Emory University Institute for Health and Productivity Studies, Washington, DC, USA.
J Occup Environ Med. 2013 May;55(5):520-6. doi: 10.1097/JOM.0b013e31828349a7.
To develop, evaluate, and improve the reliability and validity of the CDC Worksite Health ScoreCard (HSC).
We tested interrater reliability by piloting the HSC at 93 worksites, examining question response concurrence between two representatives from each worksite. We conducted cognitive interviews and site visits to evaluate face validity of items and refined the instrument for general distribution.
The mean question concurrence rate was 77%. Respondents reported the tool to be useful, and on average 49% of all possible interventions were in place at the surveyed worksites. The interviews highlighted issues undermining reliability and validity, which were addressed in the final version of the instrument.
The revised HSC is a reasonably valid and reliable tool for assessing worksite health promotion programs, policies, and environmental supports directed at preventing cardiovascular disease.
开发、评估和改进疾病预防控制中心工作场所健康记分卡(HSC)的可靠性和有效性。
我们在 93 个工作场所试点 HSC,考察了每个工作场所的两名代表之间问题回答的一致性,以此来检验评分者间信度。我们还进行了认知访谈和现场访问,以评估项目的表面有效性,并对工具进行了改进,以便更广泛地分发。
平均问题一致性率为 77%。受访者报告称该工具很有用,而且在所调查的工作场所中,平均有 49%的可能干预措施已经到位。访谈突出了一些影响可靠性和有效性的问题,这些问题在工具的最终版本中得到了解决。
修订后的 HSC 是一种评估工作场所预防心血管疾病的健康促进计划、政策和环境支持的合理有效且可靠的工具。