The concept of health scale: Developed for Chinese people with chronic illness

YJ Hwu, Vivien Coates, JRP Boore, Brendan Bunting

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Background. As the concept of health in Chinese people with chronic illness had not been previously explored, a scale to measure this concept in this client group was developed. Objective: To develop and test the psychometric integrity of the Concept of Health Scale (CHS) for use with Chinese people. Methods: Previous nursing experience and a literature review were used to inform the initial development of the CHS. It was revised following scrutiny by a panel of experts. Two studies tested the psychometric integrity of the scale. In Study One the data gathered from 80 Chinese people with a chronic illness were subjected to item analysis and exploratory factor analysis. In Study Two, with a convenience sample of 372 chronically ill Chinese people, confirmatory factor analysis was conducted. Results: Instrument analysis in Study One resulted in a 34-item scale with a Cronbach alpha of 0.94. The results of an exploratory factor analysis showed that physical, psychosocial, and spiritual factors were represented by the CHS. The hypothesized model of the CHS was tested in Study Two using confirmatory factor analyses. The results of this study indicated that the concept of health was comprised of six first-order and three second-order factors. Conclusion: The results of this study demonstrated that Chinese people with chronic illness held a broad frame of reference in gauging the concept of health. The development of the CHS brings us one step closer to understanding how Chinese people with chronic illness regard the concept of health.
LanguageEnglish
Pages292-301
JournalNursing Research
Volume51
Issue number5
Publication statusPublished - Sep 2002

Fingerprint

Chronic Disease
Health
Statistical Factor Analysis
Psychometrics
Nursing
Psychology

Cite this

@article{3c630eba0e974aa0985bc22360c6bb92,
title = "The concept of health scale: Developed for Chinese people with chronic illness",
abstract = "Background. As the concept of health in Chinese people with chronic illness had not been previously explored, a scale to measure this concept in this client group was developed. Objective: To develop and test the psychometric integrity of the Concept of Health Scale (CHS) for use with Chinese people. Methods: Previous nursing experience and a literature review were used to inform the initial development of the CHS. It was revised following scrutiny by a panel of experts. Two studies tested the psychometric integrity of the scale. In Study One the data gathered from 80 Chinese people with a chronic illness were subjected to item analysis and exploratory factor analysis. In Study Two, with a convenience sample of 372 chronically ill Chinese people, confirmatory factor analysis was conducted. Results: Instrument analysis in Study One resulted in a 34-item scale with a Cronbach alpha of 0.94. The results of an exploratory factor analysis showed that physical, psychosocial, and spiritual factors were represented by the CHS. The hypothesized model of the CHS was tested in Study Two using confirmatory factor analyses. The results of this study indicated that the concept of health was comprised of six first-order and three second-order factors. Conclusion: The results of this study demonstrated that Chinese people with chronic illness held a broad frame of reference in gauging the concept of health. The development of the CHS brings us one step closer to understanding how Chinese people with chronic illness regard the concept of health.",
author = "YJ Hwu and Vivien Coates and JRP Boore and Brendan Bunting",
year = "2002",
month = "9",
language = "English",
volume = "51",
pages = "292--301",
journal = "Nursing Research",
issn = "0029-6562",
number = "5",

}

The concept of health scale: Developed for Chinese people with chronic illness. / Hwu, YJ; Coates, Vivien; Boore, JRP; Bunting, Brendan.

In: Nursing Research, Vol. 51, No. 5, 09.2002, p. 292-301.

Research output: Contribution to journalArticle

TY - JOUR

T1 - The concept of health scale: Developed for Chinese people with chronic illness

AU - Hwu, YJ

AU - Coates, Vivien

AU - Boore, JRP

AU - Bunting, Brendan

PY - 2002/9

Y1 - 2002/9

N2 - Background. As the concept of health in Chinese people with chronic illness had not been previously explored, a scale to measure this concept in this client group was developed. Objective: To develop and test the psychometric integrity of the Concept of Health Scale (CHS) for use with Chinese people. Methods: Previous nursing experience and a literature review were used to inform the initial development of the CHS. It was revised following scrutiny by a panel of experts. Two studies tested the psychometric integrity of the scale. In Study One the data gathered from 80 Chinese people with a chronic illness were subjected to item analysis and exploratory factor analysis. In Study Two, with a convenience sample of 372 chronically ill Chinese people, confirmatory factor analysis was conducted. Results: Instrument analysis in Study One resulted in a 34-item scale with a Cronbach alpha of 0.94. The results of an exploratory factor analysis showed that physical, psychosocial, and spiritual factors were represented by the CHS. The hypothesized model of the CHS was tested in Study Two using confirmatory factor analyses. The results of this study indicated that the concept of health was comprised of six first-order and three second-order factors. Conclusion: The results of this study demonstrated that Chinese people with chronic illness held a broad frame of reference in gauging the concept of health. The development of the CHS brings us one step closer to understanding how Chinese people with chronic illness regard the concept of health.

AB - Background. As the concept of health in Chinese people with chronic illness had not been previously explored, a scale to measure this concept in this client group was developed. Objective: To develop and test the psychometric integrity of the Concept of Health Scale (CHS) for use with Chinese people. Methods: Previous nursing experience and a literature review were used to inform the initial development of the CHS. It was revised following scrutiny by a panel of experts. Two studies tested the psychometric integrity of the scale. In Study One the data gathered from 80 Chinese people with a chronic illness were subjected to item analysis and exploratory factor analysis. In Study Two, with a convenience sample of 372 chronically ill Chinese people, confirmatory factor analysis was conducted. Results: Instrument analysis in Study One resulted in a 34-item scale with a Cronbach alpha of 0.94. The results of an exploratory factor analysis showed that physical, psychosocial, and spiritual factors were represented by the CHS. The hypothesized model of the CHS was tested in Study Two using confirmatory factor analyses. The results of this study indicated that the concept of health was comprised of six first-order and three second-order factors. Conclusion: The results of this study demonstrated that Chinese people with chronic illness held a broad frame of reference in gauging the concept of health. The development of the CHS brings us one step closer to understanding how Chinese people with chronic illness regard the concept of health.

M3 - Article

VL - 51

SP - 292

EP - 301

JO - Nursing Research

T2 - Nursing Research

JF - Nursing Research

SN - 0029-6562

IS - 5

ER -