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The Validity and Reliability of a Lifestyle Evaluation Tool for Patients with Metabolic Syndrome  

Kang, Se-Won (College of Nursing, Ajou University)
Publication Information
Journal of Korean Academy of Fundamentals of Nursing / v.17, no.4, 2010 , pp. 487-497 More about this Journal
Abstract
Purpose: This study examined the validity and reliability to develop a lifestyle evaluation tool for metabolic syndrome patients. Methods: A methodological research design was used. The construct factors and preliminary items were identified by reviewing previous researches and tools related to lifestyle and reviewed by ten experts. It was tested with 195 patients with metabolic syndrome in a university hospital. The data were analyzed with SPSS/WIN 14.0. Results: To test the validity, principal component analyses were used and resulted in the extraction of six components. The convergent validity resulted r= .72 (p<.001) with Health Promotion Lifestyle Profile. The discriminant validity with Center for Epidemiologic Studies Depression Scale resulted r= -.15 (p=.004). The Internal consistency of the tool had an Cronbach's a of .92. The self-report format Lifestyle Evaluation Tool for the patients with metabolic syndrome was developed with 36 items and four-rating scales:'physical activity and weight control' eight items, 'dietary habits' sixteen items, 'drinking and smoking' three items, 'sleep and rest' two items, 'stress' three items, 'drug and health management' four items. Conclusion: This Tool will evaluate health behaviors in patients with metabolic syndrome. Also, it will contribute to the development of nursing intervention to improve the metabolic syndrome patients' lifestyle.
Keywords
Metabolic Syndrome; Lifestyle; Reliability; Validity;
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1 Walker, S. N., Sechrist, K. R., & Pender, N. J. (1987). The health promoting life style profile: development & psychometric characteristics. Nursing Research, 36, 76-81.
2 Grundy, S. M. (2008). Metabolic syndrome pandemic. Arteriosclerosis, Thromosis, and Vascular Biology, 28, 629-636.   DOI   ScienceOn
3 Lakka, H. M., Laaksonen, T. A., Niskanen, L. K., Kumpusalo, E., Tuomilehto, J., & Salone, J. T. (2002). The metabolic syndrome and total and cardiovascular disease mortality in middle aged men. The Journal of the American Medical Association, 288, 2709-2716.   DOI   ScienceOn
4 Reaven, G. M. (1988). Banting Lecture 1988. Role of insulin resistance in human disease. Diabetes, 37, 1595-1607.   DOI   ScienceOn
5 National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III). (2002). Third report of the national cholesterol education program expert panel on detection, evaluation, and treatment of high blood cholesterol in adults (adult treatment panel III) final report. Circulation, 106, 3143-3421.
6 Nunnally, J. (1978). Psychometric theory (2nd ed.). New york: McGraw-Hill.
7 Radloff, L. S. (1977). The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 385-401.   DOI
8 Tak, Y. R., An, J. Y., Kim, Y. A., & Woo, H. Y. (2007). The effects of a physical activity-behavior modification combined intervention (PABM-intervention) on metabolic risk factors in overweight and obese elementary school children. Journal of Korean Academy of Nursing, 37, 902-913.   과학기술학회마을
9 Smith, M. S., Wallston, K. A., & Smith, C. A. (1995). The development and validation of the perceived health competence scale. Health Education Research, 10, 51-64.   DOI   ScienceOn
10 Suh, Y. O. (1995). Structural model of health promoting lifestyle in midlife women. Unpublished doctoral dissertation, Kyunghee University, Seoul.
11 The Korean Academy of Family Medicine. (2004). The health promotion in Korean. Seoul: Gyechuk Munwhasa.
12 Wiley, J. A., & Camacho, T. C. (1980). Life-style and future health: evidence from the Alameda county study. Preventive Medicine, 9, 1-21.   DOI   ScienceOn
13 Williams, R. L., Thomas, S. P., Young, D. O., Jozwiak, J. J., & Hector, M. A. (1991). Development of a health habit scale. Research in Nursing & Health, 14, 145-153.   DOI   ScienceOn
14 Wilson, D. M. C., & Ciliska, D. (1984). Lifestyle assessment: Development and use of the FANTASTIC checklist. Canadian Family Physician, 30, 1527-1532.
