大學生「健康生活勝任度量表」之編製

心淳(Hsin-Chun Yeh) 葉; 君昱(Chun-Yu Lin) 林; 玲慧(Ling-Hui Chang) 張

doi:10.6594/TJOT.202504_43(1).0002

大學生「健康生活勝任度量表」之編製

Translated title of the contribution: Development and Validation of Healthy Occupation & Lifestyle Competence Scale (HoLCS) Among College Students

Research output: Contribution to journal › Article › peer-review

Abstract

Objective: This study aimed to develop the Healthy Occupation & Lifestyle Competence Scale (HoLCS) and examine its reliability and validity. Methods: A two-round Delphi method was conducted to establish content validity and face validity. College students were recruited to complete the questionnaires, and data collection included HoLCS, occupational balance, self-rated health, and well-being. Reliability was assessed using item-total correlations, item analysis, and Cronbach's α. Construct validity was evaluated through confirmatory factor analysis (CFA) and convergent validity. Results: The initial version of the HoLCS consisted of 11 items and demonstrated satisfactory content validity (CVI = .988) and face validity (CVI = .934). A total of 145 undergraduate students participated in the study (mean age = 20.40 ± 1.76 years; 51.7% female). The final HoLCS included 9 items. The two subscales demonstrated good internal consistency: Willingness for a Healthy Lifestyle (α = .857) and Lifestyle Adjustment Skills (α = .867). Confirmatory factor analysis supported the proposed two-factor structure of the HoLCS (X^2/df = 1.61; CFI = .982; TLI = .971; SRMR = .036; RMSEA = .065, 90% CI = [.018, .103]). No ceiling or floor effects were found for any item. Convergent validity was supported by significant correlations between occupational balance and the subscales (Willingness for a Healthy Lifestyle [r = .636*] and Lifestyle Adjustment Skills [r = .518*]), as well as a significant correlation between self-rated health and the Willingness for a Healthy Lifestyle subscale [r = .620*]). Conclusion: The HoLCS demonstrates acceptable reliability and validity in measuring college students' willingness for a healthy lifestyle and lifestyle adjustment skills. The two subscales should be scored separately, and the scores may serve as a reference for clinical intervention planning. Future research can explore the HoLCS's predictive validity for health behaviors and its applicability across different populations and contexts.

Translated title of the contribution	Development and Validation of Healthy Occupation & Lifestyle Competence Scale (HoLCS) Among College Students
Original language	Chinese (Traditional)
Pages (from-to)	25-47
Number of pages	23
Journal	職能治療學會雜誌＝ Journal of Occupational Therapy Association R.O.C.
Volume	43
Issue number	1
DOIs	https://doi.org/10.6594/TJOT.202504_43(1).0002
Publication status	Published - 2025 Apr

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@article{a0c4afa11cee410a9650e79555c6b766,

title = "大學生「健康生活勝任度量表」之編製",

abstract = "目的：編製健康生活勝任度量表（HoLCS）並檢驗其信效度。方法：使用兩輪德菲法以建立內容效度與表面效度。招募大學生填寫問卷，資料收集包含（HoLCS）、職能平衡、自覺健康及安適感。信度分析包含項目總分相關係數、項目分析和（Cronbach's α），效度分析包含驗證性因素分析和聚斂效度。結果：（HoLCS）初版11題，內容效度（CVI = .988）與表面效度（CVI = .934）達標。樣本共145位大學生（20.40 ± 1.76 歲，女性51.7\%）。最終（HoLCS）共9題。「健康生活的意願」（α=.857）及「生活型態調整技巧」（α=.867）兩個次向度的內部一致性佳，且驗證性因素分析支持量表的兩向度結構（X\textasciicircum{}2/df = 1.61; CFI = .982, TLI = .971, SRMR = .036; RMSEA = .065, 90\% CI = [.018, .103]）。（HoLCS）所有題目皆無天花板或地板效應。「健康生活的意願」（r = .636*）和「生活型態調整技巧」（r = .518*）分別與職能平衡有良好相關，「健康生活的意願」亦與自覺健康（r = .620*）有良好相關，支持（HoLCS）之聚斂效度。結論：（HoLCS）具良好信效度，可量測大學生的「健康生活意願」與「生活型態調整技巧」。（HoLCS）的兩向度應分開計分，評估結果可作為臨床介入計畫的參考。未來研究可探討（HoLCS）對於健康行為的預測效度，與在不同族群和情境的適用性。",

