Promoting Lifestyle Profile II (HPLP II) which measured six subscales: Spiritual Growth, Interpersonal Relations, Nutrition, Physical Activity, Health Responsibility and Stress Management. Results The odds of high spells of sickness absence were 5 times greater in people with poor rather than good health promoting scores, after a post-hoc analysis (OR 5.3, p=0.0039, CI 1.7 to 16.6). Men had better physical activity scores than women (p<0.05). Job role was associated with sickness absence (p=0.003 for spells, 0.005 for days), with administrative staff having higher rates of sickness absence than clinical staff. Conclusion The results suggest that no specific health promoting behaviour was associated with sickness absence in this setting. However, the overall effect shows that higher HPLP II scores are correlated with lower sickness absence. Sickness absence may also be associated with job role.

Nursing students’ awareness of health-promoting lifestyle profile and sustainable development goals – a quasi-experimental study

Introduction and aim. Health promotion is one of the common elements of sustainable development goals. The aim of this study was to identify the impact of “Healthy Life and Environment” course on nursing student’s awareness of sustainable development and healthy life, and health-promoting lifestyle behaviours. Material and methods. A pre-, and post-test control group quasi-experimental research design was used. One nursing department located in Nortwest Blacksea region, Turkey. A total of 160 nursing students pursuing bachelor nursing programs. Students from first and second years who enrolled in the “Healthy Life and Environment” course assigned to intervention group, those who did not attend the course assigned to control group. Results. Female students had higher level of HPLP II and SDA than male. SDA had a weak correlation with HLA and a very week correlation with HPLP II at baseline. Intervention group had an improvement of .03 points in HPLP II, no change in HLA, and a slight improvement of .01 points in SDA, however these differences were not statistically important. Conclusion. The results of our study highlighted that nursing curricula need to be modified to incorporate sustainable development methodology using student-centered learning.

ADVERSE CHILDHOOD EXPERIENCES AS A PREDICTOR OF HEALTH BEHAVIORS IN WOMEN

Abstract Individuals who experience adversity during childhood are at a higher risk of negative health outcomes in adulthood. This study aims to identify whether adverse childhood experiences (ACEs) influence health lifestyles throughout adulthood. This was accomplished by collecting data from 233 women aged 18-25 and 65-85 who reported either no ACEs or three or more ACEs. Demographic indicators, the 10-item ACEs questionnaire (Felitti et al., 1998), and the Health Promoting Lifestyle Profile (HPLP-II; Walker, Sechrist, & Pender, 1987) were examined. ACEs were categorized into three variables: abuse, neglect, and household dysfunction. The HPLP-II was categorized by its six subscales: health responsibility, nutrition, spiritual growth, physical activity, stress management, and interpersonal relations. When comparing the ACEs and no ACEs groups, t-tests revealed significantly different scores for overall HPLP-II and the six subcategories showing that individuals without ACEs have higher scores on health behaviors. A structural equation model was calculated using the three ACE categories and six health domains. Substantial differences were observed in the variance captured for each of the six health behavior measures. Findings indicate that abuse significantly predicts physical activity, stress management, and spiritual growth (β=-.21, -.23, -.20); neglect significantly predicts interpersonal relationships and spiritual growth (β=-.17, -.18); and household dysfunction significantly predicts health responsibility, nutrition, stress management, and interpersonal relations (β=-.20, -.22, -.10, -.17). The present investigation extends research in displaying that ACEs play a significant role in future health behaviors, with household dysfunction being the greatest predictor.

Effect of mobile-assisted education on health promoting lifestyle and blood sugar of women with gestational diabetes: a randomised controlled trial

BackgroundThe gestational diabetes causes complications for the mother and the baby.MethodsIt was a randomised controlled trial that was conducted in Public Health Center No 1 in Baghmalek, Khuzestan province, Iran....

