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

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 mo del structure was confirmed by Structural Equation Modeling on Dataset 2 with goodness-of-fit test results: X2/df  = 2.41 <  5.0, RMSEA = 0.05 <  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 measur e the improvement of a patient’s overall mind–body-spirit well-being or measure well-being for individual CREATION principle(s). It fills that gap and facilitates healthcare providers’ ability to assess and plan interventions to support holistic well-being.
Source: Journal of Religion and Health - Category: Medical Ethics Source Type: research