Huang Qianqian, Jiang Feng, Liu Huanzhong, Zhang Lufa, Tang Yi-Lang
School of International and Public Affairs, Shanghai Jiao Tong University, No.1954 Huashan Road, Xuhui District, Shanghai, China.
Institute of Healthy Yangtze River Delta, Shanghai Jiao Tong University, Shanghai, China.
BMC Psychol. 2025 Jul 1;13(1):699. doi: 10.1186/s40359-025-03040-0.
Non-communicable diseases (NCDs) pose a significant public health challenge, with employees particularly vulnerable due to modifiable lifestyle risk factors. Proactive health underscores the importance of self-initiated behaviors in disease prevention and health promotion. However, existing measures primarily assess workplace initiative, overlooking its relevance to health. This study aims to develop and validate the Employees' Initiative for Proactive Health (EIPH) scale to address this gap.
The instrument development phase identified 11 preliminary items through literature review and expert consultation with five experts. The item discrimination index, item-total correlations, preliminary reliability, and exploratory factor analysis (EFA) were performed on a pilot sample of 204 participants, followed by confirmatory factor analysis (CFA) and concurrent validity on the main sample of 289 participants. The cutoff value was also assessed.
The EIPH scale was refined to five items, with eigenvalues greater than 1, accounting for 45.71% of the variance. Standardized factor loadings for the CFA indices ranged between 0.41 and 0.55. The correlation coefficient for concurrent validity was 0.569 (p < 0.001), and Cronbach's α coefficient for reliability was 0.58. The cutoff value was 18.5 points.
The scale demonstrated reasonable and reliable measurement of EIPH among Chinese participants.
非传染性疾病对公共卫生构成重大挑战，由于可改变的生活方式风险因素，员工尤其容易受到影响。积极健康强调自我发起行为在疾病预防和健康促进中的重要性。然而，现有措施主要评估工作场所的主动性，而忽视了其与健康的相关性。本研究旨在开发并验证员工积极健康倡议（EIPH）量表，以填补这一空白。
在工具开发阶段，通过文献综述和与五位专家的专家咨询确定了11个初步项目。对204名参与者的试点样本进行了项目区分指数、项目与总分的相关性、初步信度和探索性因子分析（EFA），随后对289名参与者的主要样本进行了验证性因子分析（CFA）和同时效度分析。还评估了临界值。
EIPH量表精简为五个项目，特征值大于1，占方差的45.71%。CFA指标的标准化因子载荷在0.41至0.55之间。同时效度的相关系数为0.569（p < 0.001），信度的Cronbach's α系数为0.58。临界值为18.5分。
该量表在中国参与者中对EIPH的测量显示出合理且可靠的结果。
