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Development and Validity Testing of the School Health Score Card
Authors:Young Ho Yun MD  Yaeji Kim MA  Jin A Sim MS  Soo Hyuk Choi BA  Cheolil Lim PhD  Joon‐ho Kang PhD
Institution:1. Department of Family Medicine, Seoul National University College of Medicine, 103 Daehak‐ro, Jongno‐gu, Seoul 03080, South Korea.;2. Department of Biomedical Science, Seoul National University College of Medicine, 103 Daehak‐ro, Jongno‐gu, Seoul 03080, South Korea.;3. Korean Association of Secondary Education Principal, 27, Mokdongjungangnam‐ro, Yangcheon‐gu, Seoul 07958, South Korea.;4. Department of Education, Seoul National University College of Education, 1 Gwanak‐ro, Gwanak‐gu, Seoul 08826, South Korea.;5. Department of kinesiology, Seoul National University College of Education, 1 Gwanak‐ro, Gwanak‐gu, Seoul 08826, South Korea.
Abstract:

BACKGROUND

The objective of this study was to develop the School Health Score Card (SHSC) and validate its psychometric properties.

METHODS

The development of the SHSC questionnaire included 3 phases: item generation, construction of domains and items, and field testing with validation. To assess the instrument's reliability and validity, we recruited 15 middle schools and 15 high schools in the Republic of Korea.

RESULTS

We developed the SHSC questionnaire of 158 items categorized into 5 domains: (1) Governance and Infrastructure, (2) Need Assessment, (3) Planning, (4) Health Prevention and Promotion Program, and (5) Monitoring and Feedback. All SHSC domains and subdomains demonstrated acceptable reliability with good internal consistency. Each domain and subdomain except for “Planning” was associated significantly with students' health status. Most subdomains, including school health philosophy, school policy, communication, the evaluation system, and monitoring, were significantly and negatively associated with student absence.

CONCLUSIONS

The SHSC shows significant association with the overall student health and can be useful in assessing comprehensive school health programs.
Keywords:School Health Score Card  school health program assessment  adolescent health
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