The Healthy Lifestyle and Personal Control Questionnaire (HLPCQ): a novel tool for assessing self-empowerment through a constellation of daily activities

BMC Public Health

George P Chrousos²  Panagiota Darvyri¹  Christina Kraniotou¹  Xanthi Tigani²  Artemios K Artemiadis¹  Evangelos C Alexopoulos¹  Christina Darviri¹ 

[1] Postgraduate Course Stress Management and Health Promotion, School of Medicine, University of Athens, Soranou Ephessiou 4, GR-11527 Athens, Greece;First Department of Pediatrics, Children’s Hospital Aghia Sofia, School of Medicine, University of Athens, Thivon & Papadiamantopoulou Str, GR-115-27 Athens, Greece

关键词: Daily routine;    Empowerment;    Wellbeing;    Lifestyle;    Health;   

Others  :  1126677
DOI  :  10.1186/1471-2458-14-995

 received in 2014-06-03, accepted in 2014-09-18,  发布年份 2014

【 摘 要 】

Background

The main goal of stress management and health promotion programs is to improve health by empowering people to take control over their lives. Daily health-related lifestyle choices are integral targets of these interventions and critical to evaluating their efficacy. To date, concepts such as self-efficacy, self-control and empowerment are assessed by tools that only partially address daily lifestyle choices. The aim of this study is to validate a novel measurement tool, the Healthy Lifestyle and Personal Control Questionnaire (HLPCQ), which aims to assess the concept of empowerment through a constellation of daily activities.

Methods

Therefore, we performed principal component analysis (PCA) of 26 items that were derived from the qualitative data of several stress management programs conducted by our research team.

Results

The PCA resulted in the following five-factor solution: 1) Dietary Healthy Choices, 2) Dietary Harm Avoidance, 3) Daily Routine, 4) Organized Physical Exercise and 5) Social and Mental Balance. All subscales showed satisfactory internal consistency and variance, relative to theoretical score ranges. Subscale scores and the total score were significantly correlated with perceived stress and health locus of control, implying good criterion validity. Associations with sociodemographic data and other variables, such as sleep quality and health assessments, were also found.

Conclusions

The HLPCQ is a good tool for assessing the efficacy of future health-promoting interventions to improve individuals’ lifestyle and wellbeing.

