Cross-Cultural Validation of the Chinese Version of the Health Promoting Activities Scale

Author:

Sim So Sin1,Bourke-Taylor Helen M.2,Yu Mong-lin3,Fossey Ellie4,Tirlea Loredana5

Affiliation:

1. So Sin Sim, MSocSc, BSc (OT), is Lecturer, Department of Occupational Therapy, School of Primary and Allied Health Care, Monash University, Frankston, Victoria, Australia; sosin.sim@monash.edu

2. Helen M. Bourke-Taylor, PhD, MSc (OT), is Associate Professor, Department of Occupational Therapy, School of Primary and Allied Health Care, Monash University, Frankston, Victoria, Australia.

3. Mong-lin Yu, PhD, MOT, BSc (OT), is Senior Lecturer, Department of Occupational Therapy, School of Primary and Allied Health Care, Monash University, Frankston, Victoria, Australia.

4. Ellie Fossey, PhD, MSc (Health Psychol), DipCOT (UK), is Professor, Department of Occupational Therapy, School of Primary and Allied Health Care, Monash University, Frankston, Victoria, Australia.

5. Loredana Tirlea, PhD, BSocSc (Psychology), is Lecturer, Department of Health Sciences and Biostatistics, School of Health Science, Swinburne University of Technology, Hawthorn, Victoria, Australia.

Abstract

Abstract Importance: The Health Promoting Activities Scale (HPAS) measures the frequency of participation in health-promoting activities of mothers of children with disabilities. Translation of the HPAS into Chinese and validation of the Chinese version will enable its use with Chinese-speaking mothers of children with disabilities. Objective: To translate the HPAS into Chinese and assess its construct validity in relation to measures of well-being, mental health, and activity satisfaction. Design: Cross-cultural validation. Setting: Community. Participants: Eight bilingual Chinese speakers were involved in the translation. Ethnic Chinese mothers of children with disabilities living in Australia, Singapore, or Taiwan (N = 89) were recruited via purposive snowball sampling. Participants self-selected to complete the Chinese e-survey. Outcomes and Measures: Translation was guided by recommended frameworks. The Chinese versions of the Warwick–Edinburgh Mental Well-being Scale (WEMWS), Personal Well-being Index (PWI), and Kessler Psychological Distress Scale–10 (K10) were used to determine construct validity. Internal reliability was investigated. Results: The Chinese version of the HPAS correlated significantly with satisfaction ratings (r = .45, p < .001; n = 87), WEMWS Total score (r = .61, p < .001; n = 85), PWI mean score (r = .44, p < .001; n = 84), and K10 total score (r = −.33, p = .002; n = 81). Internal reliability was moderate (Cronbach’s α = .74). Conclusions and Relevance: The Chinese version of the HPAS was found to be cross-culturally equivalent to the original HPAS and psychometrically sound for use with Chinese-speaking mothers of children with disabilities. What This Article Adds: This study provides an example of the cross-cultural validation process. The Chinese version of the HPAS is psychometrically sound and could be used as an outcome measure of Chinese mothers’ participation in health-promoting activities.

Publisher

AOTA Press

Subject

Occupational Therapy

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