Healthy lifestyle as a way to manage health risks: Components and factors. Analytical review

Healthy lifestyle promotion is a strategic task within health protection and healthcare worldwide. A prevailing contribution made by non-communicable diseases into premature death and a decrease in life expectancy makes it necessary to search for effective prevention and technologies able to persuade people to adhere to health protection behavior. The review concentrates on approaches to defining, structuring and empirical study of persuasive design of healthy lifestyle. Substantiation is provided for including physical, mental and social health protection into healthy lifestyle. The review also discusses a possibility to use the Health-Promoting Lifestyle Profile (HPLP II) scale to analyze health behavior, including Asian countries. Structural components of healthy lifestyle are identified on the basis of the HPLP II scale. Additionally, several mainstream health behavior theories and models have been selected and analyzed, which explain people’s health behavior. They provide a theoretical basis for exploring influential factors of a healthy lifestyle. Contributions made by sociodemographic and cognitive factors have also been outlines and substantiation has been provided for the necessity to consider such factors as self-efficacy and subjective health perception when developing individual prevention. This research holds valuable reference and guiding significance for the design and implementation of strategies aimed at influencing people's healthy lifestyles in related fields.

Здоровый образ жизни как средство управления рисками для здоровья: компоненты и факторы. Аналитический обзор

Healthy lifestyle promotion is a strategic task within health protection and healthcare worldwide. A prevailing contribution made by non-communicable diseases into premature death and a decrease in life expectancy makes it necessary to search for effective prevention and technologies able to persuade people to adhere to health protection behavior. The review concentrates on approaches to defining, structuring and empirical study of persuasive design of healthy lifestyle. Substantiation is provided for including physical, mental and social health protection into healthy lifestyle. The review also discusses a possibility to use the Health-Promoting Lifestyle Profile (HPLP II) scale to analyze health behavior, including Asian countries. Structural components of healthy lifestyle are identified on the basis of the HPLP II scale. Additionally, several mainstream health behavior theories and models have been selected and analyzed, which explain people’s health behavior. They provide a theoretical basis for exploring influential factors of a healthy lifestyle. Contributions made by sociodemographic and cognitive factors have also been outlines and substantiation has been provided for the necessity to consider such factors as self-efficacy and subjective health perception when developing individual prevention. This research holds valuable reference and guiding significance for the design and implementation of strategies aimed at influencing people's healthy lifestyles in related fields.

The mediation of health-promoting lifestyle on self-perceived health status and quality of life among nurses: a cross-sectional study

BackgroundNurses with busy workloads lack the time to maintain health, leading to a decline in physical and mental health and quality of life. It is widely accepted that self-perception of health triggers health-promoting behaviors and impacts the quality of life; however, the relationship between these factors among nurses is unclear. The purpose of this study was to investigate the ability of a health-promoting lifestyle to mediate the relationship between self-perceived health and quality of life among nurses.MethodsA cross-sectional survey was conducted in four regional Taiwanese teaching hospitals with over 500 beds. The survey used stratified random sampling of 600 nurses who had worked for more than six months. The Self-Perceived Health Questionnaire, the Health-Promoting Lifestyle Profile, and the World Health Organization Quality of Life Scale were used to measure nurses’ self-perceived health (SPH), health-promoting lifestyle (HPL), and quality of life (QoL). A Hayes PROCESS analysis and bootstrapping method were used for the mediation analysis.ResultsA total of 518 nurses’ data was included in the analysis. Nurses perceived their health status as less favorable than their colleagues, but frequently adopted health promotion behaviors. Nurses reported a moderate QoL. QoL and SPH were correlated (r = .33) and a high correlation between QoL and HPL (r = .64) was found. SPH and HPL both affect QoL (B = 0.077 and 0.070). SPH and HPL explained 42.6% of the variation in QoL. HPL played a partial mediation role.ConclusionsThe study confirmed that HPL has an important role in mediating nurses’ SPH and QoL. Nurse administrators are advised to encourage nurses to monitor their health status and provide health promotion mechanisms to improve their quality of life.

Assessment of health literacy in patients with polycystic ovary syndrome and its relationship with health behaviours: a cross-sectional study

ObjectiveHealthy behaviours are important for people with polycystic ovary syndrome (PCOS). However, adopting and maintaining lifestyle changes involves a complex set of behavioural changes, which most patients fail to adhere...

