Cross-Cultural Adaptation and Validation of the Diet and Exercise Social Support Questionnaire for Thai University Students
Abstract
Objective: This study aimed to cross-culturally adapt and validate a social support questionnaire for diet and exercise behaviors for use in Thailand.
Material and Methods: This study undertook the cross-cultural adaptation of a social support questionnaire and assessed its reliability and validity for application in Thailand. Forward–backward translation was conducted to translate the questionnaire from English to Thai. Then, the semantic, idiomatic, experiential, and conceptual equivalences were assessed by 2 experts in adolescent behavior and social support. A cross-sectional study was then conducted on 200 young Thai women with an average age of 18.32 years to test the Thai version of the self-reported social support questionnaire. The content validity was determined from the S-CVI score, and Cronbach’s alpha was computed to estimate the internal consistency of the scale.
Results: The Thai translated version showed an average equivalence score of 0.92–1 and an S-CVI of 0.93. The respective Cronbach’s α for the diet and exercise modules were 0.91 and 0.81.
Conclusion: This is the first Thai language social support questionnaire to assess diet and exercise behaviors and will be advantageous for health promotion or weight management programs in Thailand.
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Kaplan BH, Cassel JC, Gore S. Social support and health. Medical care 1977;15:47-58.
Kaplan RM. Social Support and Social Health. In: Sarason I.G., Sarason B.R. (eds). Social Support: Theory, Research and Applications. NATO ASI Series. Dordrecht: Springer; 1985.
Kanita C, Chanandchidadussadee T, Somsamai R. Effects of self-regulation program on weight loss behavior and bodyweight among overweight female health care personnel. JFONUBUU 2016;24:70-82.
Ramón-Arbués E, Granada-López JM, Martínez-Abadía B, Echániz-Serrano E, Antón-Solanas I, Jerue BA. Factors related to diet quality: a cross-sectional study of 1055 university students. Nutrients 2021;13:3512.
Liu W, Zhang B, Zhao H, Jiang Y. Social support and college students’ exercise adherence: Chain mediating effect test. Soc Behav Pers J 2024;52:1-2.
Bilgin O and Tas I. Effects of perceived social support and Psychological resilience on social media addiction among university students. Univers J Educ Res 2018;6:751-8. doi: 10.13189/ujer.2018.060418.
Nasueb S, Kosiyaporn H, Cetthakrikul N, Adhibai R, Thiphong J, Pumsutas Y, et al. Associations of work characteristics with obesity, behavioral risk factors and NCDs in Bangkok, Thailand. PLOS Glob Public Health 2024;4:e0004000. doi: 10.1371/journal.pgph.0004000.
Chaniang S, Klongdee K, Jompaeng Y. Suicide prevention: A qualitative study with Thai secondary school students. Belitung Nurs J 2022;8:60. doi: 10.33546/bnj.1746.
Vibulchai N, Dana K, Sanchan M, Churari C, Jadboonnak B, Sawangsri W, Pothiporn WT, Sutthicharoen U. The effect of the peer support intervention on internalized stigma among Thai patients with tuberculosis: a repeated measures design. Belitung Nurs J 2024;10:408. doi: 10.33546/bnj.3327.
Chirawat P, Kamolthip R, Rattaprach R, Nadhiroh SR, Tung SE, Gan WY, et al. Weight stigma among young adults in Thailand: reliability, validation, and measurement invariance of the thai-translated weight self stigma questionnaire and perceived weight stigma scale. Int J Environ Res Public Health 2022;19:15868. doi: 10.3390/ijerph192315868.
Narmkul P, Woradet S, Armartpundit T, Maninet S, Songserm N. Factors influencing health literacy in overweight management among late adolescents in Thailand: A cross-sectional study. Belitung Nurs J 2024;10:563. doi: 10.33546/bnj.3476.
Mongkonkansai J, Parapan P, Srinuan M, Thepnoo T, Khoklang S, Yimthiang S, Mahaboon J, Madardam U. Predicting the work ability of security guards at a university in Nakhon Si Thammarat province, Thailand. Int J Occup Saf Ergon 2024;30:486-95. doi: 10.33546/bnj.3476.
