title: Promoting healthy lifestyles with aging: development and validation of the Health Enhancement Lifestyle Profile (HELP) using the Rasch measurement model.
abstract: This study was conducted to develop and validate the Health Enhancement Lifestyle Profile (HELP), a self-report measure for examining various aspects of health-related lifestyle in older adults. Data derived from 253 community-dwelling older adults were analyzed through the Rasch measurement model. Unidimensionality and data-model fit of HELP were largely supported through the analyses of principal components of residuals, fit statistics, local dependency, and differential item functioning. The item hierarchy formed through logits provided an expected pattern of healthy lifestyle behaviors. Acceptable to good person separation and reliability statistics supported the clinical applicability and consistency of the HELP scores. Finally, analysis of the rating scale structure confirmed the functioning of the 0- to 5-point rating scale used. HELP can assist in monitoring lifestyle risk factors and measuring the outcome of services aimed at promoting healthy lifestyles among older adults.
authors.affiliation: Department of Occupational Therapy, California State University-Dominguez Hills, 1000 East Victoria Street, Carson, CA 90747, USA. ehwang@csudh.edu
authors.forename: Jengliang Eric
authors.initials: JE
authors.lastname: Hwang
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006293:Health Promotion; D006801:Humans; D007899:Leisure Activities; D008019:Life Style; D008297:Male; D008875:Middle Aged; D015233:Models, Statistical; D009788:Occupational Therapy; D025341:Principal Component Analysis; D011594:Psychometrics