The Effectiveness of a Health Promotion Program Based on Pender's Health Promotion Model (HPM) for Students with Chronic Illnesses

Background: Nursing students often struggle to maintain their health due to the rigorous demands of their curriculum, which frequently involves long hours of clinical work and exposure to stressful environments. Objective: This research study sought to investigate the effectiveness of a health promotion program based on Pender's Health Promotion Model (HPM) for nursing students with chronic illnesses. Methods: The study utilized a quasi-experimental design, including 105 nursing students from several institutions—55 participants belonging to an experimental group and 50 in the control group. To determine the students' quality of well-being prior- and post-treatment/phases, researchers monitored their health behaviors utilizing the Health-Promoting Lifestyle Profile II (HPLP-II) survey tool. The program included educational activities designed around coping with chronic diseases such as nutritional counseling or exercise planning also practical tools like stress management protocols/particulars along with peer support constructs/frameworks as key components in addressing adverse effects associated with such conditions. Results: Based on the results of the paired t-tests, a significant increase in HPLP-II scores was identified after the intervention in those assigned to the experimental group. Furthermore, an independent t-test highlighted that a significant difference existed between the average HPLP-II score for experimental and control groups. Discussion: These findings were scrutinized within Pender's Health Promotion Model framework to identify which aspects of the intervention contributed most efficiently to improved health behaviors and resultant outcomes. Conclusion: This research study established compelling evidence which supports the utilization of Pender's Health Promotion Model in improving health-promoting behaviors among nursing learners with chronic ailments. This finding could help nursing educators and healthcare professionals to outline interventions for this particular demographic group.

Intervention fo Effective Development od Self-Care in Heralth Students: a Scoping Review

Self-care is a central element in the training of health students. The lack of effective strategies to develop it is associated with a 50% prevalence of burnout in this population. Identify and analyze effective strategies for self-care assessment and intervention in health students. We developed a systematized scoping review using standardized methods to assess quality using the Scale for the Assessment of Narrative Review Articles. The Critical Appraisal Skills Programme was used for the thematic analysis. Four sources of information were explored including Pubmed, Google Scholar, Epistemónikos and Lilacs as well as gray literature. Two independent reviewers reviewed each publication and one expert defined controversies. A total of 1682 articles were identified, of which 33 were selected. The average quality of the reviewed articles was 13 points [6-14]. The thematic analysis identified two groups. First, self-care assessment studies (N = 12) highlighting the World Health Organization Quality-of-Life Scale (WHOQOL-BREF) and the Health Promoting Lifestyle Profile II (HPLP-II); and second effective intervention study highlighting four strategies: mindfulness (N = 14); group interventions (N = 8); mentoring (N = 2); and curricular interventions (N = 4). There are a variety of effective strategies to assess and promote self-care in health students. The studies we found stand out for being of good quality and applicable to the different study plans.

Relationship of Health Literacy and Social Support with Health-Promoting Behaviors in Women with Breast Cancer: Mediating Role of Cancer Self-Efficacy

Background: Women diagnosed with breast cancer experience high levels of psychological disorders ranging from depression, anxiety, maladjustment to the disease, and decreased self-confidence to different emotional disturbances and fears of recurrence and mortality. The present study aimed to investigate the mediating role of cancer self-efficacy in the relationship between health literacy and social support with health-promoting behaviors in women with breast cancer.
 Methods: In this descriptive-correlational study, the convenience sampling method was employed to select 282 women diagnosed with breast cancer in Ahvaz, Khuzestan Province (Iran) in 2021. The participants were asked to answer the Health-Promoting Lifestyle Profile II (HPLP-II), Iranian Health Literacy Questionnaire, Social Support Survey, and Cancer Behavior Inventory. Path analysis was adopted to analyze data in AMOS software.
 Results: The results revealed there was a significant relationship between perceived social support with health-promoting behaviors (P=0.004) and cancer self-efficacy (P=0.001) in women with breast cancer. There was a significant relationship between health literacy and cancer self-efficacy in women. According to the results, the mediating role of cancer self-efficacy in the relationship between perceived social support and health literacy with health-promoting behaviors was found to be significant in women with breast cancer (P=0.001).
 Conclusion: Accordingly, the research model had a desirable fit. The findings of this research showed the effective role of cancer self-efficacy in the outcome of social support and health literacy to increase health-promoting behaviors in women with breast cancer.

