Factor Structure Analysis of Pharmacy Students' Performance on the Health Education Learning Environment Survey.

While high-quality learning environments are increasingly recognized as vital for health professions education programs and student success, no tools to assess such environments have been validated for use within the pharmacy education context. This study seeks to assess whether the six-factor structure of the Health Education Learning Environment Survey (HELES) will replicate in a sample of pharmacy students. The study was conducted in a Doctor of Pharmacy program offered at a Western Canadian university. Across two years of data collection, a sample of 288 pharmacy students completed the 35-item HELES as an anonymous and online survey. While the six-factor model of the HELES did not replicate through confirmatory factor analysis, a follow-up examination of unidimensionality for the individual subscales of the HELES showed that five of the six subscales met this requirement. One subscale, the work-life balance subscale, was better represented by the dimensions of time management and emotional well-being. These results provide preliminary support for the use of the HELES among pharmacy students, with additional research being needed to explore the work-life balance subscale and its appropriateness for this student group. In Canada, the HELES has the potential to fill an existing local and national gap in program evaluation tools, which are needed to gather evidence on pharmacy programs' quality, strengths, and weaknesses and to inform continuous quality improvement efforts and accreditation standards.