Cross-cultural adaptation and validation of the health-promoting lifestyle profile II for Mongolian university students
Abstract
BACKGROUND: University lifestyle can have lasting effects on students' health, yet culturally validated instruments to examine health-promoting lifestyles are lacking in Mongolia. This study aimed to adapt the Health-Promoting Lifestyle Profile II (HPLP-II) and to assess the validity and reliability of its Mongolian version among students in Ulaanbaatar.
METHODS: A cross-sectional study was conducted with 827 undergraduate students from three universities in Ulaanbaatar, Mongolia. The instrument was translated from English into Mongolian using standard forward- and backward-translation procedures. The final version retained six dimensions and 51 items. Construct validity was assessed using confirmatory factor analysis for a six-component structure, and internal consistency was evaluated using Cronbach's α and McDonald's ω.
FINDINGS: Confirmatory factor analysis indicated a good fit for the six-factor structure (χ 2 = 14233.03; df = 1,275; p < 0.001; CFI = 0.95, GFI = 0.95, TLI = 0.95, SRMR = 0.065, and RMSEA = 0.031). The overall HPLP-II demonstrated high internal consistency (ω = 0.92, α = 0.91). However, the nutrition dimension exhibited the lowest reliability and factor loadings, suggesting revision for future studies.
CONCLUSION: The Mongolian version of the HPLP-II demonstrated acceptable reliability and construct validity, supporting the use of a six-dimensional, 51-item instrument to assess health-promoting lifestyles among Mongolian university students. These…
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Evidence Hub reads this as a cross-sectional, done in people. Its evidence level is 4 of 5 (Low · observational). Observational designs can show an association but not prove cause.
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