CROSS-CULTURAL ADAPTATION, VALIDITY, AND RELIABILITY OF THE TURKISH VERSION OF HEALTH PROMOTING ACTIVITIES SCALE

Abstract

Purpose: The Health Promoting Activities Scale (HPAS) is a short scale designed to question activities that may be beneficial for the mental and physical health of the mother and to evaluate mothers in this sense. The aim of the study was to cross-culturally adapt the Turkish version of the Health Promoting Activities Scale (HPAS-T) and to assess its reliability and validity. Material and Methods: Eighty mothers of disabled children who received physiotherapy in a rehabilitation center were recruited in the study. HPAS-T was administered to mothers twice, one-week apart. Internal consistency of HPAS-T was assessed with Cronbach's alpha coefficient. Additionally, test-retest reliability was analyzed using intra-class correlation coefficient. Exploratory factor analysis was conducted to evaluate the construct validity. Besides, known-group validity in terms of body mass index was conducted to reveal the discriminant capacity of the HPAS-T. Results: The mean age of the mothers and their children was 37.4 +/- 6.3 years and 8.1 +/- 4.1 years, respectively. The internal consistency and reproducibility of the HPAS-T total score was excellent (alpha>0.80, ICC>0.80). SEM95 and MDC95 of the HPAS-T values were 0.58 and 1.61, respectively. HPAS-T, all items were loaded into a single component (0.470-0.833). According to the results of known-group validity model, the HPAS-T score of the mothers in the group whose children's body mass index was >= 18 was significantly lower (p<0.05). Conclusion: HPAS-T is a valid and reliable questionnaire in mothers of disabled children population. HPAS-T should be used to evaluate the level of participation in leisure occupations of mothers with developmentally disabled children.