Original investigation
Published: 2018-03-15

engagement in Healthy Ageing Promotion Scale: development and validation

Department of Psychology, Università Cattolica del Sacro Cuore, Milan, Italy
Department of Statistical Sciences, Università Cattolica del Sacro Cuore, Milan, Italy
Department of Psychology, Università Cattolica del Sacro Cuore, Milan, Italy
Health promotion Scale validation Health engagement Older people

Abstract

Purpose of the study: This article reports the development and Italian validation of a new self-report instrument
(The Engagement in Healthy Ageing Promotion Scale) that assesses older people engagement in healthy
ageing promotion and is grounded on an ecological operational definition of this phenomenon.
Methods: 14 items were developed basing on a previously conducted qualitative study exploring older adults’
experiences and meanings of engagement in health promotion. Analyses were conducted on an Italian sample
of 540 adults aged 60 years and older, randomly split into an exploratory (n = 308) and a confirmatory (n =
232) group. A final scale of 8 items was validated with confirmatory factor analyses. Concurrent and criterion
validity of the final items were evaluated with measures of patient activation, readiness to change lifestyle and
wellbeing.
Results: Both exploratory and confirmatory factor analyses confirmed the one-factor structure of the eightitems
scale, with a variance explained of 44% and an eigenvalue equal to 3.5. The fit values of the final model
indicated a good model fit. Internal consistency of the scale was good, with a Cronbach’s Alpha equal to 0.81.
Finally, concurrent and criterion validity revealed significant relationships with the patient activation construct
(r = .401; p = .000), with the readiness to change lifestyle (r = .211; p = .000), and with older people’s wellbeing
(r = .205; p = .000).
Implications: The developed instrument can represent a useful tool to estimate the extent to which older
citizens are engaged in health promotion activities, as well as to develop and evaluate interventions aimed to
improve wellbeing and preventive behaviours of older citizens.

Affiliations

J. Menichetti

Department of Psychology, Università Cattolica del Sacro Cuore, Milan, Italy

A. Bonanomi

Department of Statistical Sciences, Università Cattolica del Sacro Cuore, Milan, Italy

G. Graffigna

Department of Psychology, Università Cattolica del Sacro Cuore, Milan, Italy

Copyright

© Società Italiana di Gerontologia e Geriatria (SIGG) , 2018

How to Cite

[1]
Menichetti, J., Bonanomi, A. and Graffigna, G. 2018. engagement in Healthy Ageing Promotion Scale: development and validation. JOURNAL OF GERONTOLOGY AND GERIATRICS. 66, 1 (Mar. 2018), 7-14.
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