Cross- cultural adaptation and reliability of the Albanian version of HPLP-II questionnaire among nursing students

Abstract Introduction. The Health Promotion Lifestyle Profile – II (HPLP – II), a well-known instrument measuring health promotion lifestyle behaviour has been translated and validated into several linguistic and cultural contexts. However, despite its extensive use in various culture, no studies have validated the tool in Albanian population. This study aims to translate and evaluate the reliability of the Albanian version of the Health-Promoting Lifestyle Profile-II among nursing students. Methods. Following the translation of the English version of the Health Promotion Lifestyle Profile-II into Albanian by recognized forward-backward translation methods, the psychometric features of the translated version were assessed with 350 Albanian nursing students. The psychometric properties of the instrument were evaluated, including the internal consistency, item analysis and factor analysis. Data analysis was performed using SPSS version 27.0. Results. The Albanian version of The Health Promotion Lifestyle Profile – II indicating high internal consistency (Cronbach's alpha =0.932). Factor analysis confirmed moderate alignment of their respective construct. The correlation analysis further supported the validity of the HPLP-II, with significant positive relationships observed among subscales (ranging from .447 to .699). Conclusion. The Albanian HPLP-II scale is an appropriate tool for assessing health promoting behaviours of the Albanian students. Future research should expand its application to diverse populations to enhance utility in public health research. Keywords: Albanian, Health Promotion Lifestyle Profile-II, students, reliability, validation.