Design and validation of the Lifestyle Screening Questionnaire in Adolescents (LSQA)
DOI:
https://doi.org/10.47197/retos.v68.114041Keywords:
Adolescent health, questionnaire, lifestyle assessment, psychometric evaluationAbstract
Introduction and objective: In the literature, various questionnaires and surveys have been developed to assess adolescents' lifestyles; however, the vast majority require a long time to administer, making their use in school environments complicated. This study focuses on designing and validating the Lifestyle Screening Questionnaire for Adolescents (LSQA).
Methodology: The LSQA was administered to 603 Spanish adolescents and re-administered after 15 days. The Global School Health Survey (GSHS) was also administered. Content validity (Content Validity Coefficient, CVC) and criterion validity (Spearman correlations) were used to assess validity. Reliability was evaluated using test-retest methods (Spearman correlation), and the internal consistency of the questionnaire was evaluated using Cronbach’s alpha and intraclass correlation coefficients (ICC).
Results: Content validity was assessed by a panel of experts, with a CVC greater than 0.900 in all cases, demonstrating excellent validity and agreement. Criterion validity showed that the instrument measures relevant constructs consistent with the GSHS dimensions. Internal consistency was considered satisfactory (α = 0.540–0.882) with an ICC > 0.50. Test-retest reliability demonstrated good stability (r > 0.50). The final questionnaire included seven dimensions and 56 items.
Conclusions: The findings support the use of LSQA as a valid and reliable tool for assessing habits and lifestyles in adolescents.
References
Aiello, A. E., Coulborn, R. M., Perez, V., & Larson, E. L. (2008). Effect of hand hygiene on infectious dis-ease risk in the community setting: a meta-analysis. American Journal of Public Health, 98(8), 1372–1381. https://doi.org/10.2105/AJPH.2007.124610
Ajzen, I. (1991). The theory of planned behavior. Organizational Behavior and Human Decision Pro-cesses, 50(2), 179–211. https://doi.org/10.1016/0749-5978(91)90020-T
Bauman, A. E., Reis, R. S., Sallis, J. F., Wells, J. C., Loos, R. J., Martin, B. W., & Lancet Physical Activity Se-ries Working Group. (2012). Correlates of physical activity: Why are some people physically ac-tive and others not? The Lancet, 380(9838), 258–271. doi: 10.1016/S0140-6736(12)60735-1
Beranuy, M., Machimbarrena, J. M., Vega-Osés, M. A., Carbonell, X., Griffiths, M. D., Pontes, H. M., & Gon-zález-Cabrera, J. (2020). Spanish validation of the internet gaming disorder scale–short form (IGDS9-SF): Prevalence and relationship with online gambling and quality of life. International Journal of Environmental Research and Public Health, 17(5), 1562. doi: 10.3390/ijerph17051562
Biddle, S. J. H., Gorely, T., Pearson, N., & Bull, F. C. (2011). An assessment of self-reported physical activi-ty instruments in young people for population surveillance: Project ALPHA. International Jour-nal of Behavioral Nutrition and Physical Activity, 8, 1. Doi: 10.1186/1479-5868-8-1
Breidablik, H. J., Meland, E., & Lydersen, S. (2008). Self-rated health during adolescence: stability and predictors of change (Young-HUNT study, Norway). The European Journal of Public Health, 18(4), 339–344. https://doi.org/10.1093/eurpub/ckm092
Brener, N. D., Mpofu, J. J., Krause, K. H., Everett Jones, S., Thornton, J. E., Myles, Z., Harris, W. A., Chyen, D., Lim, C., Arrey, L., Mbaka, C. K., Trujillo, L., Shanklin, S. L., Smith-Grant, J., Whittle, L., McKin-non, I. I., Washington, M., Queen, B. E., & Roberts, A. M. (2024). Overview and methods for the Youth Risk Behavior Surveillance System - United States, 2023. MMWR Suppl., 73(4), 1–12. doi: 10.15585/mmwr.su7304a1
Bronfenbrenner, U. (1979). The ecology of human development: Experiments by nature and design. Harvard University Press. https://doi.org/10.2307/j.ctv26071r6
Carretero-Dios, H., & Pérez, C. (2005). Normas para el desarrollo y revisión de estudios instrumentales. International Journal of Clinical and Health Psychology, 5(3), 521–551.
Carretero-Dios, H., & Pérez, C. (2007). Normas para el desarrollo y revisión de estudios instrumentales: Consideraciones sobre la selección de tests en la investigación psicológica. International Journal of Clinical and Health Psychology, 7(3), 863–882.
