Test-retest reliability of selected HBSC items in Vietnam: well-being, physical and sedentary activities, and eating behaviours

BMC Med Res Methodol. 2022 May 12;22(1):135. doi: 10.1186/s12874-022-01624-7.

Abstract

Background: Valid and reliable research tools to assess children's and adolescent's health-related behaviour are highly needed across the globe. Rapid economic development, globalization, and associated lifestyle challenges observed in most countries support the need for high-quality evidence in adolescents to target health-promoting policies and interventions. This study aims to examine the test-retest reliability of selected well-being, physical and screen-time related siting activities, and eating behaviour items of the Health Behaviour in School-Aged Children (HBSC) questionnaire in a sample of Vietnamese adolescents.

Methods: Data were collected in autumn 2018 in Vietnam (3-week interval). The sample consisted of 410 adolescents (41.0% of boys; mean age = 12.61; SD = 1.24).Test-retest reliability was evaluated using the single measure Intraclass Correlation Coefficients (ICC) and Cohen's kappa statistic stratified by sex, grade and place of residence (urban or rural).

Results: The reliability analyses of the well-being items were poor to good ICC values (0.43-0.79) and moderate to large Cohen's kappa values (0.33-0.77). The physical activity and eating behaviour items were moderate (ICC = 0.54-0.65; Cohen's kappa = 0.38-0.57). The screen-time related siting activities items were moderate to large (ICC = 0.51-0.72; Cohen's kappa = 0.42-0.53). There was more item stability among females than males. The social media item was not as stable for 6th graders (ICC = 0.45) compared with older adolescents (ICC 0.68-0.77).

Conclusions: The findings show that with regards to age, sex and place of residence, self-reported health, life satisfaction, physical and screen-time related siting activities, as well as eating behaviour items of the HBSC questionnaire have a sufficient test-retest reliability to be used in national self-report surveys for Vietnamese adolescents while health complaints items showed borderline reliability.

Keywords: Adolescent’s; HBSC; Measures; Screen-time; Surveys.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adolescent Behavior*
  • Child
  • Feeding Behavior
  • Female
  • Health Behavior
  • Humans
  • Male
  • Reproducibility of Results
  • Surveys and Questionnaires
  • Vietnam