【 授权许可】

   
2014 Darviri et al.; licensee BioMed Central Ltd.

【 参考文献 】

• [1]Weisburger JH: Lifestyle, health and disease prevention: the underlying mechanisms. Eur J Cancer Prev 2002, 11(Suppl 2):S1-S7.
• [2]Beaglehole R, Yach D: Globalisation and the prevention and control of non-communicable disease: the neglected chronic diseases of adults. Lancet 2003, 362:903-908.
• [3]WHO: Global Status Report on Non Communicable Diseases. Geneva: World Health Organization; 2010.
• [4]Noordman J, van der Weijden T, van Dulmen S: Communication-related behavior change techniques used in face-to-face lifestyle interventions in primary care: a systematic review of the literature. Patient Educ Couns 2012, 89:227-244.
• [5]Capacci S, Mazzocchi M, Shankar B, Macias JB, Verbeke W, Pérez-Cueto FJ, Kozioł-Kozakowska A, Piórecka B, Niedzwiedzka B, D’Addesa D, Saba A, Turrini A, Aschemann-Witzel J, Bech-Larsen T, Strand M, Smillie L, Wills J, Traill WB: Policies to promote healthy eating in Europe: a structured review of policies and their effectiveness. Nutr Rev 2012, 70:188-200.
• [6]Starcke K, Brand M: Decision making under stress: a selective review. Neurosci Biobehav Rev 2012, 36:1228-1248.
• [7]Kalaitzidou I, Venetikou MS, Konstadinidis K, Artemiadis AK, Chrousos G, Darviri C: Stress management and erectile dysfunction: a pilot comparative study. Andrologia 2013. [Epub ahead of print]
• [8]Christaki E, Kokkinos A, Costarelli V, Alexopoulos EC, Chrousos GP, Darviri C: Stress management can facilitate weight loss in Greek overweight and obese women: a pilot study. J Hum Nutr Diet 2013, 26(Suppl 1):132-139.
• [9]Bougea AM, Spandideas N, Alexopoulos EC, Thomaides T, Chrousos GP, Darviri C: Effect of the emotional freedom technique on perceived stress, quality of life, and cortisol salivary levels in tension-type headache sufferers: a randomized controlled trial. Explore (NY) 2013, 9:91-99.
• [10]Katsarou AL, Vryonis MM, Protogerou AD, Alexopoulos EC, Achimastos A, Papadogiannis D, Chrousos GP, Darviri C: Stress management and dietary counseling in hypertensive patients: a pilot study of additional effect. Prim Health Care Res Dev 2013, 1-8. [Epub ahead of print]
• [11]Gika DM, Artemiadis AK, Alexopoulos EC, Darviri C, Chrousos GP, Papanikolaou K: Use of a relaxation technique by mothers of children with autism: a case-series study. Psychol Rep 2012, 111:797-804.
• [12]Christakis I, Pagkratis MT, Varvogli L, Darviri C, Chroussos G: Measuring the stress of the surgeons in training and use of a novel interventional program to combat it. J Korean Surg Soc 2012, 82:312-316.
• [13]Artemiadis AK, Vervainioti AA, Alexopoulos EC, Rombos A, Anagnostouli MC, Darviri C: Stress management and multiple sclerosis: a randomized controlled trial. Arch Clin Neuropsychol 2012, 27:406-416.
• [14]de Ridder DT, Lensvelt-Mulders G, Finkenauer C, Stok FM, Baumeister RF: Taking stock of self-control: a meta-analysis of how trait self-control relates to a wide range of behaviors. Pers Soc Psychol Rev 2012, 16:76-99.
• [15]Frei A, Svarin A, Steurer-Stey C, Puhan MA: Self-efficacy instruments for patients with chronic diseases suffer from methodological limitations–a systematic review. Health Qual Life Outcomes 2009, 7:86. BioMed Central Full Text
• [16]Bakker L, Van Brakel WH: Empowerment assessment tools in people with disabilities in developing countries. A systematic literature review. Lepr Rev 2012, 83:129-153.
• [17]Darviri C, Fouka G, Gnardellis C, Artemiadis AK, Tigani X, Alexopoulos EC: Determinants of self-rated health in a representative sample of a rural population: a cross-sectional study in Greece. Int J Environ Res Public Health 2012, 9:943-954.
• [18]Darviri C, Artemiadis AK, Tigani X, Alexopoulos EC: Lifestyle and self-rated health: a cross-sectional study of 3,601 citizens of Athens, Greece. BMC Public Health 2011, 11:619. BioMed Central Full Text
• [19]Cohen S, Mermelstein K, Kamarck T: A global measure of perceived stress. J Health Soc Behav 1983, 24:385-396.
• [20]Andreou E, Alexopoulos EC, Lionis C, Varvogli L, Gnardellis C, Chrousos GP, Darviri C: Perceived stress scale: reliability and validity study in Greece. Int J Environ Res 2011, 8:3287-3298.
• [21]Masuda M, Holmes TH: Magnitude estimations of social readjustments. J Psychosom Res 1967, 11:219-225.
• [22]Holmes TH, Rahe RH: The social readjustment rating scale. J Psychosom Res 1967, 11:213-218.
• [23]Wallston KA, Wallston BS, DeVellis R: Development of the multidimensional health locus of control scale. Health Educ Monogr 1978, 6:160-170.
• [24]Karademas EC: Effects of exposure to the suffering of unknown persons on health-related cognitions, and the role of mood. Health (London) 2009, 13:491-504.
• [25]Cohen S, Kessler RC, Gordon LU: Measuring Stress: A Guide for Health and Social Scientists. Oxford University Press; 1997.
• [26]Kino T, Chrousos GP: Circadian CLOCK-mediated regulation of target-tissue sensitivity to glucocorticoids: implications for cardiometabolic diseases. Endocr Dev 2011, 20:116-126.
• [27]Lightman SL: The neuroendocrinology of stress: a never ending story. J Neuroendocrinol 2008, 20:880-884.
• [28]Buckley TM, Schatzberg AF: On the interactions of the hypothalamic-pituitary-adrenal (HPA) axis and sleep: normal HPA axis activity and circadian rhythm, exemplary sleep disorders. J Clin Endocrinol Metab 2005, 90:3106-3114.
• [29]Wardle J, Haase AM, Steptoe A, Nillapun M, Jonwutiwes K, Bellisle F: Gender differences in food choice: the contribution of health beliefs and dieting. Ann Behav Med 2004, 27:107-116.
• [30]Rao K: Recent research in stress, coping and women’s health. Curr Opin Psychiatry 2009, 22:188-193.
• [31]Ortega FB, Brown WJ, Lee DC, Baruth M, Sui X, Blair SN: In fitness and health? A prospective study of changes in marital status and fitness in men and women. Am J Epidemiol 2011, 173:337-344.
• [32]Yim HJ, Park HA, Kang JH, Kim KW, Cho YG, Hur YI, Choi OJ: Marital status and health behavior in middle-aged Korean adults. Korean J Fam Med 2012, 33:390-397.
• [33]Joung IM, Stronks K, van de Mheen H, Mackenbach JP: Health behaviours explain part of the differences in self reported health associated with partner/marital status in The Netherlands. J Epidemiol Community Health 1995, 49:482-488.
• [34]Robards J, Evandrou M, Falkingham J, Vlachantoni A: Marital status, health and mortality. Maturitas 2012, 73:295-299.