Development and Validation of a Self-Assessment Tool for an Integrative Model of Health Promotion in Hospitals: Taiwan’s Experience

Ying-Wei Wang, Shu-Li Chia, Chien-Ming Chou, Michael S. Chen, Jürgen M. Pelikan, Cordia Chu, Mei-Hsiu Wang and Chiachi Bonnie Lee
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Ying-Wei Wang: Health Promotion Administration, Ministry of Health and Welfare, Taipei 10341, Taiwan
Shu-Li Chia: Health Promotion Administration, Ministry of Health and Welfare, Taipei 10341, Taiwan
Chien-Ming Chou: Health Promotion Administration, Ministry of Health and Welfare, Taipei 10341, Taiwan
Michael S. Chen: Department of Healthcare Administration, Asia University, Taichung 41354, Taiwan
Jürgen M. Pelikan: CC Collaborating Centre for Health Promotion in Hospitals and Health Care, Gesundheit Österreich GmbH (Austrian Public Health Institute), 1010 Vienna, Austria
Cordia Chu: Center for Environment and Population Health, Griffith University, Brisbane 4111, Australia
Mei-Hsiu Wang: Department of Health Services Administration, China Medical University, Taichung 40402, Taiwan
Chiachi Bonnie Lee: Department of Health Services Administration, China Medical University, Taichung 40402, Taiwan

IJERPH, 2019, vol. 16, issue 11, 1-18

Abstract: The Health Promotion Administration of Taiwan launched an integrative certification initiative in 2016 to streamline a plural system of certifications of health promotion in hospitals. It endeavored to replace original certifications, thereby establishing the proposal of a self-assessment instrument to aid in this integration. This study aimed to verify the robustness of this self-assessment tool by conducting exploratory factor analyses through stratification, reliability tests, content and construct validity tests, and specialist evaluations, which were convened to judge the comprehensibility, applicability, and importance of the standards and measures of this tool. A stratified random sampling of 46 hospitals was performed to confirm the validity of this tool. The tool rendered a floor effect of 0% and a ceiling effect of 13%. A valid factor structure and internal consistency (α ranged from 0.88 to 0.96) in each standard were verified. Hospitals with previous certificates or with 300+ beds achieved high compliance scores. A majority of experts agreed that the sub-standards were comprehensible (≥80%), applicable (≥70%), and important (≥70%). Finally, we conclude that the self-assessment tool is valid and can serve as a reference for other countries with hospitals committed to health promotion in hospital settings.

Keywords: validation; integrative model; health-promoting hospitals; Taiwan (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2019
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