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Published on: April 23, 2014
Development and initial validation of the addressing client needs with social determinants of health scale (ACN: SDH)
1The Ohio State University, 281 W Lane Ave, Columbus, OH, USA. KapreaJohnson@gmail.com.
Background:
The purpose of this study was to validate a scale that can be used by healthcare service professionals, healthcare systems, educators, and researchers to assess health service professionals' social determinants of health (SDOH) competency; with competency defined as their knowledge, awareness-biases, skills, and actual preparedness to address SDOH challenges.
Methods:
An Exploratory Factor Analysis (EFA) was conducted with a sample of 220 health service professionals, and 6 factors were identified. A Confirmatory Factor Analysis (CFA) was conducted with 303 health service professionals and the 6-factor solution was supported, with 22 items.
Results:
The reliability estimates for the 6 factors are as follows: Factor 1, Action Toward Addressing SDOH (a = .85); Factor 2, SDOH Knowledge (a = .94); Factor 3, Negative Attitude toward Addressing SDOH (a = .79); Factor 4, Systemic Accountability (a = .81); Factor 5, School Preparation (a = .86); and Factor 6, Perception of the Cause of SDOH (a = .94).
Conclusion:
The ACN:SDH scale is the first validated measure that can be used to systematically appraise health service professionals' SDOH competency.
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