Effectiveness of Mindfulness-Based Counseling on the Health Promoting Lifestyle in Iranian Middle-Aged Women: An Experimental Study

Background: Various psychological, social, and biological factors affect the lifestyles of middle-aged women, and unhealthy lifestyles are primary concerns, according to the World Health Organization. Mindfulness counseling has emerged as a widely used approach to modifying and improving lifestyles. Objectives: This study assessed the effectiveness of mindfulness-based counseling on the health-promoting lifestyle in Iranian middle-aged women. Methods: An experimental study was conducted with a pretest-posttest design and a control group involving 48 middle-aged women who were referred to Comprehensive Health Services Center No. 1 in Lordegan, Iran. The study was initiated in October 2020 and finished in February 2021. The first step was to recruit women through convenience sampling and then randomly assign them to the intervention (n = 24) and control (n = 24) groups. The intervention group received mindfulness counseling from a trained midwife once a week for 8 weeks. Walker's health-promoting lifestyle profile II (HPLP II) was completed at the beginning of the study and 4 weeks after the intervention. Independent and paired t-tests, chi-square, and Fisher's exact tests were used for data analysis in SPSS v. 24. Statistical significance was attributed to a P-value of less than 0.05. Results: Before any intervention, no notable difference was detected in the average health promotion lifestyle in the intervention (113.04 ± 24.05) and control (109.41 ± 15.68) groups (P = 0.539) and the dimensions of both groups (P > 0.05). However, the intervention group showed a significantly higher mean (151.66 ± 14.01) for the health-promoting lifestyle than the control group (107.75 ± 12.27) following the counseling sessions (P < 0.001). Conclusions: Enhancing the health-promoting lifestyle and, subsequently, the quality of life of middle-aged women can be achieved through mindfulness counseling. Therefore, the administration of group counseling incorporating mindfulness techniques is recommended for this population.

Health-promoting lifestyle and life satisfaction in full-time employed adults with congenital heart disease: grit as a mediator.

Enhancing life satisfaction is vital for adults with congenital heart disease (ACHD). Life satisfaction potentially correlates with a health-promoting lifestyle and grit. However, the mediating role of grit-a trait marked by perseverance and long-term goal-oriented passion-between a health-promoting lifestyle and life satisfaction in ACHD remains unverified. This study aimed to examine the relationships between health-promoting lifestyle, grit, and life satisfaction in full-time employed ACHD and to confirm the mediating role of grit. A total of 181 full-time employed ACHD aged 20-59 years with patient-reported New York Heart Association class I-IV were recruited from two medical centers in northern Taiwan. Participants completed questionnaires, including the short version of the Chinese Health-Promoting Lifestyle Profile scale, Grit-10 scale, and Satisfaction with Life Scale between February and December 2022. Data analysis employed the Hayes PROCESS macro. Health-promoting lifestyle, grit, and life satisfaction were discovered to be positively correlated. Overall grit score was a partial mediator between a health-promoting lifestyle and life satisfaction, accounting for 20% of the total variation. Of the grit domains, perseverance served as a partial mediator between a health-promoting lifestyle and life satisfaction, accounting for 32% of the total variation, whereas passion had a nonsignificant mediation effect. A health-promoting lifestyle boosts ACHD individuals' life satisfaction through grit, particularly perseverance. Integrating grit into such a lifestyle could benefit from comprehending support systems and influential factors aiding grit development for enhanced life satisfaction.

