• The HBQ is used to describe the health behaviours of persons with SCI and the relationships between health behaviour, injury characteristics, and health related variables.
  • The HBQ assesses the frequency of health behaviours that delay or prevent secondary impairments.

ICF Domain

Activity and Participation ▶ Self-care, learning and applying knowledge

Number of Items



Self-report questionnaire


  • Scores based on Likert Scale (0-3):
    • 0 = never
    • 1 = sometimes
    • 2= often
    • 3 = always
  • Total HBQ score is calculated by summing the scores of each item.
  • Total score range is from 0 (never performing any health behaviors) up to 66 (always performing all health behaviours.



Training Required

No advanced training required.


Can be found by contacting the author (Maryam Shabany / Alireza Nikbakht Nasrabadi, mansournia_ma@yahoo.com).

More information in the Health Behaviour Questionnaire:

# of studies reporting psychometric properties: 3


MCID: not established
SEM: not established
MDC: not established


High Correlation with Spinal Cord Lifestyle Scale (SCILS): r = 0.65

(Shabany et al. 2018)


  • High Internal Consistency: α = 0.80-0.85
  • High Test-Retest Reliability: ICC = 0.92

(Shabany et al. 2018; Bloemen-Vrencken et al. 2007)


No values were reported for the responsiveness of the HBQ.

Floor/Ceiling Effect

No values were reported for the presence of floor/ceiling effects in the HBQ for the SCI population.


Gurmaan Gill, Joanne Chi

Date Last Updated

5 September 2019

Shabany M, Nasrabadi AN, Rahimi-Movaghar V, Mansournia MA, Mohammadi N, Pruitt SD. Reliability and validity of the Persian version of the spinal cord injury lifestyle scale and the health behavior questionnaire in persons with spinal cord injury. Spinal Cord. 2018;56(5):509-515. https://www.nature.com/articles/s41393-017-0056-9

Bloemen-Vrencken JH, de Witte LP, Post MW, van den Heuvel WJ. Health behaviour of persons with spinal cord injury. Spinal Cord. 2007;45(3):243-9. https://www.nature.com/articles/3101967