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[The Context-Sensitive Positive Health Questionnaire (CPHQ2.0), a broad health questionnaire based on a combination
Esther J Bloemen-van Gurp1,2, Mirte Boelens3, Marja van Vliet4
1Hogeschool Zuyd, Lectoraat wijkgerichte zorg, Heerlen, Nederland.
Abstract:
The Context-Sensitive Positive Health Questionnaire (CPHQ2.0) was developed to measure broad health from both the Capability Approach and the Positive Health perspective. Whereas traditional instruments, such as the EQ-5D-5L and IPH-17, primarily focus on health status, the CPHQ2.0 explicitly integrates personal and contextual factors that influence an individual's opportunities to live healthily. The further development from the original CPHQ1.0 to CPHQ2.0 involved ten focus groups, expert validation, a member check, and a longitudinal panel study for psychometric analysis (n = 1001). The results demonstrate a robust factor structure with eight domains: mental relaxation, social acceptance, well-being, vitality, social support, financial resources, health literacy, and mobility. It also had a good internal consistency (CR > 0.77) and test-retest reliability (ICC > 0.70). The CPHQ2.0 can be applied in healthcare practice, the social domain, and health policy. Correlations with the IPH-17 and EQ-5D-5L confirm discriminant validity, with the CPHQ2.0 distinguishing itself by not only providing insight into broad health, but also incorporating the opportunities individuals have to live healthily. As such, it offers valuable information for health promotion.
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