The Health Education Impact Questionnaire (heiQ): An outcomes and evaluation measure for patient education and self-management interventions for people with chronic conditions

Osborne, Richard, Elsworth, Gerald and Whitfield, Kathryn 2007, The Health Education Impact Questionnaire (heiQ): An outcomes and evaluation measure for patient education and self-management interventions for people with chronic conditions, Patient education and counseling, vol. 66, no. 2, pp. 192-201.

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Title The Health Education Impact Questionnaire (heiQ): An outcomes and evaluation measure for patient education and self-management interventions for people with chronic conditions
Author(s) Osborne, Richard
Elsworth, Gerald
Whitfield, Kathryn
Journal name Patient education and counseling
Volume number 66
Issue number 2
Start page 192
End page 201
Publisher Elsevier Ireland Ltd
Place of publication Limerick, Ireland
Publication date 2007-05
ISSN 0738-3991
1873-5134
Keyword(s) self-management
chronic disease
questionnaire design
patient reported outcomes
validation
Summary Objective: This paper describes the development and validation of the Health Education Impact Questionnaire (heiQ). The aim was to develop a user-friendly, relevant, and psychometrically sound instrument for the comprehensive evaluation of patient education programs, which can be applied across a broad range of chronic conditions.

Methods:
Item development for the heiQ was guided by a Program Logic Model, Concept Mapping, interviews with stakeholders and psychometric analyses. Construction (N = 591) and confirmatory (N = 598) samples were drawn from consumers of patient education programs and hospital outpatients. The properties of the heiQ were investigated using item response theory and structural equation modeling.

Results: Over 90 candidate items were generated, with 42 items selected for inclusion in the final scale. Eight independent dimensions were derived: Positive and Active Engagement in Life (five items, Cronbach's alpha (α) = 0.86); Health Directed Behavior (four items, α = 0.80); Skill and Technique Acquisition (five items, α = 0.81); Constructive Attitudes and Approaches (five items, α = 0.81); Self-Monitoring and Insight (seven items, α = 0.70); Health Service Navigation (five items, α = 0.82); Social Integration and Support (five items, α = 0.86); and Emotional Wellbeing (six items, α = 0.89).

Conclusion:
The heiQ has high construct validity and is a reliable measure of a broad range of patient education program benefits.

Practice Implications:
The heiQ will provide valuable information to clinicians, researchers, policymakers and other stakeholders about the value of patient education programs in chronic disease management.
Language eng
Field of Research 110399 Clinical Sciences not elsewhere classified
Socio Economic Objective 970111 Expanding Knowledge in the Medical and Health Sciences
HERDC Research category C1.1 Refereed article in a scholarly journal
Copyright notice ©2007, Elsevier Ireland Ltd
Persistent URL http://hdl.handle.net/10536/DRO/DU:30019415

Document type: Journal Article
Collection: School of Health and Social Development
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Created: Mon, 14 Sep 2009, 13:00:12 EST by Lorraine Driscoll

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