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Making robust decisions about the impact of health education programs: Psychometric evaluation of the Health Education Impact Questionnaire (heiQ) in diverse patient groups in Norway

Wahl, Astrid K., Osborne, Richard H., Langeland, Eva, Wentzel-Larsen, Tore, Mengshoel, Anne Marit, Ribu, Lis, Peersen, Kari, Elsworth, Gerald R. and Nolte, Sandra 2016, Making robust decisions about the impact of health education programs: Psychometric evaluation of the Health Education Impact Questionnaire (heiQ) in diverse patient groups in Norway, Patient education and counseling, vol. 99, no. 10, pp. 1733-1738, doi: 10.1016/j.pec.2016.05.001.

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Title Making robust decisions about the impact of health education programs: Psychometric evaluation of the Health Education Impact Questionnaire (heiQ) in diverse patient groups in Norway
Author(s) Wahl, Astrid K.
Osborne, Richard H.ORCID iD for Osborne, Richard H. orcid.org/0000-0002-9081-2699
Langeland, Eva
Wentzel-Larsen, Tore
Mengshoel, Anne Marit
Ribu, Lis
Peersen, Kari
Elsworth, Gerald R.ORCID iD for Elsworth, Gerald R. orcid.org/0000-0001-6306-7593
Nolte, Sandra
Journal name Patient education and counseling
Volume number 99
Issue number 10
Start page 1733
End page 1738
Total pages 6
Publisher Elsevier
Place of publication Amsterdam, The Netherlands
Publication date 2016-10
ISSN 1873-5134
Keyword(s) Chronic disease
Confirmatory factor analysis (CFA)
Health Education Impact Questionnaire (heiQ)
Norway
Self-management
Science & Technology
Social Sciences
Life Sciences & Biomedicine
Public, Environmental & Occupational Health
Social Sciences, Interdisciplinary
Social Sciences - Other Topics
SELF-MANAGEMENT INTERVENTIONS
MEASUREMENT INVARIANCE
OUTCOMES
EMPOWERMENT
ADAPTATION
PSORIASIS
SEVERITY
VALIDITY
PEOPLE
Summary OBJECTIVE: To undertake a rigorous psychometric evaluation of the widely used eight-scale heiQ version 2.0 (evaluating immediate effects of self-management interventions) in diverse patient groups in Norway.

METHODS: Cross-sectional survey data were collected from 1019 Norwegians. Data were extracted from studies among people with musculoskeletal disorders (n=516), psoriasis (n=254), heart disease (n=97), and Type 2 diabetes (n=152). To investigate the factorial validity of the Norwegian heiQ, confirmatory factor analyses (CFA) were carried out using Mplus.

RESULTS: One-factor model fit, without modifications, was acceptable for the Emotional distress scale. Only one correlated residual was required to be fitted in each of the other scales to achieve satisfactory model fit. The postulated highly restricted full eight-factor model (no cross-loadings, no correlated residuals) showed good fit to the data. Internal consistency was acceptable for most scales (0.72-0.90) but low for Self-monitoring and insight.

CONCLUSION: This study of the Norwegian heiQ replicates the factor structure of the original Australian heiQ, using robust and highly restricted CFA procedures, demonstrating a clean independent clusters model structure.

PRACTICE IMPLICATIONS: Researchers, program implementers and policymakers could use the Norwegian heiQ with confidence to generate reliable information on program outcomes and support quality improvement activities.
Language eng
DOI 10.1016/j.pec.2016.05.001
Field of Research 111711 Health Information Systems (incl Surveillance)
Socio Economic Objective 970111 Expanding Knowledge in the Medical and Health Sciences
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2016, Elsevier
Persistent URL http://hdl.handle.net/10536/DRO/DU:30087926

Document type: Journal Article
Collection: Population Health
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