Validation of the Consumer Health Activation Index (CHAI) in general population samples of older Australians
Objective: To validate the 10-item Consumer Health Activation Index (CHAI), developed in the United States, as an activation measure for interventions targeted at the Australian older general population. Methods: The study was a cross sectional design. Exploratory factor analysis (EFA) was conducted...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-12-01
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| Series: | PEC Innovation |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2772628223001048 |
| _version_ | 1797383615679561728 |
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| author | Ingrid Flight Nathan J. Harrison Erin L. Symonds Graeme Young Carlene Wilson |
| author_facet | Ingrid Flight Nathan J. Harrison Erin L. Symonds Graeme Young Carlene Wilson |
| author_sort | Ingrid Flight |
| collection | DOAJ |
| description | Objective: To validate the 10-item Consumer Health Activation Index (CHAI), developed in the United States, as an activation measure for interventions targeted at the Australian older general population. Methods: The study was a cross sectional design. Exploratory factor analysis (EFA) was conducted on survey data from a community sample of participants (n = 250), aged 55–75 years. Confirmatory factor analysis (CFA) was used to evaluate dimensionality among a second sample of participants randomly sampled from the electoral roll (n = 571), aged 50–75 years. Associations between the CHAI and self-reported health behaviours were examined. Results: EFA revealed a 7-item, two-factor structure (‘Health self-management’ and ‘Patient-provider engagement’). CFA indicated optimum model fit was obtained with this structure. Subscale reliability and validity were confirmed, with significant correlation to age, functional health literacy and health screening. Conclusion: In contrast to the original structure, optimum model fit was obtained with a two-factor solution and retention of seven items. The subscales have utility as a measure of health activation for tailoring of information in this group. Innovation: A freely-available, unidimensional health activation measure has demonstrated an underlying two-scale structure that will enable tailored approaches toward the enhancement and maintenance of self- and externally-managed health behaviours in an Australian population. |
| first_indexed | 2024-03-08T21:23:37Z |
| format | Article |
| id | doaj.art-d31e9fe9df084301a25f19ef4e468850 |
| institution | Directory Open Access Journal |
| issn | 2772-6282 |
| language | English |
| last_indexed | 2024-03-08T21:23:37Z |
| publishDate | 2023-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | PEC Innovation |
| spelling | doaj.art-d31e9fe9df084301a25f19ef4e4688502023-12-21T07:38:56ZengElsevierPEC Innovation2772-62822023-12-013100224Validation of the Consumer Health Activation Index (CHAI) in general population samples of older AustraliansIngrid Flight0Nathan J. Harrison1Erin L. Symonds2Graeme Young3Carlene Wilson4Cancer Research, Flinders Health and Medical Research Institute, College of Medicine and Public Health, Flinders University, Bedford Park, South Australia, AustraliaCancer Research, Flinders Health and Medical Research Institute, College of Medicine and Public Health, Flinders University, Bedford Park, South Australia, Australia; National Centre for Education and Training on Addiction, Flinders Health and Medical Research Institute, College of Medicine and Public Health, Flinders University, Bedford Park, South Australia, Australia; Health Policy Centre, South Australian Health and Medical Research Institute, Adelaide, South Australia, AustraliaCancer Research, Flinders Health and Medical Research Institute, College of Medicine and Public Health, Flinders University, Bedford Park, South Australia, Australia; Department of Gastroenterology and Hepatology, Flinders Medical Centre, Bedford Park, South Australia, AustraliaCancer Research, Flinders Health and Medical Research Institute, College of Medicine and Public Health, Flinders University, Bedford Park, South Australia, AustraliaCancer Research, Flinders Health and Medical Research Institute, College of Medicine and Public Health, Flinders University, Bedford Park, South Australia, Australia; Olivia Newton-John Cancer Wellness and Research Centre, Austin Health, Heidelberg, Victoria, Australia; Centre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, The University of Melbourne, Parkville, Victoria, Australia; Corresponding author at: Centre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, The University of Melbourne, Parkville, Victoria, Australia.Objective: To validate the 10-item Consumer Health Activation Index (CHAI), developed in the United States, as an activation measure for interventions targeted at the Australian older general population. Methods: The study was a cross sectional design. Exploratory factor analysis (EFA) was conducted on survey data from a community sample of participants (n = 250), aged 55–75 years. Confirmatory factor analysis (CFA) was used to evaluate dimensionality among a second sample of participants randomly sampled from the electoral roll (n = 571), aged 50–75 years. Associations between the CHAI and self-reported health behaviours were examined. Results: EFA revealed a 7-item, two-factor structure (‘Health self-management’ and ‘Patient-provider engagement’). CFA indicated optimum model fit was obtained with this structure. Subscale reliability and validity were confirmed, with significant correlation to age, functional health literacy and health screening. Conclusion: In contrast to the original structure, optimum model fit was obtained with a two-factor solution and retention of seven items. The subscales have utility as a measure of health activation for tailoring of information in this group. Innovation: A freely-available, unidimensional health activation measure has demonstrated an underlying two-scale structure that will enable tailored approaches toward the enhancement and maintenance of self- and externally-managed health behaviours in an Australian population.http://www.sciencedirect.com/science/article/pii/S2772628223001048Health activationHealth literacyValidation studyConsumer participationHealth promotionAustralia |
| spellingShingle | Ingrid Flight Nathan J. Harrison Erin L. Symonds Graeme Young Carlene Wilson Validation of the Consumer Health Activation Index (CHAI) in general population samples of older Australians PEC Innovation Health activation Health literacy Validation study Consumer participation Health promotion Australia |
| title | Validation of the Consumer Health Activation Index (CHAI) in general population samples of older Australians |
| title_full | Validation of the Consumer Health Activation Index (CHAI) in general population samples of older Australians |
| title_fullStr | Validation of the Consumer Health Activation Index (CHAI) in general population samples of older Australians |
| title_full_unstemmed | Validation of the Consumer Health Activation Index (CHAI) in general population samples of older Australians |
| title_short | Validation of the Consumer Health Activation Index (CHAI) in general population samples of older Australians |
| title_sort | validation of the consumer health activation index chai in general population samples of older australians |
| topic | Health activation Health literacy Validation study Consumer participation Health promotion Australia |
| url | http://www.sciencedirect.com/science/article/pii/S2772628223001048 |
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