The Study Of The Preliminary Constitution Of A Healthy Lifestyle Questionnair (HLQ) Based On Chinese Medicine Theory

BackgroundLifestyle is life contents and methods of people everyday and it contains some unhealth customs that do harm to person’s health besides individul all life behaviour. With the development of social economy and the improvement of the public health system and facilities, the diseases that resulting from lifestyle have become the chief criminals which can result in people’s dealth. Now, lifestyle affecting individul’s health has become the focus of the world and WHO points out that the sixty percent of individul’s life and health is determinated by lifestyle.In Chinese medicine theory there is some description about healthy lifestyle and it covers many aspects such as food, sleep, psychology and so on. Thousands of years of China history indicates the traditional theory can help people eliminate disease and prolong life. Today, people pay more and more attention to chinese medicine health rehabilitation and chinese medicine health rehabilitation has resulted in a wave of research in academic circles. Currently, the research about Chinese medicine theory guiding lifestyle tend to study some Chinese medicine theory guiding some action in mainland, for example, the food nursing theory of chinese medicien can help people establis healthy lifestyle of food. Because the content is scattered and unsystematic there is no tool to evaluate the whole lifestyle. Because of the diversities of language and cultural background and lack of the basement of Chinese medicine theory some international evaluation tools are not appropriate in mainland. Therefor, besed on these, the present study attemped to quantify people’s lifestyld in mainland and explore guilding significance of Chinese medicine theory on lifestyle.ObjectivesTo provide an objective and standard tool to estimate Chinese people’s lifestyle in mainland the study fully excavates the Chinese medicine theory that has positive guilding significance on lifestyle and adopts the tools on evaluating life styles in Taiwan region and abroad using the systematic technology of developing scale.Methods1、An item pool of HLQ based on Chinese medicine theory is to be complied by adopting literature reviews, brain storm and expert consultation and interview.2、 Totally15experts based on their professional reputation and research domain were selected to form a panel and the2round Delphi method was adopted to form the primary editon of HLQ.3、 The validity and the reliability of the primary edition of HLQ were worked out from the data of totally500subjects from the selected community in GuangZhou.4、 Totally500subjects from one selected community in GuangZhou to investigate via questionnaire, factor analysis, response rate, correlation coefficient between item and domain were adopted to further screen the items for HLQ.Results1、The item pool of HLQ based on Chinese medicine theoryThe item pool of HLQ is established that consists of7domains and73items based on sufficiently excavating guilding significance of Chinese medicine theory on lifestyle and synthesizing the results of item importance of HLQ from experts, doctors and students from Chinese medicine college.2、 The preliminary edition of HLQ based on Chinese medicine theory①Result of the first round consultationThe positive coefficient of experts is80%. The means concerning authority coefficient of each item evaluated by12experts range from3.00to4.89, and the average is4.03. The total coordination oefficient(Kendall’W coefficient) of each item evaluated by12experts is0.32. The coefficient variation is0.17. The70items falling into7domains were obtained according to the mean of transformed importance value and experts’updated suggestion on the items.②Result of the second round consultationThe positive coefficient of experts is100%. The means concerning authority coefficient of each item evaluated by12experts range from2.83to5.00, and the average is4.05. The total coordination oefficient (Kendall’ W coefficient)of each item evaluated by12experts is0.40.The coefficient variation is0.16. The54items are observed to belong to6domains.3. The evaluation of the preliminary edition of HLQ based on Chinese medicine③The appraisal result of reliabilityCronbach a of total score Was0.82and that of6domains were observed to rangefrom0.43to0.83except for the domain of sport. Retest reliability of total score is0.735and that of6domains is from0.542to.875(p<0.001). The correlation coefficient of Spearman-brown split-half was0.61and hat of7domains goes from0.29to0.72(p<0.001).④the appraisal result of validityThe content validity was supported by prophase research, and the items of the HLQ can reflect the real present situation of healthy lifestyles of people in mainland. The construct validity in factor analysis did not go well with the structure of the HLQ. The KMO statistic of0.73and Bartlett’s test of sphericity with X2=4,776.15(p<000) suggested that the factor analysis could be performcd appropriately. The Spearman correlation coefficient of the6domains ranging from0.42to0.74. The success rate of converage validity of all domains except for sport are above80%suggests there is better correlation between items and domains.4、 The revised edition of HLQ based on Chinese medicineTotally575, accounting for100%, valid questionnaires were used for data analyses in this study, and the revised editon of HLQ is composed of6domains and49items obtained from further screen by2methods.Conclusion1、 The HLQ based on Chinese medicine theory contains6domains which are food, sleep, psycholoy, sport, stress control, environment, smoking and drinking and49items.2、 The HLQ based on Chinese medicine theory has high reliability and some validity to indicate that it can evaluate the lifestyle of common persons as a kind of tool.3、 The HLQ based on Chinese medicine theory demonstrates the guilding significance of Chinese medicine on lifestyle. So, it can be testimony of Chinese medicine guilding lifestyle of persons. 4、 Further research will be developed based on the questionnair and in the end the final edition of HLQ based on Chinese medicine will be obtained.