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

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Health Promotion Administration, Ministry of Health and Welfare, Taipei 10341, Taiwan
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School of Medicine, Tzu Chi University, Hualien 97004, Taiwan
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Department of Healthcare Administration, Asia University, Taichung 41354, Taiwan
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Department of Social Welfare, National Chung Cheng University, Chiayi 62102, Taiwan
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CC Collaborating Centre for Health Promotion in Hospitals and Health Care, Gesundheit Österreich GmbH (Austrian Public Health Institute), 1010 Vienna, Austria
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Department of Sociology, University of Vienna, 1090 Vienna, Austria
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Center for Environment and Population Health, Griffith University, Brisbane 4111, Australia
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Department of Health Services Administration, China Medical University, Taichung 40402, Taiwan
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Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2019, 16(11), 1953; https://doi.org/10.3390/ijerph16111953
Received: 1 May 2019 / Revised: 26 May 2019 / Accepted: 30 May 2019 / Published: 1 June 2019
(This article belongs to the Section Health Behavior, Chronic Disease and Health Promotion)
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. View Full-Text
Keywords: validation; integrative model; health-promoting hospitals; Taiwan validation; integrative model; health-promoting hospitals; Taiwan
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MDPI and ACS Style

Wang, Y.-W.; Chia, S.-L.; Chou, C.-M.; Chen, M.S.; Pelikan, J.M.; Chu, C.; Wang, M.-H.; Lee, C.B. Development and Validation of a Self-Assessment Tool for an Integrative Model of Health Promotion in Hospitals: Taiwan’s Experience. Int. J. Environ. Res. Public Health 2019, 16, 1953. https://doi.org/10.3390/ijerph16111953

AMA Style

Wang Y-W, Chia S-L, Chou C-M, Chen MS, Pelikan JM, Chu C, Wang M-H, Lee CB. Development and Validation of a Self-Assessment Tool for an Integrative Model of Health Promotion in Hospitals: Taiwan’s Experience. International Journal of Environmental Research and Public Health. 2019; 16(11):1953. https://doi.org/10.3390/ijerph16111953

Chicago/Turabian Style

Wang, Ying-Wei; Chia, Shu-Li; Chou, Chien-Ming; Chen, Michael S.; Pelikan, Jürgen M.; Chu, Cordia; Wang, Mei-Hsiu; Lee, Chiachi B. 2019. "Development and Validation of a Self-Assessment Tool for an Integrative Model of Health Promotion in Hospitals: Taiwan’s Experience" Int. J. Environ. Res. Public Health 16, no. 11: 1953. https://doi.org/10.3390/ijerph16111953

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