Assessment of Health-promoting Behaviors and Influential Factors in Undergraduate Students in Saudi Arabian Governmental Universities

Background: The identification of health-promoting behaviors is crucial for improving students' overall well-being. A total of 542 undergraduate students from five Saudi Arabian governmental universities were evaluated to assess health-promoting behaviors and explore the factors that influence these behaviors. Methods: A descriptive cross-sectional design with a convenience sampling technique was employed to select 542 undergraduate students. A scale of health-promoting lifestyle profile II (HPLP II) and sociodemographic factors were used to assess undergraduate students' healthy behaviors. Healthy behaviors of students were measured on a Likert scale of 1 to 4, with 1 being "never" and 4 being "always." Higher scores would indicate that a student engages in more health-promoting behaviors. Results: Undergraduate students had moderate scores (M = 123) for health-promoting behaviors. Among the subscales of HPLP II, spiritual growth displayed the highest mean score (2.79 ± 0.61), while physical activity had the lowest (1.82 ± 0.35). Multiple linear regression showed significant fit (F = 8.57, p ˂ .01) and explained 6% of the variance in health-promoting behaviors. Family income, academic Grade point average (GPA), and smoking status were found to be significantly associated with health-promoting behaviors. The results suggest that students with low income (β = -0.10, p ˂ .05) were more likely to have lower health-promoting behaviors, while students with higher GPAs (β = 0.09, p ˂ .05) and non-smokers (β = 0.10, p ˂ .05) were more likely to have higher health-promoting behaviors. Conclusion: The study emphasizes the significance of enhancing behaviors that promote health in undergraduate students, especially in the dimensions of physical activity, coping with stress, and dietary habits.

Development and psychometric properties of Health-Promoting Lifestyle Scale in Colorectal Cancer Survivors (HPLS-CRCS): a mixed-method study

BackgroundDetecting a health-promoting lifestyle in colorectal cancer (CRC) survivors is of paramount importance to manage disease complications, prevent their recurrence, and enhance survival; however, no specialized tool has yet been provided to measure the lifestyle of these patients. Accordingly, this study aimed to develop and determine the psychometric properties of the Health-Promoting Lifestyle Scale in CRC Survivors (HPLS-CRCS).MethodsThis study was a mixed study with an exploratory sequential design in two phases. Concept analysis was performed in the first phase according to Schwartz-Barcott and Kim’s (2000) hybrid model to explain the concept, identify dimensions, and generate items. In the second phase, psychometrics including validity (face, content, and construct) and reliability (internal consistency and stability) were determined. Responsiveness, interpretability, ease of use, item weighting, and scale scoring were also determined.ResultsAfter explaining the concept, an initial scale encompassing 211 items was developed, content and item analyses were conducted, and the items decreased to 89 items after the face validity assessment. For construct validity, confirmatory factor analysis (CFA) was conducted with a sample size of 500 survivors, and convergent validity was performed for the Persian version of the Health-Promoting Lifestyle Profile II (HPLP-II). Accordingly, 80 items were classified into six factors: activity and rest, spiritual growth, health responsibility, nutrition, interpersonal relationships, and psychological management, with RMSEA = 0.055, χ2/df = 2.484, and χ2 = 6816.516. The reliability of the scale was confirmed, Cronbach’s alpha was between 0.865 and 0.928, and the intraclass correlation coefficient (ICC), the standard error of measurement (SEM), the minimal important change (MIC), and the smallest detectable change (SDC) were 0.896, 3.36, 13.86, and 19.87, respectively.ConclusionThe HPLS-CRCS consists of 80 items in six dimensions and is a valid and reliable scale for evaluating the health-promoting lifestyle in CRC survivors. Using this scale to evaluate the healthy lifestyle in these survivors can lead healthcare providers to detect deficiencies and plan the lifestyle of CRC survivors during the post-treatment period.

Stroke Risk, Practice and Health Promotion Guidance among Geriatric Patients: Randomized Control Trail

Background: Stroke is one of the world’s chief reasons of death and infirmity among geriatric. Objective: The research at hand analyzed the association among the rFSRP and health promotion lifestyle and practice about stroke prevention among geriatric patients. Design: A randomized controlled experimental study was used in this study. This study included 85 study and 85 control participants. Methods: Participants were randomly selected and provided with an educational intervention on health-promoting lifestyle behaviors. Data were collected via Tool (I): demographic and clinical data of geriatric patients, Tool (II): Revised Framingham Stroke Risk Profile (R- FSRP) Tool (III): geriatric patients’ practices about stroke prevention, and Tool IV: Health Promoting Lifestyle Profile II (HPLP II) pre, and three months after the program intervention. Results: The data analysis revealed noteworthy dissimilarities between the experimental and control groups, which were deemed statistically significant and pre and follow - up intervention regarding (R- FSRP), practice and health promotion (p < 0.05.). Conclusion:The study concluded that the intervention program had a positive effect on stroke risk, practices and health promotion lifestyle.

