Development and quality analysis of the Salutogenic Health Indicator Scale (SHIS).

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Development and quality analysis of the Salutogenic Health Indicator Scale (SHIS). / Bringsén, Åsa; Andersson, Ingemar; Ejlertsson, Göran.

I: Scandinavian Journal of Public Health, Vol. 37, Nr. 1, 2009, s. 13-19.

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Bringsén, Åsa ; Andersson, Ingemar ; Ejlertsson, Göran. / Development and quality analysis of the Salutogenic Health Indicator Scale (SHIS). I: Scandinavian Journal of Public Health. 2009 ; Vol. 37, Nr. 1. s. 13-19.

RIS

TY - JOUR

T1 - Development and quality analysis of the Salutogenic Health Indicator Scale (SHIS).

AU - Bringsén, Åsa

AU - Andersson, Ingemar

AU - Ejlertsson, Göran

PY - 2009

Y1 - 2009

N2 - BACKGROUND: Current health measurement instruments tend to measure aspects of ill-health rather than health in general. There is a need for a salutogenic perspective when describing health and developing a health measurement instrument. The aim of this article is to present the development process and quality assessment of a salutogenic health indicator scale. METHODS: A description of health, emanating from the concept of health, positive health and well-being, was used as a basis for the construction of the scale. The scale is a semantic differential consisting of 12 indicator items covering nine heath-related dimensions. A principal component analysis was performed, and three health indicator indexes were constructed. Correlation with self-rated health questions was investigated, weighted kappa values were calculated, and Cronbach's alpha (CA) was used to check internal consistency. RESULTS: The analysis resulted in a two-factor model, and the indexes were named intrapersonal characteristics (CA= 0.90) and interactive function (CA= 0.84), summarised into health complete (CA= 0.92). Kappa values ranged from 0.44 to 0.67, and correlations with self-rated health status were stronger than those with self-rated sick-leave. CONCLUSIONS: Our health description was characterized by complexity, but the instrument is a short salutogenic health indicator scale. The shortness increases the usability. The instrument seems to be able to offset the current problem of there being a lack of salutogenic health measurement instruments. The results indicate that further testing is justified.

AB - BACKGROUND: Current health measurement instruments tend to measure aspects of ill-health rather than health in general. There is a need for a salutogenic perspective when describing health and developing a health measurement instrument. The aim of this article is to present the development process and quality assessment of a salutogenic health indicator scale. METHODS: A description of health, emanating from the concept of health, positive health and well-being, was used as a basis for the construction of the scale. The scale is a semantic differential consisting of 12 indicator items covering nine heath-related dimensions. A principal component analysis was performed, and three health indicator indexes were constructed. Correlation with self-rated health questions was investigated, weighted kappa values were calculated, and Cronbach's alpha (CA) was used to check internal consistency. RESULTS: The analysis resulted in a two-factor model, and the indexes were named intrapersonal characteristics (CA= 0.90) and interactive function (CA= 0.84), summarised into health complete (CA= 0.92). Kappa values ranged from 0.44 to 0.67, and correlations with self-rated health status were stronger than those with self-rated sick-leave. CONCLUSIONS: Our health description was characterized by complexity, but the instrument is a short salutogenic health indicator scale. The shortness increases the usability. The instrument seems to be able to offset the current problem of there being a lack of salutogenic health measurement instruments. The results indicate that further testing is justified.

U2 - 10.1177/1403494808098919

DO - 10.1177/1403494808098919

M3 - Article

VL - 37

SP - 13

EP - 19

JO - Scandinavian Journal of Public Health

JF - Scandinavian Journal of Public Health

SN - 1651-1905

IS - 1

ER -