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Development of the Health Awareness and Behaviour Tool (HABiT): reliability and suitability for a Canadian older adult population
BACKGROUND: Determining the effectiveness of community-based health promotion and disease prevention programs requires an appropriate data collection tool. This study aimed to develop a comprehensive health questionnaire for older adults, called the HABiT, and evaluate its reliability, content valid...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6892189/ https://www.ncbi.nlm.nih.gov/pubmed/31801623 http://dx.doi.org/10.1186/s41043-019-0206-0 |
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author | Agarwal, Gina Pirrie, Melissa Angeles, Ricardo Marzanek, Francine Parascandalo, Jenna |
author_facet | Agarwal, Gina Pirrie, Melissa Angeles, Ricardo Marzanek, Francine Parascandalo, Jenna |
author_sort | Agarwal, Gina |
collection | PubMed |
description | BACKGROUND: Determining the effectiveness of community-based health promotion and disease prevention programs requires an appropriate data collection tool. This study aimed to develop a comprehensive health questionnaire for older adults, called the HABiT, and evaluate its reliability, content validity, and face validity in assessing individual health-related items (e.g., health status, healthcare utilization) and five specific scales: knowledge, current health behaviors (risk factors), health-related quality of life (HRQoL), perceived risk and understanding, and self-efficacy. METHODS: Iterative survey development and evaluation of its psychometric properties in a convenience sample of 28 older adults (≥ 55 years old), half from a low-income population. Following item generation, the questionnaire was assessed for content validity (expert panel), face validity (participant feedback), internal consistency of each scale (Cronbach’s alpha), and test-retest reliability for each item and scale (Pearson’s r and phi correlations, as appropriate). RESULTS: Questions were drawn from 15 sources, but primarily three surveys: Canadian Community Health Survey, Canadian Diabetes Risk Questionnaire (CANRISK), and a survey by the Canadian Hypertension Education Program. Expert consensus was attained for item inclusion and representation of the desired constructs. Participants completing the questionnaire deemed the questions to be clear and appropriate. Test-retest reliability for many individual items was moderate-to-high, with some exceptions for items that can reasonably change in a short period (e.g., perceived day-to-day stress). Of the five potential scales evaluated, two had acceptable internal consistency (Cronbach’s alpha ≥ 0.60) and a subset of one scale also had acceptable internal consistency. Test-retest reliability was high (correlation ≥ 0.80) for all scales and sub-scales. CONCLUSIONS: The HABiT is a reliable and suitable comprehensive tool with content and face validity that can be used to evaluate health promotion and chronic disease prevention programs in older adults, including low-income older adults. Some noted limitations are discussed. Data collected using this tool also provides a diabetes risk score, health literacy score, and quality-adjusted life years (QALYs) for economic analysis. |
format | Online Article Text |
id | pubmed-6892189 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-68921892019-12-11 Development of the Health Awareness and Behaviour Tool (HABiT): reliability and suitability for a Canadian older adult population Agarwal, Gina Pirrie, Melissa Angeles, Ricardo Marzanek, Francine Parascandalo, Jenna J Health Popul Nutr Research Article BACKGROUND: Determining the effectiveness of community-based health promotion and disease prevention programs requires an appropriate data collection tool. This study aimed to develop a comprehensive health questionnaire for older adults, called the HABiT, and evaluate its reliability, content validity, and face validity in assessing individual health-related items (e.g., health status, healthcare utilization) and five specific scales: knowledge, current health behaviors (risk factors), health-related quality of life (HRQoL), perceived risk and understanding, and self-efficacy. METHODS: Iterative survey development and evaluation of its psychometric properties in a convenience sample of 28 older adults (≥ 55 years old), half from a low-income population. Following item generation, the questionnaire was assessed for content validity (expert panel), face validity (participant feedback), internal consistency of each scale (Cronbach’s alpha), and test-retest reliability for each item and scale (Pearson’s r and phi correlations, as appropriate). RESULTS: Questions were drawn from 15 sources, but primarily three surveys: Canadian Community Health Survey, Canadian Diabetes Risk Questionnaire (CANRISK), and a survey by the Canadian Hypertension Education Program. Expert consensus was attained for item inclusion and representation of the desired constructs. Participants completing the questionnaire deemed the questions to be clear and appropriate. Test-retest reliability for many individual items was moderate-to-high, with some exceptions for items that can reasonably change in a short period (e.g., perceived day-to-day stress). Of the five potential scales evaluated, two had acceptable internal consistency (Cronbach’s alpha ≥ 0.60) and a subset of one scale also had acceptable internal consistency. Test-retest reliability was high (correlation ≥ 0.80) for all scales and sub-scales. CONCLUSIONS: The HABiT is a reliable and suitable comprehensive tool with content and face validity that can be used to evaluate health promotion and chronic disease prevention programs in older adults, including low-income older adults. Some noted limitations are discussed. Data collected using this tool also provides a diabetes risk score, health literacy score, and quality-adjusted life years (QALYs) for economic analysis. BioMed Central 2019-12-04 /pmc/articles/PMC6892189/ /pubmed/31801623 http://dx.doi.org/10.1186/s41043-019-0206-0 Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Agarwal, Gina Pirrie, Melissa Angeles, Ricardo Marzanek, Francine Parascandalo, Jenna Development of the Health Awareness and Behaviour Tool (HABiT): reliability and suitability for a Canadian older adult population |
title | Development of the Health Awareness and Behaviour Tool (HABiT): reliability and suitability for a Canadian older adult population |
title_full | Development of the Health Awareness and Behaviour Tool (HABiT): reliability and suitability for a Canadian older adult population |
title_fullStr | Development of the Health Awareness and Behaviour Tool (HABiT): reliability and suitability for a Canadian older adult population |
title_full_unstemmed | Development of the Health Awareness and Behaviour Tool (HABiT): reliability and suitability for a Canadian older adult population |
title_short | Development of the Health Awareness and Behaviour Tool (HABiT): reliability and suitability for a Canadian older adult population |
title_sort | development of the health awareness and behaviour tool (habit): reliability and suitability for a canadian older adult population |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6892189/ https://www.ncbi.nlm.nih.gov/pubmed/31801623 http://dx.doi.org/10.1186/s41043-019-0206-0 |
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