Cohen, R. J., & Swerdlik, M. E. (2018). Psychological testing and assessment: An introduction to tests and measurement (9th ed.). McGraw-Hill Education.
Escobar-Pérez, J., & Cuervo-Martínez, Á. (2008). Validez de contenido y juicio de expertos: una aproxi-mación a su utilización. Avances en medición, 6(1), 27-36.
Gálvez, P., García, A., & Rivera, M. (2015). Healthy Lifestyle Questionnaire: Development and validation in a Spanish adolescent population. Public Health Journal, 20(3), 45–60.
García-Laguna, D. G., García-Salamanca, G. P., Tapiero-Paipa, Y. T., & Ramos, D. M. (2012). Determinan-tes de los estilos de vida y su implicación en la salud de jóvenes universitarios. Hacia la Promo-ción de la Salud, 17(2), 169-185.
García-Solano, M., Gutiérrez-González, E., López-Sobaler, A. M., Ruiz-Álvarez, M., Bermejo-López, L. M., Aparicio, A., García-López, M. A., Yusta-Boyo, M. J., Robledo de Dios, T., Villar, C., & Dal Re Saave-dra, M. Á. (2021). Situación ponderal de la población escolar de 6 a 9 años en España: resultados del estudio ALADINO 2019. Nutrición Hospitalaria, 38(6), 943–953. https://dx.doi.org/10.20960/nh.03618
Hirshkowitz, M., Whiton, K., Albert, S. M., Alessi, C., Bruni, O., DonCarlos, L., Hazen, N., Herman, J., Katz, E. S., Kheirandish-Gozal, L., Neubauer, D. N., O'Donnell, A. E., Ohayon, M., Peever, J., Rawding, R., Sachdeva, R. C., Setters, B., Vitiello, M. V., Ware, J. C., & Adams Hillard, P. J. (2015). National Sleep Foundation's sleep time duration recommendations: Methodology and results summary. Sleep Health, 1(1), 40–43. https://doi.org/10.1016/j.sleh.2014.12.010
Idler, E. L., & Benyamini, Y. (1997). Self-rated health and mortality: a review of twenty-seven commu-nity studies. Journal of Health and Social Behavior, 38(1), 21–37. https://doi.org/10.2307/2955359
Inchley, J., Currie, D., Budisavljevic, S., Torsheim, T., Jåstad, A., Cosma, A., & Weber, M. (2020). Health Behaviour in School-aged Children (HBSC) Study: International report from the 2017/2018 survey. WHO Regional Office for Europe.
Kann, L., McManus, T., Harris, W. A., Shanklin, S. L., Flint, K. H., Queen, B., Lowry, R., Chyen, D., Whittle, L., Thornton, J., Lim, C., Bradford, D., Yamakawa, Y., Leon, M., Brener, N., & Ethier, K. A. (2018). Youth Risk Behavior Surveillance — United States, 2017. MMWR. Surveillance Summaries, 67(SS-8), 1–114. https://doi.org/10.15585/mmwr.ss6708a1
Koo, T. K., & Li, M. Y. (2016). A guideline of selecting and reporting intraclass correlation coefficients for reliability research. Journal of Chiropractic Medicine, 15(2), 155–163. https://doi.org/10.1016/j.jcm.2016.02.012
Kuckartz, U., Rädiker, S., Ebert, T., & Taube, S. (2013). Statistik: Eine verständliche Einführung (p. 213). Springer VS.