Urdu Translation and the Validation of a 14-Item Measure to Assess Stress Management Skills in Healthcare Workers: Measurement Invariance Across Gender

This study aims to conduct an Urdu translation and a validation of the ISBF Stress Management Skills Scale in two distinct phases. The first phase includes the forward-back translation method for ISBF. The second phase includes cross validation and the establishment of psychometric properties for the ISBF scale. A sample of 500 adults working in health care was taken from different hospitals and dispensaries. The first phase of the study includes the forward-back translation method. The second phase includes exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) with invariance measurement. The total reliability of the scale is reported to be .812. EFA revealed a two-factor structure for ISBF scale, with configural, metric and scalar invariance across males and females, and comparable latent mean scores for males and females. CFA showed goodness-of fit indices for the two factors. The scale showed good internal consistency values. The model fit value includes the value for the goodness of fit index, which was .979, for the adjusted goodness-of fit index: .961, for the comparative fit index: .993, for the incremental fit index: .993, and for the root mean square error of approximation (RMSEA) value: .033. Good values of composite reliability and convergent validity were measured for both dimensions of the scale. The scale shows that this diagnostic tool can help to assess the skills used to manage stress. For criterion validity, the coping Inventory for Stressful Situations (CISS-21) was used, which showed positive correlations. The subscale of stress management was taken from the Health Promoting Life Style Profile II (HPLP-II), which also showed positive correlations. Significant mean differences were found between scores of healthcare workers with stress management skills and with those without stress management skills. The group of mean differences indicated the females have greater stress management skills as compared to men. The Urdu translated and validated instrument will be helpful in understanding behavior in healthcare settings.

Relationship Between eHealth Literacy and Healthy Aging in Older Chinese People: The Mediating Effect of Health Behaviors

ObjectivesHealthy aging is an important means of promoting the well-being of older individuals. However, no studies have examined the relationship between eHealth literacy and healthy aging or its mechanism. Therefore, this study aimed to examine the relationship between eHealth literacy and healthy aging and the mediating effect of health behaviors in older Chinese individuals. DesignCross-sectional study. Setting and ParticipantsWe recruited 2144 older individuals from Jinan, Shandong Province, China. MethodsWe used the eHealth Literacy Scale to assess eHealth literacy. Healthy aging was evaluated based on multimorbidity, functional limitations, mild cognitive impairment, depressive symptoms, and social isolation. Moreover, health behaviors were assessed using the Health-Promoting Lifestyle Profile. Logistic and linear regression models were used to analyze the relationships between eHealth literacy, healthy aging, and its components. Finally, a structural equation model was used to analyze the mediation. ResultsHigh eHealth literacy was associated with all healthy aging components (P < .05), including the absence of multimorbidity [odds ratio (OR), 1.014; 95% CI, 1.002–1.025], no functional limitation (OR, 1.035; 95% CI, 1.022–1.047), no mild cognitive impairment (OR, 1.042; 95% CI, 1.024–1.061), no depressive symptoms (OR, 1.049; 95% CI, 1.027–1.072), and no social isolation (OR, 1.033; 95% CI, 1.018–1.048). In the adjusted model, eHealth literacy (β = 0.174; 95% CI, 0.132–0.217) was positively correlated with healthy aging. Health behaviors had a partial mediating effect on the relationship between eHealth literacy and healthy aging. Conclusions and ImplicationsHigher eHealth literacy was associated with better healthy aging in older Chinese individuals, and health behaviors mediated this relationship. Improving eHealth literacy may be an effective intervention for achieving healthy aging.