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Adaptation and Validation of the Chinese Health Activation Scale for School-Aged Children: A School-Based Tool for
Chunxia Liao1, Chunguang Liang1, Han Zeng2
1School of Life and Health Science, Huzhou College, Huzhou, China.
Aim:
This study aimed to cross-culturally adapt and validate the Health Activation Scale for Children (HAS-C) in Chinese elementary school populations.
Methods:
The 12-item HAS-C was cross-culturally adapted into Chinese using Brislin's translation model. Psychometric validation was conducted with 588 urban schoolchildren in Huzhou, assessing content validity, construct validity via exploratory analysis and internal consistency reliability.
Results:
Results demonstrated excellent content validity (scale-level content validity index [S-CVI/Ave] = 0.96; item-level content validity index [I-CVI] = 0.83-1.00), a robust three-factor structure accounting for 58.87% of the total variance (confirmatory factor analysis: comparative fit index [CFI] = 0.962, root mean square error of approximation [RMSEA] = 0.079) and strong reliability (Cronbach's α = 0.812 for the total scale; 0.734-0.839 for subscales).
Conclusions:
As the first standardized instrument assessing health beliefs, behavioural confidence and intention for action in Chinese children, the HAS-C enables school nurses to identify early risks in health behaviours, design personalized interventions and provide benchmark data for evaluating national health policies.
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