Helen Bourke-Taylor, Mary Law, Linsey Howie, Julie F. Pallant; Initial Development of the Health Promoting Activities Scale to Measure the Leisure Participation of Mothers of Children With Disabilities. Am J Occup Ther 2012;66(1):e1-e10. doi: 10.5014/ajot.2012.000521.
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OBJECTIVE. The Health Promoting Activities Scale (HPAS) measures the frequency with which mothers participate in self-selected leisure activities that promote health and well-being. We undertook an initial evaluation of the scale with mothers of school-age children with developmental disabilities (N = 152).
METHOD. We used a mixed methodology in the instrument design: a qualitative study to generate items and a quantitative study to evaluate the instrument. Our statistical analysis assessed the internal consistency, factor structure, and construct validity of the HPAS.
RESULTS. The HPAS showed good internal consistency (Cronbach’s α = .78). Construct validity was supported by moderate correlations with subjective maternal mental and general health (Short Form 36, Version 2) and by differentiation in leisure participation among groups of mothers reporting differences in mental health status.
CONCLUSION. Initial evaluation of the HPAS indicates that this brief tool is psychometrically sound. The HPAS allows professionals to evaluate clients’ participation in leisure occupations that promote health and well-being. Further development of the HPAS is warranted.
we should make sure that the content of the outcome measure examines . . . social relationships and engagement in family and community life, work, play, and leisure. A life of quality is so much more than buttoning a shirt or tying shoes. (Coster, 2008, p. 751)
To create a brief scale to measure the frequency with which mothers caring for a school-age child with a disability participated in self-selected leisure occupations;
To determine the internal consistency of the scale using a sample of mothers;
To determine the construct validity of the scale through correlation with psychometrically sound instruments that measure subjective health status; and
To determine the extent to which the scale is able to differentiate between mothers grouped by differences in reported mental health and sleep habits.
Health promotion supports personal and social development through providing information, education for health, and enhancing life skills. By so doing, it increases the options available to people to exercise more control over their own health and over their environments, and to make choices conducive to health. (WHO, 2009, p. 4)
Address the mother’s capacity to participate in health-promoting leisure pursuits,
Educate mothers about their own health needs,
Assist mothers with healthy lifestyle redesign of leisure pursuits, and
Include client-centered goal setting in relation to HPAS items.
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