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

So Sin Sim; Helen M Bourke-Taylor; Mong-Lin Yu; Ellie Fossey; Loredana Tirlea

doi:10.5014/ajot.2022.049434

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

Am J Occup Ther. 2022 Nov 1;76(6):7606205080. doi: 10.5014/ajot.2022.049434.

Authors

So Sin Sim¹, Helen M Bourke-Taylor², Mong-Lin Yu³, Ellie Fossey⁴, Loredana Tirlea⁵

Affiliations

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.

PMID: 36548000
DOI: 10.5014/ajot.2022.049434

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.

MeSH terms

Child
Cross-Cultural Comparison*
East Asian People*
Female
Health Promotion
Humans
Mental Health
Psychometrics
Reproducibility of Results
Surveys and Questionnaires