author = "葉, \{心淳(Hsin-Chun Yeh)\} and 林, \{君昱(Chun-Yu Lin)\} and 張, \{玲慧(Ling-Hui Chang)\}",

year = "2025",

month = apr,

doi = "10.6594/TJOT.202504\_43(1).0002",

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volume = "43",

pages = "25--47",

journal = "職能治療學會雜誌＝ Journal of Occupational Therapy Association R.O.C.",

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publisher = "社團法人臺灣職能治療學會",

number = "1",

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TY - JOUR

T1 - 大學生「健康生活勝任度量表」之編製

AU - 葉, 心淳(Hsin-Chun Yeh)

AU - 林, 君昱(Chun-Yu Lin)

AU - 張, 玲慧(Ling-Hui Chang)

PY - 2025/4

Y1 - 2025/4

N2 - 目的：編製健康生活勝任度量表（HoLCS）並檢驗其信效度。方法：使用兩輪德菲法以建立內容效度與表面效度。招募大學生填寫問卷，資料收集包含（HoLCS）、職能平衡、自覺健康及安適感。信度分析包含項目總分相關係數、項目分析和（Cronbach's α），效度分析包含驗證性因素分析和聚斂效度。結果：（HoLCS）初版11題，內容效度（CVI = .988）與表面效度（CVI = .934）達標。樣本共145位大學生（20.40 ± 1.76 歲，女性51.7%）。最終（HoLCS）共9題。「健康生活的意願」（α=.857）及「生活型態調整技巧」（α=.867）兩個次向度的內部一致性佳，且驗證性因素分析支持量表的兩向度結構（X^2/df = 1.61; CFI = .982, TLI = .971, SRMR = .036; RMSEA = .065, 90% CI = [.018, .103]）。（HoLCS）所有題目皆無天花板或地板效應。「健康生活的意願」（r = .636*）和「生活型態調整技巧」（r = .518*）分別與職能平衡有良好相關，「健康生活的意願」亦與自覺健康（r = .620*）有良好相關，支持（HoLCS）之聚斂效度。結論：（HoLCS）具良好信效度，可量測大學生的「健康生活意願」與「生活型態調整技巧」。（HoLCS）的兩向度應分開計分，評估結果可作為臨床介入計畫的參考。未來研究可探討（HoLCS）對於健康行為的預測效度，與在不同族群和情境的適用性。

AB - 目的：編製健康生活勝任度量表（HoLCS）並檢驗其信效度。方法：使用兩輪德菲法以建立內容效度與表面效度。招募大學生填寫問卷，資料收集包含（HoLCS）、職能平衡、自覺健康及安適感。信度分析包含項目總分相關係數、項目分析和（Cronbach's α），效度分析包含驗證性因素分析和聚斂效度。結果：（HoLCS）初版11題，內容效度（CVI = .988）與表面效度（CVI = .934）達標。樣本共145位大學生（20.40 ± 1.76 歲，女性51.7%）。最終（HoLCS）共9題。「健康生活的意願」（α=.857）及「生活型態調整技巧」（α=.867）兩個次向度的內部一致性佳，且驗證性因素分析支持量表的兩向度結構（X^2/df = 1.61; CFI = .982, TLI = .971, SRMR = .036; RMSEA = .065, 90% CI = [.018, .103]）。（HoLCS）所有題目皆無天花板或地板效應。「健康生活的意願」（r = .636*）和「生活型態調整技巧」（r = .518*）分別與職能平衡有良好相關，「健康生活的意願」亦與自覺健康（r = .620*）有良好相關，支持（HoLCS）之聚斂效度。結論：（HoLCS）具良好信效度，可量測大學生的「健康生活意願」與「生活型態調整技巧」。（HoLCS）的兩向度應分開計分，評估結果可作為臨床介入計畫的參考。未來研究可探討（HoLCS）對於健康行為的預測效度，與在不同族群和情境的適用性。

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DO - 10.6594/TJOT.202504_43(1).0002

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JO - 職能治療學會雜誌＝ Journal of Occupational Therapy Association R.O.C.

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IS - 1

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大學生「健康生活勝任度量表」之編製

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