Beyond Co‐Location

Development of a School Health Integration Measure

Bibliographic Data

ID21354324
AuthorsKenny S Ferenchak (0000-0003-2990-5746, Olive View-UCLA Medical Center), Sang Leng Trieu (0000-0003-4457-6717, Program Director, ([email protected]), The Los Angeles Trust for Children's Health, 333 S. Beaudry Avenue, 29th Floor, Los Angeles, CA 90017., corresponding author), Rosina Franco (Senior Physician, ([email protected]), Student Medical Services, Student Health and Human Services Los Angeles Unified School District, 121 N. Beaudry Avenue, Roybal Annex, Los Angeles, CA 90012.), Nicholas Jackson (0000-0002-9515-5050, Assistant Professor, ([email protected]), UCLA Division of General Internal Medicine and Health Services Research, 1100 Glendon Avenue, Suite 1820, Los Angeles, CA 90024.), Rebecca N Dudovitz (0000-0001-9457-0562, Mattel Children's Hospital)
Year2021
Volume91
Issue12
Pages970-980
Publication date2021-12-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueJournal of School Health (JOURNAL)
Journal identifiersISSN: 0022-4391 • E-ISSN: 1746-1561
PublisherWiley (PUBLISHER • GB)
DOI10.1111/josh.13088
PMID34636051
OpenAlexW3205524626
LanguageEN
Citations received1
References cited28

BACKGROUND: School-based health centers (SBHCs) can integrate health and educational services to achieve common goals of student wellness and success. As no method exists to quantify the degree of integration for clinics and partner schools, this study aimed to design such a measure. METHODS: Measure items were drafted from the literature. Eleven school health experts from Los Angeles, CA, used a modified Delphi method to reach consensus around items for inclusion in a School Health Integration Measure (SHIM), evaluating each on its appropriateness, substantivity, and feasibility. Twenty-eight staff at 17 SBHC campuses pilot tested the SHIM to examine its psychometric properties. RESULTS: From 36 items, the expert panel utilized 4 rounds to reach consensus on 12 items across 5 domains: health authority, integrated programming, marketing and recruitment, shared outcomes, and staff collaboration. In the SHIM pilot, scores ranged from 2.25 to 5 (possible 1-5, mean 3.53). The measure had high internal consistency (alpha = 0.9385) and was associated with participants' general assessment of integration at their sites (p = .001). CONCLUSIONS: The SHIM provides a new tool to quantify health and educational service integration at SBHC sites, drive practice improvement, and test whether integration leads to better student outcomes.

Delphi method · Family medicine · Inclusion (mineral) · Internal consistency · Medical education · Psychiatry · Psychometrics · Shim (computing) · Applied Psychology · Clinical Psychology · Community Health and Development · Computer Science · Health, psychology, and well-being · Medicine · Nursing · Psychology · School Health and Nursing Education · Social Psychology

Tools

Open DOI