School health assessment tools: a systematic review of measurement in primary schools

Background This systematic review aimed to investigate the psychometric properties of the school health’s assessment tools in primary schools through COSMIN Risk of Bias checklist. We examined the studies that have addressed the measurement properties of school-health instruments to give a clear ove...

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Main Authors: Maryam Kazemitabar, Ali Moghadamzadeh, Mojtaba Habibi, Rezvan Hakimzadeh, Danilo Garcia
Format: Article
Language:English
Published: PeerJ Inc. 2020-07-01
Series:PeerJ
Subjects:
Online Access:https://peerj.com/articles/9459.pdf
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author Maryam Kazemitabar
Ali Moghadamzadeh
Mojtaba Habibi
Rezvan Hakimzadeh
Danilo Garcia
author_facet Maryam Kazemitabar
Ali Moghadamzadeh
Mojtaba Habibi
Rezvan Hakimzadeh
Danilo Garcia
author_sort Maryam Kazemitabar
collection DOAJ
description Background This systematic review aimed to investigate the psychometric properties of the school health’s assessment tools in primary schools through COSMIN Risk of Bias checklist. We examined the studies that have addressed the measurement properties of school-health instruments to give a clear overview of the quality of all available tools measuring school health in primary schools. This systematic review was registered in PROPERO with the Registration ID: CRD42020158158. Method Databases of EBSCOhost, PubMed, ProQuest, Wily, PROSPERO, and OpenGrey were systematically searched without any time limitation to find all full-text English journal articles studied at least one of the COSMIN checklist measurement properties of a school-health assessment tool in primary schools. The instruments should be constructed based on a school health model. The eligible studies were assessed by COSMIN Risk of Bias checklist to report their quality of methodology for each measurement property and for the whole study by rating high, moderate or low quality. Results At the final screening just seven studies remained for review. Four studies were tool development, three of them were rated as “adequate” and the other study as “very good”; five studies examined the content validity, three of them were appraised as “very good”, and the two remaining as “inadequate”. All seven studies measured structural validity, three of them were evaluated as “very good”, three other were scored as “adequate”, and the last study as “inadequate”. All the seven studies investigated the internal consistency, five of them were assessed as “very good”, one was rated as “doubtful”, and the last one as “inadequate”. Just one study examined the cross-cultural validity and was rated as “adequate”. Finally, all seven studies measured reliability, two of them were rated as “very good” and the rest five studies were appraised as “doubtful”. All rating was based on COSMIN checklist criteria for quality of measurement properties assessment. Conclusion The number of studies addressing school health assessment tools was very low and therefore not sufficient. Hence, there is a serious need to investigate the psychometric properties of the available instruments measuring school health at primary schools. Moreover, the studies included in the present systematic review did not fulfill all the criteria of the COSMIN checklist for assessing measurement properties. We suggest that future studies consider these criteria for measuring psychometric properties and developing school health assessment tools.
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spelling doaj.art-456317a46e6d4091a3007fd1f788564c2023-12-03T10:54:15ZengPeerJ Inc.PeerJ2167-83592020-07-018e945910.7717/peerj.9459School health assessment tools: a systematic review of measurement in primary schoolsMaryam Kazemitabar0Ali Moghadamzadeh1Mojtaba Habibi2Rezvan Hakimzadeh3Danilo Garcia4Department of Curriculum and Instruction, Faculty of Psychology and Educational Sciences, University of Tehran, Tehran, IranDepartment of Curriculum and Instruction, Faculty of Psychology and Educational Sciences, University of Tehran, Tehran, IranHealth Promotion Research Center, Iran University of Medical Sciences, Tehran, IranDepartment of Curriculum and Instruction, Faculty of Psychology and Educational Sciences, University of Tehran, Tehran, IranDepartment of Behavioral Sciences and Learning, Linköping University, Linköping, SwedenBackground This systematic review aimed to investigate the psychometric properties of the school health’s assessment tools in primary schools through COSMIN Risk of Bias checklist. We examined the studies that have addressed the measurement properties of school-health instruments to give a clear overview of the quality of all available tools measuring school health in primary schools. This systematic review was registered in PROPERO with the Registration ID: CRD42020158158. Method Databases of EBSCOhost, PubMed, ProQuest, Wily, PROSPERO, and OpenGrey were systematically searched without any time limitation to find all full-text English journal articles studied at least one of the COSMIN checklist measurement properties of a school-health assessment tool in primary schools. The instruments should be constructed based on a school health model. The eligible studies were assessed by COSMIN Risk of Bias checklist to report their quality of methodology for each measurement property and for the whole study by rating high, moderate or low quality. Results At the final screening just seven studies remained for review. Four studies were tool development, three of them were rated as “adequate” and the other study as “very good”; five studies examined the content validity, three of them were appraised as “very good”, and the two remaining as “inadequate”. All seven studies measured structural validity, three of them were evaluated as “very good”, three other were scored as “adequate”, and the last study as “inadequate”. All the seven studies investigated the internal consistency, five of them were assessed as “very good”, one was rated as “doubtful”, and the last one as “inadequate”. Just one study examined the cross-cultural validity and was rated as “adequate”. Finally, all seven studies measured reliability, two of them were rated as “very good” and the rest five studies were appraised as “doubtful”. All rating was based on COSMIN checklist criteria for quality of measurement properties assessment. Conclusion The number of studies addressing school health assessment tools was very low and therefore not sufficient. Hence, there is a serious need to investigate the psychometric properties of the available instruments measuring school health at primary schools. Moreover, the studies included in the present systematic review did not fulfill all the criteria of the COSMIN checklist for assessing measurement properties. We suggest that future studies consider these criteria for measuring psychometric properties and developing school health assessment tools.https://peerj.com/articles/9459.pdfSchool health Psychometric properties Reliability and validity Health-promoting schools School health assessment tools COSMIN risk of bias checklist
spellingShingle Maryam Kazemitabar
Ali Moghadamzadeh
Mojtaba Habibi
Rezvan Hakimzadeh
Danilo Garcia
School health assessment tools: a systematic review of measurement in primary schools
PeerJ
School health
Psychometric properties
Reliability and validity
Health-promoting schools
School health assessment tools
COSMIN risk of bias checklist
title School health assessment tools: a systematic review of measurement in primary schools
title_full School health assessment tools: a systematic review of measurement in primary schools
title_fullStr School health assessment tools: a systematic review of measurement in primary schools
title_full_unstemmed School health assessment tools: a systematic review of measurement in primary schools
title_short School health assessment tools: a systematic review of measurement in primary schools
title_sort school health assessment tools a systematic review of measurement in primary schools
topic School health
Psychometric properties
Reliability and validity
Health-promoting schools
School health assessment tools
COSMIN risk of bias checklist
url https://peerj.com/articles/9459.pdf
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