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Related Experiment Video

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Development and validation of a Context-sensitive Positive Health Questionnaire (CPHQ): A factor analysis and

Brian M Doornenbal1,2, Tim van Zutphen3, Lise F E Beumeler3

  • 1Department of Public Health and Primary Care/Health Campus The Hague, Leiden University Medical Center, Albinusdreef 2, Leiden, 2333 ZA, the Netherlands. b.m.doornenbal@lumc.nl.

Journal of Patient-Reported Outcomes
|April 12, 2024
PubMed
Summary

A new Context-specific Positive Health (CPH) questionnaire was developed to measure individuals' ability to adapt to challenges. This validated instrument assesses 11 dimensions, including resilience and contextual factors, addressing health inequality.

Keywords:
Capability ApproachConcurrent validityFactor analysisFactorial validityPositive HealthPrimary carePublic health

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Area of Science:

  • Health Sciences
  • Psychology
  • Sociology

Background:

  • Positive Health (PH) is crucial for measuring adaptation to challenges.
  • Existing PH measures lack contextual factors.
  • A Context-specific Positive Health (CPH) instrument aligned with the Capability Approach (CA) is needed.

Purpose of the Study:

  • Develop and validate a Context-specific Positive Health (CPH) measurement instrument.
  • Align the CPH instrument with the Capability Approach (CA).
  • Incorporate contextual factors and resilience into PH measurement.

Main Methods:

  • Developed and validated the CPH questionnaire (CPHQ) in two stages: preparation and validation.
  • Used focus groups and expert consultations in the preparation phase.
  • Tested factorial and concurrent validity in a representative sample (N=1002) using Factor Analysis and Multivariate Regression Analysis.

Main Results:

  • The CPHQ demonstrated adequate factorial and concurrent validity.
  • The questionnaire includes an assessment of resilience, a key component of PH.
  • The final CPHQ comprises 11 dimensions, including relaxation, autonomy, social support, and health literacy.

Conclusions:

  • The developed CPHQ is a theoretically embedded and validated measurement tool for Positive Health.
  • The CPHQ addresses the ability to adapt, health inequality, and contextual factors.
  • The instrument facilitates the development of understandable measurement items for PH.