4.2 Article

Development and validation of the WHO self-assessment tool for health promotion in hospitals: results of a study in 38 hospitals in eight countries

Journal

HEALTH PROMOTION INTERNATIONAL
Volume 25, Issue 2, Pages 221-229

Publisher

OXFORD UNIV PRESS
DOI: 10.1093/heapro/daq013

Keywords

standards; quality; Health Promoting Hospitals; WHO

Ask authors/readers for more resources

Despite a strong tradition in the literature on the patient information, education and involvement, there are few practical tools available to support hospitals in implementing such strategies. Based on the WHO Health Promoting Hospitals and Health Services (HPH) Strategy, we developed a self-assessment tool for health promotion in hospitals. We describe the development process and validity testing of the tool in a convenience sample of 38 hospitals from eight countries. We computed an overall compliance score, assessed internal consistency and tested associations of self-reported compliance with hospital characteristics, such as accreditation status and being member of the HPH network. The mean compliance with the tool, which assigns a possible score from 0 to 136, was 71.8 (SD 25.0). Floor effects were observed for standards 4 and 5 only (10.5 and 15.8%, respectively), but not for the overall score. Cronbach's alpha for the five scales in the tool ranged from 0.77 to 0.88. Being accredited or being a member of the HPH network was significantly associated with higher overall compliance (score 86.9 versus 64.2, p = 0.012 and 79.3 versus 51.9, p = 0.003, respectively). We developed and established preliminary validity of a self-assessment tool for health promotion in hospitals. Based on assessment of basic psychometric properties, analysis of reliability and construct validity, the tool suggests robustness for self-assessment purposes; however, further research on its validity is strongly warranted if the tool is to be used for other purposes than self-assessment.

Authors

I am an author on this paper
Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.2
Not enough ratings

Secondary Ratings

Novelty
-
Significance
-
Scientific rigor
-
Rate this paper

Recommended

Article Psychology, Clinical

Toward measuring effective treatment coverage: critical bottlenecks in quality- and user-adjusted coverage for major depressive disorder

Daniel Vigo, Josep Maria Haro, Irving Hwang, Sergio Aguilar-Gaxiola, Jordi Alonso, Guilherme Borges, Ronny Bruffaerts, Jose Miguel Caldas-de-Almeida, Giovanni de Girolamo, Silvia Florescu, Oye Gureje, Elie Karam, Georges Karam, Viviane Kovess-Masfety, Sing Lee, Fernando Navarro-Mateu, Akin Ojagbemi, Jose Posada-Villa, Nancy A. Sampson, Kate Scott, Juan Carlos Stagnaro, Margreet ten Have, Maria Carmen Viana, Chi-Shin Wu, Somnath Chatterji, Pim Cuijpers, Graham Thornicroft, Ronald C. Kessler

Summary: This paper analyzes the gap and critical bottlenecks in treatment coverage for major depressive disorder (MDD). The results show a 90% gap in effective treatment, with lack of utilization and inadequate quality or adherence being the main reasons. Critical bottlenecks include underutilization of psychotherapy, psychopharmacology, inadequate physician monitoring, and inadequate drug-type. Decision-makers need to increase the utilization and quality of pharmacotherapy and psychotherapy.

PSYCHOLOGICAL MEDICINE (2022)

Article Psychology, Clinical

Non-suicidal self-injury among first-year college students and its association with mental disorders: results from the World Mental Health International College Student (WMH-ICS) initiative

Glenn Kiekens, Penelope Hasking, Ronny Bruffaerts, Jordi Alonso, Randy P. Auerbach, Jason Bantjes, Corina Benjet, Mark Boyes, Wai Tat Chiu, Laurence Claes, Pim Cuijpers, David D. Ebert, Arthur Mak, Philippe Mortier, Siobhan O'Neill, Nancy A. Sampson, Dan J. Stein, Gemma Vilagut, Matthew K. Nock, Ronald C. Kessler

Summary: Non-suicidal self-injury (NSSI) is common among college students and is a behavioral marker of various common mental disorders.

