The CREATION Health Assessment Tool for Patients (CHAT-P): Development & Psychometric Testing

The CREATION Model is a whole-person wellness model facilitating patient-provider partnerships for health promotion. CREATION is an acronym that represents eight whole-person health principles: Choice, Rest, Environment-Interpersonal Relationships, Activity, Trust, Outlook, and Nutrition, all focusi...

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Published in:Journal of religion and health 2023-06, Vol.62 (3), p.2144-2162
Main Authors: Tao, Hong, Pepe, Julie, Brower, Ashley, Robinson, Patricia S.
Format: Article
Language:English
Subjects:
Aging
Clinical Psychology
Health Personnel
Health Promotion
Humans
Medicine
Medicine & Public Health
Original Paper
Patients
Personal relationships
Psychometrics - methods
Public Health
Quantitative psychology
Religious Studies
Reproducibility of Results
Surveys and Questionnaires
Well being
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container_title Journal of religion and health
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creator Tao, Hong
Pepe, Julie
Brower, Ashley
Robinson, Patricia S.
description The CREATION Model is a whole-person wellness model facilitating patient-provider partnerships for health promotion. CREATION is an acronym that represents eight whole-person health principles: Choice, Rest, Environment-Interpersonal Relationships, Activity, Trust, Outlook, and Nutrition, all focusing on the relationship between individual choice and physical, psychological, social, and spiritual health. This study develops and tests the psychometric properties of the CREATION Health Assessment Tool for Patients (CHAT-P). A 125-item-bank using a 5-point Likert scale with 1 to 5 rating was generated through focus-groups of clinicians, patients, and healthcare leaders. An expert panel assessed content adequacy, reducing items to 82. Patient survey data ( n  = 599) from 15 inpatient medical units were randomly divided into two datasets. Exploratory Factor Analysis applied to Dataset 1 resulted in a 7-factor (Choice/Rest/Environment-Interpersonal Relationships/Activity/Trust/Outlook/Nutrition) and 28-item tool with factor loading 0.47–0.86. The model structure was confirmed by Structural Equation Modeling on Dataset 2 with goodness-of-fit test results: X 2 /df = 2.41 
doi_str_mv 10.1007/s10943-022-01691-6
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CREATION is an acronym that represents eight whole-person health principles: Choice, Rest, Environment-Interpersonal Relationships, Activity, Trust, Outlook, and Nutrition, all focusing on the relationship between individual choice and physical, psychological, social, and spiritual health. This study develops and tests the psychometric properties of the CREATION Health Assessment Tool for Patients (CHAT-P). A 125-item-bank using a 5-point Likert scale with 1 to 5 rating was generated through focus-groups of clinicians, patients, and healthcare leaders. An expert panel assessed content adequacy, reducing items to 82. Patient survey data ( n  = 599) from 15 inpatient medical units were randomly divided into two datasets. Exploratory Factor Analysis applied to Dataset 1 resulted in a 7-factor (Choice/Rest/Environment-Interpersonal Relationships/Activity/Trust/Outlook/Nutrition) and 28-item tool with factor loading 0.47–0.86. The model structure was confirmed by Structural Equation Modeling on Dataset 2 with goodness-of-fit test results: X 2 /df = 2.41 &lt; 5.0, RMSEA = 0.05 &lt; 0.08, GFI = 0.91 and AGFI = 0.90. Cronbach’s Alpha = 0.83 showed satisfactory reliability. The final CHAT-P totals ranged from 28–140 (higher scores indicating better health/well-being). When assessing the effectiveness of educational/behavioral interventions, this tool can measure the improvement of a patient’s overall mind–body-spirit well-being or measure well-being for individual CREATION principle(s). 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subjects Aging
Clinical Psychology
Health Personnel
Health Promotion
Humans
Medicine
Medicine & Public Health
Original Paper
Patients
Personal relationships
Psychometrics - methods
Public Health
Quantitative psychology
Religious Studies
Reproducibility of Results
Surveys and Questionnaires
Well being
title The CREATION Health Assessment Tool for Patients (CHAT-P): Development & Psychometric Testing
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