Global screening of health behaviors: Introducing Lev-screening (Lev-s)-development and psychometric evaluation

PLoS One. 2024 Dec 26;19(12):e0315565. doi: 10.1371/journal.pone.0315565. eCollection 2024.

Abstract

Poor health behaviors have been identified as a critical factor for the burden on healthcare systems and individual suffering. However, comprehensive assessment of health behaviors is time-consuming and often neglected. To address this, we introduce the Lev-screening (Lev-s), a new, brief tool that covers multiple health behaviors. The Lev-s assesses ten health behaviors-physical activity, diet, alcohol use, tobacco use, illegal drug use, sleep, social relations, meaningful activities, sexual health, and screen health-using 33 items. This article details the development and psychometric evaluation of Lev-s with a sample of 2,279 participants aged 18-87. Test-retest reliability estimated as intra-class correlation coefficients for the different health behaviors ranged from .71 to .98 (n = 157), indicating moderate to excellent reliability. Lev-s showed associations with quality of life, demonstrated inter-correlations among included health behaviors, and detected group differences between individuals with and without neurodevelopmental conditions. The Lev-s exhibits satisfactory psychometric properties and holds promise as an efficient tool for screening of health behaviors.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Female
  • Health Behavior*
  • Humans
  • Male
  • Mass Screening / methods
  • Middle Aged
  • Psychometrics* / methods
  • Quality of Life
  • Reproducibility of Results
  • Surveys and Questionnaires
  • Young Adult