15 Yoo, C. S. (2006). Spss 14.0 for windows. Seoul: Elite.
16 Grundy, S. M., Cleeman, J. I., Merz, C. N., Brewer, H. B. Jr, Clark, L. T., Hunninghake, D. B., et al. (2004). Implications of recent clinical trials for the National Cholesterol Education Program Adult Treatment Panel III guidelines. Circulation, 110, 227-239.   DOI   ScienceOn
17 Isomaa, B., Almgren, P., Tuomi, T., Forsen, B., Lahti, K., Nissen, M., et al. (2001). Cardiovascular morbidity and mortality associated with the metabolic syndrome. Diabetes Care, 24, 683-689.   DOI   ScienceOn
18 Kris-Etherton, P., Eissenstat, B., Jaax, S., Srinath, U., Scott, L., Rader, J., et al. (2001). Validation for MEDFICTS, a dietary assessment instrument for evaluating adherence to total and saturated fat recommendations of the National Cholesterol Education Program Step 1 and Step 2 diets. The Journal of the American Dietetic Association, 101, 81-86.   DOI   ScienceOn
19 Janiszewski, P. M., Saunders, T. J., & Ross, R. (2008). Lifestyle treatment of the metabolic syndrome. American Journal of Lifestyle Medicine, 2, 99-108.   DOI   ScienceOn
20 Kim, A. K. (1998). Development of health behavior assessment tool of the Korean adults. Journal of Korean Academy of Nursing, 28, 540-549.
21 Lee, E. O., Yim, N. Y., & Park, H. A. (1998). Nursing, Medical research and statistic analysis. Seoul: Soomoonsa.
22 Lee, S. Y., Park, H. S., Kim, S. M., Kwon, H. S., Kim, D. Y., Kim, D. J., et al. (2006). Cut-off points of waist circumference for defining abdominal obesity in the Korean population. Journal of Korean Society for the Study of Obesity, 15, 1-9.
23 Lynn, M. R. (1986). Determination and quantification of content validity. Nursing Research, 35, 382-385.
24 Ministry of Health & Welfare, Korea Institute for Health and Social Affairs. (2006). The Third Korea National Health and Nutrition Examination Survey (KNHANES III), Report 2005. Seoul: Korea Institute for Health and Social Affairs.
25 Grundy, S. M., Cleeman, J. I., Daniels, S. R., Donato, K. A., Eckel, R. H., Franklin, B. A., et al. (2005). Diagnosis and management of the metabolic syndrome: An American Heart Association/National Heart, Lung, and Blood Institute Scientific Statement. Circulation, 112, 2735-2752.   DOI   ScienceOn
26 Choi, M. A., & Lee, I. S. (1997). Health promotion and nursing practice. Seoul: Hyunmoonsa.
27 Choi, S. C., Chon, K. K., & Yang, B. C. (2001). Integrated adaptation of CES-D in Korea. Korean Journal of Health Psychology, 6(1), 59-76.
28 Gorsuch, R. L. (1983). Factor Analysis (2nd ed.). Hillsdale, NJ: Lawrence Erlbaum.
29 Zhu, S., St-Onge, M. P., Heshka, S., & Heymsfield, S. B. (2004). Lifestyle behaviors associated with lower risk of having the metabolic syndrome. Metabolism, 53, 1503-1511.   DOI   ScienceOn
30 Yoo, J. S., Jeong, J. I., Park, C. G., Kang, S. W., & Ahn, J. A. (2009). Impact of lifestyle characteristics on prevalence risk of metabolic syndrome. Journal of Korean Academy of Nursing, 39, 594-601.   과학기술학회마을   DOI   ScienceOn