Abanobi O C
Health Values. 1986 Jul-Aug;10(4):37-40.
Content validity in the measurement of health status of individuals and population is a major problem in health needs assessment. This problem stems largely from the limited sampling inadequacy of the universe of empirical properties that represent the concept of health. In general, attempts to strengthen sensitivity of health status measures by defining health in very broad terms compromise specificity of measurement. Narrow definitions, on the other hand, may result in poor measurement validity and misclassification of subjects. This paper compares three basic paradigms of health: the medical model, the holistic model and the high-level wellness model, with respect to their content validity and therefore suitability for health status assessment.
在评估个人和人群健康状况时，测量的内容效度是健康需求评估中的一个主要问题。这个问题主要源于代表健康概念的经验属性总体的抽样有限且不充分。一般来说，试图通过非常宽泛地定义健康来增强健康状况测量的敏感性，会损害测量的特异性。另一方面，狭义的定义可能导致测量效度不佳以及对受试者的错误分类。本文就三种基本的健康范式：医学模式、整体模式和高层次健康模式，比较它们的内容效度，进而比较它们对健康状况评估的适用性。