PSYCHOLOGICAL MEDICINE (2023)

Article Psychology, Multidisciplinary

The role of social support, detachment, and depressive and anxiety symptoms in suicidal thoughts and behaviours during the Covid-19 lockdown: Potential pathways

Aina Gabarrell-Pascuet, Mireia Felez-Nobrega, Paula Cristobal-Narvaez, Philippe Mortier, Gemma Vilagut, Beatriz Olaya, Jordi Alonso, Josep Maria Haro, Joan Domenech-Abella

Summary: During the COVID-19 pandemic, the worsening of anxiety, depressive symptoms, and problems related to social relationships has led to an increase in suicidal thoughts and behaviors. This study found that feelings of detachment have a significant impact on mental health and suicidal thoughts and behaviors, and social support plays a mediating role in this relationship. Depressive and anxiety symptoms also mediate the association between social support and suicidal thoughts and behaviors.

CURRENT PSYCHOLOGY (2023)

Article Psychology, Clinical

Childhood adversities and mental disorders in first-year college students: results from the World Mental Health International College Student Initiative

Mathilde M. Husky, Ekaterina Sadikova, Sue Lee, Jordi Alonso, Randy P. Auerbach, Jason Bantjes, Ronny Bruffaerts, Pim Cuijpers, David D. Ebert, Raul Gutierrez Garcia, Penelope Hasking, Arthur Mak, Margaret McLafferty, Nancy A. Sampson, Dan J. Stein, Ronald C. Kessler

Summary: This study examines the relationship between childhood adversities and lifetime mental disorders, 12-month disorder persistence, and impairment among incoming college students. The findings suggest that childhood adversities are associated with the onset and impairment of mental disorders, but not with disorder persistence.

PSYCHOLOGICAL MEDICINE (2023)

Article Psychology, Clinical

The Association Between Substance Use Disorder and Depression During the COVID-19 Lockdown in Spain and the Moderating Role of Social Support: a Cross-Sectional Study

Lydia Hanaa Faris, Aina Gabarrell-Pascuet, Mireia Felez-Nobrega, Paula Cristobal-Narvaez, Philippe Mortier, Gemma Vilagut, Beatriz Olaya, Jordi Alonso, Josep Maria Haro, Raquel Lopez-Carrilero, Joan Domenech-Abella

Summary: Substance use disorder during the COVID-19 lockdown is associated with high levels of depressive symptoms, especially among individuals with low levels of social support.

INTERNATIONAL JOURNAL OF MENTAL HEALTH AND ADDICTION (2023)

Article Psychiatry

Four-month incidence of suicidal thoughts and behaviors among healthcare workers after the first wave of the Spain COVID-19 pandemic

P. Mortier, G. Vilagut, I Alayo, M. Ferrer, F. Amigo, E. Aragones, A. Aragon-Pena, A. Asunsolo del Barco, M. Campos, M. Espuga, A. Gonzalez-Pinto, J. M. Haro, N. Lopez Fresnena, A. Martinez de Salazar, J. D. Molina, R. M. Orti-Lucas, M. Parellada, J. M. Pelayo-Teran, B. Perez-Gomez, A. Perez-Zapata, J. Pijoan, N. Plana, E. Polentinos-Castro, A. Portillo-Van Diest, M. T. Puig, C. Rius, F. Sanz, C. Serra, I Urreta-Barallobre, R. C. Kessler, R. Bruffaerts, E. Vieta, V Perez-Sola, J. Alonso

Summary: Healthcare workers are at high risk for suicidal thoughts and behaviors during the COVID-19 pandemic. The strongest risk factors for the onset of suicidal thoughts and behaviors are interpersonal stress, personal health-related stress, stress related to the health of loved ones, and perceived lack of healthcare center preparedness. Other significant risk factors include financial stressors, isolation/quarantine due to COVID-19, and being assigned to specific COVID-19 related work locations.

JOURNAL OF PSYCHIATRIC RESEARCH (2022)

Article Geriatrics & Gerontology

Nursing Home Workers' Mental Health During the COVID-19 Pandemic in France

Mathilde M. Husky, Roxane Villeneuve, Maturin Tabue Teguo, Jordi Alonso, Ronny Bruffaerts, Joel Swendsen, Helene Amieva

Summary: This study aimed to examine mental health problems among nursing home workers in the context of the COVID-19 pandemic. The results showed that one-third of nursing home workers reported current probable mental disorders, and these were largely associated with their pre-pandemic mental health status.

JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION (2022)

Article Psychiatry

Perceived helpfulness of treatment for social anxiety disorder: findings from the WHO World Mental Health Surveys

Ronny Bruffaerts, Meredith G. Harris, Alan E. Kazdin, Daniel V. Vigo, Nancy A. Sampson, Wai Tat Chiu, Ali Al-Hamzawi, Jordi Alonso, Yasmin A. Altwaijri, Laura Andrade, Corina Benjet, Giovanni de Girolamo, Silvia Florescu, Josep Maria Haro, Chi-Yi Hu, Aimee Karam, Elie G. Karam, Viviane Kovess-Masfety, Sing Lee, John J. McGrath, Fernando Navarro-Mateu, Daisuke Nishi, Siobhan O'Neill, Jose Posada-Villa, Kate M. Scott, Margreet Ten Have, Yolanda Torres, Bogdan Wojtyniak, Miguel Xavier, Zahari Zarkov, Ronald C. Kessler

Summary: The study found that only about one-fifth of individuals with social anxiety disorder (SAD) received treatment, and only 30.2% of those who did persisted long enough to receive treatment they considered helpful. Female respondents, those currently married, individuals with higher levels of education, and those receiving treatment in non-formal health-care settings were more likely to perceive treatment as helpful. Persistence in seeking treatment was higher among those with shorter delays in seeking treatment, those receiving medication from a mental health specialist, and individuals with multiple lifetime anxiety disorders.

SOCIAL PSYCHIATRY AND PSYCHIATRIC EPIDEMIOLOGY (2022)

Article Psychiatry

Patterns and correlates of patient-reported helpfulness of treatment for common mental and substance use disorders in the WHO World Mental Health Surveys

Ronald C. Kessler, Alan E. Kazdin, Sergio Aguilar-Gaxiola, Ali Al-Hamzawi, Jordi Alonso, Yasmin A. Altwaijri, Laura H. Andrade, Corina Benjet, Chrianna Bharat, Guilherme Borges, Ronny Bruffaerts, Brendan Bunting, Jose Miguel Caldas Almeida, Graca Cardoso, Wai Tat Chiu, Alfredo Cia, Marius Ciutan, Louisa Degenhardt, Giovanni Girolamo, Peter Jonge, Ymkje Anna Vries, Silvia Florescu, Oye Gureje, Josep Maria Haro, Meredith G. Harris, Chiyi Hu, Aimee N. Karam, Elie G. Karam, Georges Karam, Norito Kawakami, Andrzej Kiejna, Viviane Kovess-Masfety, Sing Lee, Victor Makanjuola, John J. McGrath, Maria Elena Medina-Mora, Jacek Moskalewicz, Fernando Navarro-Mateu, Andrew A. Nierenberg, Daisuke Nishi, Akin Ojagbemi, Bibilola D. Oladeji, Siobhan O'Neill, Jose Posada-Villa, Victor Puac-Polanco, Charlene Rapsey, Ayelet Meron Ruscio, Nancy A. Sampson, Kate M. Scott, Tim Slade, Juan Carlos Stagnaro, Dan J. Stein, Hisateru Tachimori, Margreet Have, Yolanda Torres, Maria Carmen Viana, Daniel V. Vigo, David R. Williams, Bogdan Wojtyniak, Miguel Xavier, Zahari Zarkov, Hannah N. Ziobrowski

Summary: The study found that 26.1% of patients reported being helped by the first professional they saw, but only 22.8% of patients would persist in seeking treatment from multiple professionals. Patients in high-income countries were more likely to seek treatment and more persistent, but there was no difference in the helpfulness of treatment between high-income and low- and middle-income countries.

