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Patient Educ Couns. 2007 May;66(2):192-201. Epub 2007 Feb 22.

The Health Education Impact Questionnaire (heiQ): an outcomes and evaluation measure for patient education and self-management interventions for people with chronic conditions.

Author information

1
Centre for Rheumatic Diseases, Department of Medicine, The University of Melbourne, Royal Melbourne Hospital, Parkville, Melbourne, Victoria 3050, Australia. richardo@unimelb.edu.au

Abstract

OBJECTIVE:

This paper describes the development and validation of the Health Education Impact Questionnaire (heiQ). The aim was to develop a user-friendly, relevant, and psychometrically sound instrument for the comprehensive evaluation of patient education programs, which can be applied across a broad range of chronic conditions.

METHODS:

Item development for the heiQ was guided by a Program Logic Model, Concept Mapping, interviews with stakeholders and psychometric analyses. Construction (N=591) and confirmatory (N=598) samples were drawn from consumers of patient education programs and hospital outpatients. The properties of the heiQ were investigated using item response theory and structural equation modeling.

RESULTS:

Over 90 candidate items were generated, with 42 items selected for inclusion in the final scale. Eight independent dimensions were derived: Positive and Active Engagement in Life (five items, Cronbach's alpha (alpha)=0.86); Health Directed Behavior (four items, alpha=0.80); Skill and Technique Acquisition (five items, alpha=0.81); Constructive Attitudes and Approaches (five items, alpha=0.81); Self-Monitoring and Insight (seven items, alpha=0.70); Health Service Navigation (five items, alpha=0.82); Social Integration and Support (five items, alpha=0.86); and Emotional Wellbeing (six items, alpha=0.89).

CONCLUSION:

The heiQ has high construct validity and is a reliable measure of a broad range of patient education program benefits.

PRACTICE IMPLICATIONS:

The heiQ will provide valuable information to clinicians, researchers, policymakers and other stakeholders about the value of patient education programs in chronic disease management.

PMID:
17320338
DOI:
10.1016/j.pec.2006.12.002
[Indexed for MEDLINE]
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