Frost Linda, Valaitis Ruta, Butt Michelle, Akhtar-Danesh Noori, Jack Susan M
School of Nursing, McMaster University, Hamilton, Ontario.
Public Health Nurs. 2022 Nov;39(6):1374-1385. doi: 10.1111/phn.13106. Epub 2022 Jun 11.
This study aims to describe the preliminary development and validation of an instrument to measure the extent that a population health approach was applied in sexual health by public health units in Ontario, Canada.
Preliminary scale development and administration occurred in two phases that included item development and validity testing.
Two phases of development included: (1) using literature and expert input (n = 6) to develop items; and (2) validation of items by content experts (n = 5) and pre-testing (n = 3).
The validated scale consisted of 69 items across the eight key elements of a population health approach. 15 out of 35 health units completed the survey, representing 43% of health units. Instrument administration revealed that Focus on the Health of Populations and Address the Determinants of Health and their Interactions were implemented more frequently compared to Collaborate Across Sectors and Levels and Employ Mechanisms for Public Involvement, which were infrequently implemented.
This preliminary scale is a way for sexual health programs to measure the extent that a population health approach is implemented by their organization. Further testing with a broader sample is needed to strengthen generalizability and address reliability.
本研究旨在描述一种工具的初步开发和验证，该工具用于衡量加拿大安大略省公共卫生单位在性健康方面应用人群健康方法的程度。
初步量表开发和管理分两个阶段进行，包括项目开发和效度测试。
开发的两个阶段包括：（1）利用文献和专家意见（n = 6）来制定项目；（2）由内容专家（n = 5）对项目进行验证并进行预测试（n = 3）。
经过验证的量表由人群健康方法八个关键要素中的69个项目组成。35个卫生单位中有15个完成了调查，占卫生单位总数的43%。工具管理显示，与跨部门和各级协作以及采用公众参与机制相比，关注人群健康和解决健康决定因素及其相互作用的实施频率更高，而后两者实施频率较低。
这个初步量表是性健康项目衡量其组织实施人群健康方法程度的一种方式。需要用更广泛的样本进行进一步测试，以增强普遍性并解决可靠性问题。