Kuczmarski, M. F., Kuczmarski, R. J., & Najjar, M. (2000). Descriptive anthropometric reference data for older Americans. Journal of the American Dietetic Association, 100(1), 59-66. https://doi.org/10.1016/S0002-8223(00)00021-3
Leal Londoño, M. del P., Travé Molero, R., Medina, F. X., Abadia Naudí, S., & Sánchez Bergara, S. (2021). Turismo deportivo: Una oportunidad para los territorios locales en un contexto global. Un estu-dio Delphi (Sport tourism: an opportunity for local regions in a global context. A Delphi study). Retos, 42, 77–88. https://doi.org/10.47197/retos.v42i0.86696
Leyton-Román, M., Mesquita, S., & Jiménez-Castuera, R. (2021). Validation of the Spanish Healthy Life-style Questionnaire. International Journal of Clinical and Health Psychology, 21(2), 100228. doi: 10.1016/j.ijchp.2021.100228
Mahindru, A., Patil, P., & Agrawal, V. (2023). Role of Physical Activity on Mental Health and Well-Being: A Review. Cureus, 15(1), e33475. Doi: 10.7759/cureus.33475
Megías, E. & Ballesteros, J.C (2019). Salud y estilos de vida de jóvenes y adolescentes. Centro Reina Sofía sobre Adolescencia y Juventud. doi: 10.5281/zenodo.3626795
Minges, K. E., & Redeker, N. S. (2016). Delayed school start times and adolescent sleep: A systematic review of the experimental evidence. Sleep Medicine Reviews, 28, 86–95. doi: 10.1016/j.smrv.2015.06.002
Moreno, L. A., Gottrand, F., Huybrechts, I., Ruiz, J. R., González-Gross, M., DeHenauw, S., & HELENA Study Group (2014). Nutrition and lifestyle in european adolescents: the HELENA (Healthy Lifestyle in Europe by Nutrition in Adolescence) study. Advances in Nutrition, 5(5), 615S–623S. doi: 10.3945/an.113.005678
Mundy, L. K., Canterford, L., Moreno-Betancur, M., Hoq, M., Viner, R. M., Bayer, J. K., Lietz, P., Redmond, G., & Patton, G. C. (2023). Learning outcomes in primary school children with emotional prob-lems: a prospective cohort study. Child and Adolescent Mental Health, 28(3), 377–384. https://doi.org/10.1111/camh.12607
Musaad, S. M. A., Speirs, K. E., Hayes, J. T., Mobley, A. R., Fitzgerald, N., Jones, B. L., VanBrackle, A., & Sig-man-Grant, M. (2017). The impact of environmental, parental and child factors on health-related behaviors among low-income children. Appetite, 112, 260–271. doi:10.1016/j.appet.2017.01.035
Parthasarathy, S., Fitzgerald, M., Goodwin, J. L., Unruh, M., Guerra, S., & Quan, S. F. (2012). Nocturia, sleep-disordered breathing, and cardiovascular morbidity in a community-based cohort. PloS one, 7(2), e30969. doi: 10.1371/journal.pone.0030969
Pérez‐Escamilla, R., Cunningham, K., & Moran, V. H. (2020). COVID‐19 and maternal and child food and nutrition insecurity: a complex syndemic. Maternal & Child Nutrition, 16(3), e13036. doi: 10.1111/mcn.13036
Rodríguez-Huertas, E., Solana-Moreno, M. I., Rodríguez-Espinosa, F., Rodríguez-Moreno, M. J., Aguirre-Rodríguez, J. C., & Alonso-Ródenas, M. (2012). Programa CASERIA (Cuestionario hábitos saluda-bles en primaria). Respuestas de escolares de 6 a 10 años de edad. Medicina de Familia (SE-MERGEN), 38(5), 265–277. Doi: 10.1016/j.semerg.2011.10.018
Rodríguez-Lorenzo, L., & Toro, S. (2020). Cuestionario para valorar los hábitos de actividad física en escolares. Revista de Educación Física, 1(2), 1–14.
Rojo-Ramos, J., Rojo-Ramos, P., García-Gil, M. Ángeles, & Galán-Arroyo, C. (2024). Physical social anxie-ty in adolescence in Physical Education Spanish students. Retos, 61, 238–243. https://doi.org/10.47197/retos.v61.105066
Rosenstock, I. M. (1974). Historical origins of the health belief model. Health Education Monographs, 2(4), 328–335. https://doi.org/10.1177/109019817400200403
Walker, S. N., Sechrist, K. R., & Pender, N. J. (1987). The Health-Promoting Lifestyle Profile: Develop-ment and psychometric characteristics. Nursing Research, 36(2), 76–81.
WHO (2019a). Global School-Based Student Health Survey (GSHS): Methodology and implementation. WHO Press.
WHO (2019b). Global school-based student health survey (GSHS). World Health Organization. https://www.who.int/teams/noncommunicable-diseases/surveillance/systems-tools/global-school-based-student-health-survey
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Sonia Olivera Sánchez , Ana Pablos, Laura Elvira, Eraci Drehmer, Jose F. Guzmán

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and ensure the magazine the right to be the first publication of the work as licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgment of authorship of the work and the initial publication in this magazine.
- Authors can establish separate additional agreements for non-exclusive distribution of the version of the work published in the journal (eg, to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
- Is allowed and authors are encouraged to disseminate their work electronically (eg, in institutional repositories or on their own website) prior to and during the submission process, as it can lead to productive exchanges, as well as to a subpoena more Early and more of published work (See The Effect of Open Access) (in English).
This journal provides immediate open access to its content (BOAI, http://legacy.earlham.edu/~peters/fos/boaifaq.htm#openaccess) on the principle that making research freely available to the public supports a greater global exchange of knowledge. The authors may download the papers from the journal website, or will be provided with the PDF version of the article via e-mail.