PTSurveyInternational journal of nursing sciences2020

Development and evaluation of the health belief model scale for exercise.

Shiyan Wu, Xinglin Feng, Xinying Sun

PMID 32995376

WHAT IT FOUND

An 18-item scale measured Chinese adults' exercise beliefs and separated barriers into objective (time, venues) and subjective (pain, laziness).

It tested a questionnaire, not an exercise programme.

Key findings

01The final scale had 18 items loaded on six factors, including perceived objective and subjective barriers.

02In 7319 adults, the 18-item model fit well, with CFI 0.96, NFI 0.95, RMSEA 0.05 and SRMR 0.03.

03The final 18-item scale had acceptable consistency, with overall reliability 0.61 and subscale reliability 0.63 to 0.84.

STILL TO COME

How it was doneWhat they foundWhat it means for PTs

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What it does not show

It was tested in Chinese adults from two Beijing community surveys, so its use in other cultures is not shown. The study was cross-sectional, so it cannot show that beliefs cause exercise behaviour. Criterion validity was not tested. Some determinants, such as unhealthy lifestyle or environment, were not included. The total internal consistency was 0.61. Perceived susceptibility was not included in the scale.

Declared interests

Funded by the National Natural Science Foundation of China (71673009). The authors declared no competing interests.

The easy way to misread this

Do not read the validated scale as proof that an exercise programme works or that changing beliefs causes more exercise. The study was cross-sectional and did not test an intervention.

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