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Updated: Feb 16, 2026

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Health protective behavior scale: Development and psychometric evaluation.

Weiwei Ping1,2, Wenjun Cao1, Hongzhuan Tan2

  • 1Department of Preventive Medicine, Changzhi Medical College, Changzhi, Shanxi, P. R. China.

Plos One
|January 9, 2018
PubMed
Summary
This summary is machine-generated.

Researchers developed the Health Protective Behavior Scale (HPBS) to measure health protective behaviors, addressing a gap in assessing these crucial aspects of a healthy lifestyle. The scale demonstrates strong validity and reliability for adult use.

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Area of Science:

  • Behavioral Science
  • Health Psychology
  • Psychometrics

Background:

  • A healthy lifestyle encompasses both health-promoting and health-protective behaviors.
  • Existing measures adequately profile health-promoting behaviors, but a gap exists for health-protective behaviors.
  • Developing a reliable and valid scale for health-protective behavior is essential for comprehensive lifestyle assessment.

Purpose of the Study:

  • To develop and validate a scale measuring health-protective behaviors in adults.
  • To address the lack of standardized instruments for assessing health-protective behaviors.

Main Methods:

  • An initial item pool was generated from literature and surveys, then refined by expert review.
  • Pilot testing was conducted, and items were screened based on variation, response rates, and psychometric properties.
  • The final Health Protective Behavior Scale (HPBS) was validated in a sample of 454 subjects using reliability and validity analyses.

Main Results:

  • The final HPBS consists of 32 items across five dimensions: interpersonal support, general behavior, self-knowledge, nutrition behavior, and health care.
  • The scale demonstrated high internal consistency (Cronbach's alpha = 0.89) and test-retest reliability (0.89).
  • Correlations between dimensions ranged from 0.28 to 0.55, and a moderate correlation (0.34) was found with the WHOQOL-BREF.

Conclusions:

  • The Health Protective Behavior Scale (HPBS) is a valid and reliable instrument.
  • HPBS can be effectively used to measure health-protective behaviors in adult populations.
  • This scale contributes to a more complete understanding of healthy lifestyle behaviors.