title: Reliability and Validity of Kurdish Language Version of Health Promoting Lifestyle Profile II among Kurdish Healthcare Providers Kurdish Version of HPLP-II.
abstract: BACKGROUND
  Unhealthy lifestyles pose significant threat to public health. This study aimed to assess the validity and reliability of a Kurdish version of the HPLP-II instrument among Kurdish healthcare providers, whose society and culture differ from that of North America and Spain, where the instrument was developed.
  
  
  METHODS
  The instrument was translated into Kurdish, back translated, and pilot tested to ascertain cultural sensitivity. It was then evaluated using a convenience sample of 460 healthcare providers in the Kurdistan region, northern Iraq using a principal components factor analysis.
  
  
  RESULTS
  The order of factors was entirely identical to those isolated previously during the psychometric assessment of the English language version. The majority of our study participants were male (55%). In addition, 39.2% of participants were nurses. In addition, 42% of participants had less than five years of working experience. Furthermore, 82.1% of our study population held a high school diploma. The mean (SE) of Physical Activities dimension was low (15.3 ± 4.8) compared to Spiritual Growth dimension (24.5 ± 4.4). Moreover, the Cronbach's alpha coefficient for the overall HPLP-II questionnaire was 0.870; however, the nutrition dimension was low (0.622) compared to Physical Activities dimension (0.792). Furthermore, the correlation between items ranged from 0.099 to 0.611.
  
  
  CONCLUSIONS
  The Kurdish version of the HPLP-II demonstrated initial reliability and validity. It is a precious tool to evaluate and assess lifestyle and lifestyle interventions built to improve the health of Kurds.
authors.affiliation: Department of Health Education and Promotion, School of Public Health, International Campus, Tehran University of Medical Sciences, Tehran, Iran.
authors.forename: Aram Salih Mohammed Amin
authors.initials: AS
authors.lastname: Kamali
authors.affiliation: Department of Health Education and Promotion, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
authors.forename: Roya
authors.initials: R
authors.lastname: Sadeghi
authors.affiliation: Department of Health Education and Promotion, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
authors.forename: Azar
authors.initials: A
authors.lastname: Tol
authors.affiliation: Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
authors.forename: Mahdi
authors.initials: M
authors.lastname: Yaseri
mesh_terms: D000328:Adult; D054521:Cultural Competency; D000072001:Diet, Healthy; D015444:Exercise; D005163:Factor Analysis, Statistical; D005260:Female; D006282:Health Personnel; D006293:Health Promotion; D000070497:Healthy Lifestyle; D006801:Humans; D007493:Iraq; D008297:Male; D008875:Middle Aged; D025341:Principal Component Analysis; D011594:Psychometrics; D015203:Reproducibility of Results; D029181:Spirituality; D011795:Surveys and Questionnaires; D014177:Translations