Beaton DE, Bombardier C, Guillemin F, Ferraz MB. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine 2000;25:3186-91.
Wang E, Abrahamson K, Liu PJ, Ahmed A. Can mobile technology improve weight loss in overweight adults? A systematic review. West J Nurs Res 2020;42:747-59. doi: 10.1177/0193945919888224.
Sperber AD. Translation and validation of study instruments for cross-cultural research. Gastroenterology 2004;126:S124-8.
Longlalerng K, Sonsuwan N, Uthaikhup S, Kumsaiyai W, Sitilertpisan P, Traisathit P, et al. Translation, cross-cultural adaptation and psychometric properties of the sleep-related breathing disordered− pediatric sleep questionnaire for obese thai children with obstructive sleep apnea. Sleep med 2019;53:45-50. doi: 10.1016/j.sleep.2018.08.033.
Yaghmale F. Content validity and its estimation. J Med Educ 2003;3: 25-7. doi: 10.22037/jme.v3i1.870.
Sallis JF, Grossman RM, Pinski RB, Patterson TL, Nader PR. The development of scales to measure social support for diet and exercise behaviors. Prev med 1987;16:825-36. doi: 10.1016/0091-7435(87)90022-3.
Finlayson TL, Malcarne VL, Ayala GX, Schiaffino MK, Hoeft KS, Garcia-Alcaraz C, et al. Development of new bilingual oral health behavior social support (OHBSS) scales in English and Spanish. PloS one 2025;20:e0317133.
Phillips E, Potter C, Poole J, Lewis A, Nahid M, Christos P, Hootman K, Winston G, de la Haye K. Reducing obesity using social ties (ROBUST): protocol for a randomized control trial of a social network lifestyle intervention. PloS one 2025;20:e0318990.
Carbonneau E, Bradette-Laplante M, Lamarche B, Provencher V, Bégin C, Robitaille J, et al. Social support for healthy eating: development and validation of a questionnaire for the French-Canadian population. Public Health Nutr 2018; 21:2360–6. doi: 10.1017/S1368980018001209.
Tam KM, Cheung SY. Measuring physical activity self-efficacy, self-regulation, social support among Hong Kong working adults: a validation study J Phys Educ 2020;7:66-73. doi: 10.15640/jpesm.v7n1a8.
Sabo A, Kueh YC, Arifin WN, Kim Y, Kuan G. The validity and reliability of the Malay version of the social support for exercise and physical environment for physical activity scales. PloS one 2020;15:e0239725. doi: 10.1371/journal.pone.0239725.
Cerin E, Sit CH, Barnett A, Huang WY, Gao GY, Wong SH, et al. Reliability of self-report measures of correlates of obesity-related behaviours in Hong Kong adolescents for the iHealt (H) and IPEN adolescent studies. Arch Pub Health 2017;75:1-3. doi: 10.1186/s13690-017-0209-5.
Prochaska JJ, Rodgers MW, Sallis JF. Association of parent and peer support with adolescent physical activity. Res Q Exerc Sport 2002;73:206-10. doi: 10.1080/02701367.2002.10609010.
Kamilah K, Munandar JM, Syamsun M, Worapishet T. The effect of environmental friendliness fanaticism of students towards purchase intention and purchase decision of organic food. Jurnal Manajemen & Agribisnis. 2021;18:32.
Cowley ES, Watson PM, Foweather L, Belton S, Thompson A, Thijssen D, Wagenmakers AJ. “Girls aren’t meant to exercise”: Perceived influences on physical activity among adolescent girls—the HERizon project. Children 2021;8:31.
Penna TA, Paravidino VB, da Rocha Morgado FF, de Oliveira BR, de Albuquerque Maranhão-Neto G, Machado S, et al. Association between social support and frequency of physical activity in adult workers. Revista Brasileira de Medicina do Trabalho 2023;20:547.
Jaidee C. The effects of self-efficacy and social support promotion program on knowledge health behavior and weight reduction of undergraduate students at Thailand National Sport University in Yala campus. JELCS. [serial on the Intermet] 2023. [cited 2025 Mar 16]; 34:113-126. Available from: https://so02.tci-thaijo.org/index.php/edupsu/article/view/248478/175625.
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