Validation and Dimensionality of the Integration of Health Protection and Health Promotion Score

Abstract

Structured Abstract Objective To conduct validation and dimensionality analyses for an existing measure of the integration of worksite health protection and health promotion approaches. Methods A survey of small to medium size employers located in the U.S. was conducted between October 2013 and March 2014 (N=115). A survey of Department of Veterans Affairs (VA) administrative parents was also conducted from June to July 2014 (N=140). Exploratory Factor Analysis was used to determine the dimensionality of the Integration Score in each sample. Results Using Exploratory Factor Analysis, both samples indicated the presence of one unified factor. The VA survey indicated that customization improves the relevance of the Integration Score for different types of organizations. Conclusions The Integration Score is a valid index for assessing the integration of worksite health protection and health promotion approaches and is customizable based on industry. Clinical Significance The Integration Score may be used as a single metric for assessing the integration of worksite health protection and health promotion approaches in differing work contexts.

Measuring Best Practices for Workplace Safety, Health, and Well-Being

“…This instrument builds on the Indicators of Integration, previously published and validated by the Center for Work, Health and Wellbeing. 1,42,43 We have expanded this tool based on the conceptual model presented in Figure 1, 2 which prioritizes working conditions as determinants of worker safety, health and wellbeing. In addition, the WISH Assessment is designed to measure the extent to which an organization implements best practice recommendations.…”

“…The Center’s conceptual model 2 and related literature provided a guiding framework for the development of the WISH Assessment. As a starting point, we used constructs and related measures included in the Center’s published 1 and validated 42,43 Indicators of Integration tool. Based on an extensive review of literature, we expanded and revised the constructs captured by the instrument from four to seven.…”

“…1 This instrument assessed four domains: organizational leadership and commitment; collaboration between health protection and worksite health promotion; supportive organizational policies and practices (including accountability and training, management and employee engagement, benefits and incentives to support workplace health promotion and protection, integrated evaluation and surveillance); and comprehensive program content. The instrument was validated in two samples, 42,43 and has played as useful role in the evolving dialogue around integrated approaches to worker safety, health and wellbeing. 44,45 There is a need, however, for building on this work toward assessment of more conceptually grounded and practical constructs that measure the implementation of systems approaches focusing on improving working conditions as a means of protecting and promoting worker safety, health and wellbeing.…”

Key Organizational Characteristics for Integrated Approaches to Protect and Promote Worker Health in Smaller Enterprises

“…(28) As part of a factor analysis performed using two samples, the 23 items seem to perform well as a single index. (29) The four overall domains mentioned above were assessed with a total of 23 items each of which had response categories of either "absent," "partially adopted," or "fully adopted." One of the 23 items (on worker engagement in planning health protection and health promotion activities) was inadvertently omitted from the web survey; the remaining 22 items used in this study are displayed in Table 1.…”

“…The measure, displayed in Table 1, has since been utilized in the field and validated. (27)(28)(29) We investigated relationships among organizational characteristics of worksites (i.e., size, industrial sector, leadership commitment, and organizational supports) and the levels of integrated approaches implemented in smaller enterprises. We used the Sorensen indicators of integration tool among a sample of enterprises employing less than 750 employees in the Upper Midwest.…”