Institute for Health and Productivity Studies, Johns Hopkins Bloomberg School of Public Health, Washington, DC (Ms Kent, Dr Goetzel, Dr Roemer, Ms McCleary); IBM Watson Health, Bethesda, Maryland and IBM Watson Health, Cambridge, Massachusetts (Dr Goetzel, Dr Henke, Mr Head); HealthNEXT, Unionville, Pennsylvania (Dr Fabius).
J Occup Environ Med. 2018 Dec;60(12):1087-1097. doi: 10.1097/JOM.0000000000001438.
The aim of the study was to develop tools that quantify employers' investment in building cultures of health (COH)-inside and outside company walls.
Two COH instruments were developed through literature reviews and expert consultation. The first focused on internal culture of health (COH-INT), that is, programs, policies, and attributes of the physical and social environments that support employees' health and well-being. The second focused on external culture of health (COH-EXT), that is, programs, policies, and environmental supports that promote communities' health. We administered these tools to 32 employers and examined instrument reliability, distribution of scores, and correlation between the two instruments.
Both tools demonstrated adequate reliability. COH-EXT scores changed minimally over the 3-year study timeframe. There was little correlation between the COH-INT and COH-EXT scores.
More research is needed to further develop and validate COH-EXT instruments.
本研究旨在开发工具，以量化雇主在内外营造健康文化（COH）方面的投入。
通过文献回顾和专家咨询，开发了两种 COH 工具。第一个侧重于内部健康文化（COH-INT），即支持员工健康和福祉的计划、政策和物理及社会环境属性。第二个侧重于外部健康文化（COH-EXT），即促进社区健康的计划、政策和环境支持。我们向 32 家雇主发放了这些工具，并检查了工具的可靠性、得分分布以及两种工具之间的相关性。
两种工具均表现出足够的可靠性。COH-EXT 的得分在 3 年的研究时间内变化不大。COH-INT 和 COH-EXT 的得分之间相关性很小。
需要进一步研究以进一步开发和验证 COH-EXT 工具。
