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Updated: Feb 16, 2026
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Author Spotlight: Developing Low-Tech Balance Assessment Methods for Broad-Spectrum Healthcare Applications
Published on: September 1, 2023
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Instrument Development of Integrative Health and Wellness Assessment™.
Deborah McElligott1, Sarah Eckardt2, Barbara Montgomery Dossey3
1Center for Wellness and Integrative Medicine, Northwell Health.
Summary
The Integrative Health and Wellness Assessment (IHWA) short form is a new tool to help people assess healthy behaviors. Pilot testing shows it has good internal consistency but may need further revision.
Area of Science:
- Integrative Health and Wellness Coaching
- Health Promotion and Behavior Change
- Psychometrics and Measurement Tools
Background:
- The nurse coach role emerged to meet global health and wellbeing needs.
- Integrative Nurse Coaching theory supports health promotion interventions.
- A validated tool was needed for assessing healthy behaviors within this framework.
Purpose of the Study:
- To describe the development and pilot testing of the Integrative Health and Wellness Assessment (IHWA) short form.
- To establish the psychometric properties of the IHWA short form.
- To provide a self-reporting tool for health behavior assessment in coaching.
Main Methods:
- Development of a 36-question Likert-type scale based on DeVellis guidelines.
- Pilot testing with a sample of 36 participants.
- Statistical analysis including Kaiser-Meyer-Olkin (KMO) and Cronbach's alpha.
Main Results:
- Kaiser-Meyer-Olkin (KMO) value of .520 and significant Bartlett's test of sphericity.
- Overall scale internal consistency (Cronbach's alpha) was .88.
- Pilot results suggest potential for improvement through further revision.
Conclusions:
- The IHWA short form demonstrates promising internal consistency for assessing healthy behaviors.
- The tool can inform the nurse coaching relationship and potentially serve as an outcome measure.
- Further refinement and ongoing studies are recommended to optimize the IHWA short form.
Keywords:
health and wellness coachinghealth promotion/disease preventionintegrative/holistic theoriesmethodological innovations/instrument developmentMore Related Videos
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