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Validity and reliability of the South African health promoting schools monitoring questionnaire

Bibliographic Data

ID22945702
AuthorsPatricia Struthers (University of the Western Cape), Lisa Wegner (0000-0001-9415-119X, University of the Western Cape, corresponding author), Petra De Koker (Ghent University Hospital), Wondwossen Lerebo (0000-0001-5523-5227, Mekelle University), Renette Blignaut (0000-0002-3150-6624, University of the Western Cape), Rénette J Blignaut
Year2016
Volume32
Issue2
Pagesdaw074
Publication date2016-10-02
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueHealth Promotion International (JOURNAL)
Journal identifiersISSN: 0957-4824 • E-ISSN: 1460-2245
PublisherOxford University Press (OUP) (PUBLISHER)
DOI10.1093/heapro/daw074
PMID27694227
OpenAlexW2528910344
LanguageEN
Citations received2
References cited12

Health promoting schools, as conceptualised by the World Health Organisation, have been developed in many countries to facilitate the health-education link. In 1994, the concept of health promoting schools was introduced in South Africa. In the process of becoming a health promoting school, it is important for schools to monitor and evaluate changes and developments taking place. The Health Promoting Schools (HPS) Monitoring Questionnaire was developed to obtain opinions of students about their school as a health promoting school. It comprises 138 questions in seven sections: socio-demographic information; General health promotion programmes; health related Skills and knowledge; Policies; Environment; Community-school links; and support Services. This paper reports on the reliability and face validity of the HPS Monitoring Questionnaire. Seven experts reviewed the questionnaire and agreed that it has satisfactory face validity. A test-retest reliability study was conducted with 83 students in three high schools in Cape Town, South Africa. The kappa-coefficients demonstrate mostly fair (κ-scores between 0.21 and 0.4) to moderate (κ-scores between 0.41 and 0.6) agreement between test-retest General and Environment items; poor (κ-scores up to 0.2) agreement between Skills and Community test-retest items, fair agreement between Policies items, and for most of the questions focussing on Services a fair agreement was found. The study is a first effort at providing a tool that may be used to monitor and evaluate students' opinions about changes in health promoting schools. Although the HPS Monitoring Questionnaire has face validity, the results of the reliability testing were inconclusive. Further research is warranted.

Community health · Face validity · Health education · Health promotion · Medical education · Political science · Promotion (chess) · Psychometrics · Public health · Reliability (semiconductor) · Test (biology) · Validity · Clinical Psychology · Health and Wellbeing Research · Health, psychology, and well-being · Medicine · Nursing · Psychology · School Health and Nursing Education

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    Open Access•Stefano Delbosq, Kathelijne Bessems et al.•Health Promotion International•2026

  • A Novel Survey for Assessing Health‐Promoting School Practices and Capacity

    Open Access•Anneke Vang Hjort, Adrian Bauman et al.•Journal of School Health•2025

  • The Measurement of Observer Agreement for Categorical Data

    J R Landis, Gary G Koch•Biometrics•1977

  • Reliability and validity of a scale for health-promoting schools

    Open Access•Eun Young Lee, Yoon Jung Shin et al.•Health Promotion International•2014

  • A Coefficient of Agreement for Nominal Scales

    Open Access•Jacob Cohen•Educational and Psychological…•1960

  • A cluster randomised trial of a telephone-based intervention for parents to increase fruit and vegetable consumption in their 3- to 5-year-old children

    Open Access•Rebecca Wyse, Rebecca J Wyse et al.•BMC Public Health•2010

  • Evaluation of health promotion in schools

    Open Access•Jeanine Pommier, Marie‐renée Guevel et al.•BMC Public Health•2010

  • Status of implementation of Framework Convention on Tobacco Control (FCTC) in Ghana

    Open Access•Ellis Owusu-Dabo, Ellis Owusu‐Dabo et al.•BMC Public Health•2010

Unique citing works2
Citations per year2
Citation span2025 - 2026 (2)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 1

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