WORLD PSYCHIATRY (2022)

Article Health Care Sciences & Services

Qualitative development of the PROMIS Profile v1.0-Familial Chylomicronemia Syndrome (FCS) 28

Karen Kaiser, Rina S. Fox, Chelsea Perschon, Montserrat Vera-Llonch, Jordi Alonso, Laia Cubells, David Cella

Summary: This study aimed to create a PROMIS-based patient-reported outcome measure that accurately assesses the quality of life for patients with familial chylomicronemia syndrome (FCS). Through literature review and qualitative research, key symptoms and impacts of FCS were identified and a final measurement tool was developed through cognitive interviews with FCS patients.

QUALITY OF LIFE RESEARCH (2023)

Article Public, Environmental & Occupational Health

Mental health inequalities in times of crisis: evolution between 2005 and 2021 among the Spanish salaried population

Laura Esteve-Matali, Clara Llorens-Serrano, Jordi Alonso, Gemma Vilagut, Salvador Moncada, Albert Navarro-Gine

Summary: This study reveals a significant deterioration in mental health among the salaried population in 2021 compared to previous periods. Health inequalities appear to have narrowed in 2021, but not by improving the mental health of disadvantaged groups; rather, by worsening the mental health of the typically advantaged groups.

JOURNAL OF EPIDEMIOLOGY AND COMMUNITY HEALTH (2023)

Article Psychiatry

Suicidal Ideation and Behavior Among Mexican University Students Before and During the COVID-19 Pandemic

Guilherme Borges, Ricardo Orozco, David Gunnell, Raul A. Gutierrez-Garcia, Yesica Albor, Guillermo E. Quevedo E. Chavez, Praxedis Cristina Hernandez Uribe, Sergio Cruz Hernandez, Maria Anabell Covarrubias Diaz Couder, Jordi Alonso, Maria-Elena Medina-Mora, Corina Benjet

Summary: The COVID-19 pandemic has had a negative impact on the mental health of populations worldwide, particularly in low- and middle-income countries. This study examined the longitudinal effects of the pandemic on suicidal thoughts and behaviors among first-year university students in Mexico. The findings suggest that there was an increase in the incidence of suicidal ideation during the COVID-19 period, especially among students with risk conditions and positive coping strategies.

ARCHIVES OF SUICIDE RESEARCH (2023)

Article Health Care Sciences & Services

Cooperation Improvement in an Integrated Healthcare Network: A Social Network Analysis

Nicolas Larrain, Sophie Wang, Tom Stargardt, Oliver Groene

Summary: This study examined the performance of an integrated healthcare system in improving regional cooperation. Results showed that the regional network evolved favorably towards cooperation, and physician practices participating in the integrated system became more cooperative and had a greater influence in the network. These findings highlight the effective incentivization of cooperation in integrated healthcare systems through holistic patient care and coordination efforts.

INTERNATIONAL JOURNAL OF INTEGRATED CARE (2023)

Article Public, Environmental & Occupational Health

Social inequalities in mental and physical health derived from the COVID-19 pandemic in Spain beyond SARS-CoV-2 infection

Isabel Moreira, Montse Ferrer, Gemma Vilagut, Philippe Mortier, Mireia Felez-Nobrega, Joan Domenech-Abella, Josep-Maria Haro, Jordi Alonso

Summary: Understanding the impact of the COVID-19 crisis on health requires longitudinal studies, and this study found that the pandemic has affected the physical and mental health of the Spanish population regardless of education level. The impact was observed to be higher in individuals with a high level of education, and this impact appeared later in this group.

INTERNATIONAL JOURNAL FOR EQUITY IN HEALTH (2023)

Article Psychology, Multidisciplinary

THE ASSOCIATION OF GRIEF WITH MENTAL HEALTH AND THE ROLE OF LONELINESS DURING THE COVID-19 PANDEMIC

Laia Benitez-Manzanas, Guillem Feixas, Aina Gabarrell-Pascuet, Joan Domenech-Abella, Philippe Mortier, Gemma Vilagut, Josep Maria Haro, Jordi Alonso

Summary: The process of bereavement during the COVID-19 pandemic has significant effects on mental health, particularly when accompanied by dysfunctional grief. Loneliness plays a mediating role in the relationship between grief and mental health outcomes. Professionals should consider dysfunctional grief and loneliness as important targets for assessment and intervention when dealing with the mental health consequences of the pandemic.

ACCION PSICOLOGICA (2022)

No Data Available