Evidence map›Paper›PMID 38607610›Full record

ArticleJournal of patient-reported outcomes2024

Development and validation of a Context-sensitive Positive Health Questionnaire (CPHQ): A factor analysis and multivariate regression study.

Brian M Doornenbal, Tim van Zutphen, Lise F E Beumeler, Rimke C Vos, Mark Derks, Hinke Haisma, M Elske van den Akker-van Marle, Jessica C Kiefte-de Jong

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Article in Journal of patient-reported outcomes, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
  2. Article
  3. [The Context-Sensitive Positive Health Questionnaire (CPHQTSG : tijdschrift voor gezondheidswetenschappen · 2026
    Article
  4. Article
  5. Construct Validity of the Measurement Tools PH42 and I.ROC12 to Measure Positive Health in a General Population.Health care analysis : HCA : journal of health philosophy and policy · 2025
    Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Brian M DoornenbalDepartment of Public Health and Primary Care/Health Campus The Hague, Leiden University Medical Center, Albinusdreef 2, Leiden, 2333 ZA, the Netherlands. b.m.doornenbal@lumc.nl.ORCID 0000-0001-9711-4167
Tim van ZutphenCampus Fryslân, University of Groningen, Leeuwarden, the Netherlands.ORCID 0000-0003-3325-9708
Lise F E BeumelerCampus Fryslân, University of Groningen, Leeuwarden, the Netherlands.ORCID 0000-0002-6513-3635
Rimke C VosDepartment of Public Health and Primary Care/Health Campus The Hague, Leiden University Medical Center, Albinusdreef 2, Leiden, 2333 ZA, the Netherlands.ORCID 0000-0003-1074-6255
Mark DerksResearch Center Positive Health, Lifestyle, and Leadership, Saxion University of Applied Sciences, Enschede, the Netherlands.
Hinke HaismaCampus Fryslân, University of Groningen, Leeuwarden, the Netherlands.ORCID 0000-0002-9676-0463
M Elske van den Akker-van MarleBiomedical Data Sciences, Leiden University Medical Center, Leiden, the Netherlands.ORCID 0000-0002-5269-509X
Jessica C Kiefte-de JongDepartment of Public Health and Primary Care/Health Campus The Hague, Leiden University Medical Center, Albinusdreef 2, Leiden, 2333 ZA, the Netherlands.ORCID 0000-0002-8136-0918

Funding

Noaber Foundation Noaber Foundation
6 · The paper itself

Abstract

backgroundThe concept of Positive Health (PH) has gained increasing attention as a way of measuring individuals' ability to adapt in the face of contextual challenges. However, a suitable measurement instrument for PH that encompasses contextual factors has not yet been developed. This paper responds to this need by developing a Context-specific Positive Health (CPH) measurement instrument that aligns with the Capability Approach (CA).

methodsThe measurement instrument was developed and tested among a representative sample of 1002 Dutch internet survey panel members with diverse sociodemographic backgrounds. The instrument was developed in two stages: a preparation phase consisting of focus groups and expert consultations, and a validation among a representative panel of Dutch citizens. The goal of the preparation phase, was to pilot test and refine previously proposed Positive Health questionnaires into an initial version of the CPHQ. The validation phase aimed to examine the initial CPHQ's factorial validity using Factor Analysis, and its concurrent validity using Multivariate Regression Analysis.

resultsThe developed questionnaire demonstrated adequate factorial and concurrent validity. Furthermore, it explicitly includes an assessment of resilience, this being a key component of PH.

conclusionsThe introduced measurement tool, the CPHQ, comprises 11 dimensions that we have labeled as follows: relaxation, autonomy, fitness, perceived environmental safety, exclusion, social support, financial resources, political representation, health literacy, resilience, and enjoyment. In this article, we present four major contributions. Firstly, we embedded the measurement in a theoretical framework. Secondly, we focused the questionnaire on a key concept of Positive Health - the "ability to adapt." Thirdly, we addressed issues of health inequality by considering contextual factors. Finally, we facilitated the development of more understandable measurement items.

Indexed as

EthnicityHealth Status DisparitiesExerciseFactor Analysis, StatisticalFocus GroupsHumansCapability ApproachConcurrent validityFactor analysisFactorial validityPositive HealthPrimary carePublic health

Identifiers

PMID38607610
PMCPMC11014831

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.