ArticleInternational journal of public health2026
Japanese version of the motivation to change lifestyle and health behaviors for dementia risk reduction scale: a cross-cultural validation.
Article in International journal of public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objectives: This study examined the reliability and validity of a Japanese version of the Motivation to Change Lifestyle and Health Behaviors for Dementia Risk Reduction (MCLHB-DRR) scale, which assesses the motivation to change lifestyle and health behavior for preventing major neurocognitive disorder based on the health belief model. Methods: The scale was translated using Brislin's translation model. A total of 500 Japanese adults aged 40-89 years were recruited online. The translated version was evaluated for content validity, internal consistency, and test-retest reliability over 2 weeks. Results: Exploratory factor analysis revealed a seven-factor model that explained 58% of the variance. Cronbach's α was >0.7 for all seven subscales and item-total correlations were significant for all items. Confirmatory factor analysis exhibited a moderate fit, and the factor loadings were significant for all items. ICC (1,1) showed moderate test-retest reliability. Conclusion: The Japanese version of the MCLHB-DRR test showed high reliability and validity among Japanese older adults.
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