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Original Article
Development of a Wellness Index for Workers
Moon-Jong Choi, Chang-Sik Son, Jinsu Kim, Yeongmi Ha
Journal of Korean Academy of Nursing 2016;46(1):69-78.
DOI: https://doi.org/10.4040/jkan.2016.46.1.69
Published online: February 29, 2016

1Medical Device Development Center, DGMIF, Daegu, Korea.

2Wellness Convergence Research Center, DGIST, Daegu, Korea.

3College of Business Administration, Gyeongsang National University, Jinju, Korea.

4College of Nursing·Institute of Health Sciences, Gyeongsang National University, Jinju, Korea.

Address reprint requests to: Ha, Yeongmi. College of Nursing·Institute of Health Sciences, Gyeongsang National University, 816 beon-gil 15, Jinju-daero, Jinju 52727, Korea. Tel: +82-55-772-8253, Fax: +82-55-772-8222, yha@gnu.ac.kr
• Received: January 21, 2015   • Revised: February 6, 2015   • Accepted: October 17, 2015

© 2016 Korean Society of Nursing Science

This is an Open Access article distributed under the terms of the Creative Commons Attribution NoDerivs License. (http://creativecommons.org/licenses/by-nd/4.0/) If the original work is properly cited and retained without any modification or reproduction, it can be used and re-distributed in any format and medium.

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  • Purpose
    The purpose of this study was to develop a wellness index for workers (WIW) and examine the validity and reliability of the WIW for assessing workers' wellness.
  • Methods
    The developmental process for the instrument included construction of a conceptual framework based on a wellness model, generation of initial items, verification of content validity, preliminary study, extraction of final items, and psychometric testing. Content validity was verified by 4 experts from occupational health nursing and wellness disciplines. The construct validity, convergent validity and discriminant validity were examined with confirmatory factor analysis. The reliability was examined with Cronbach's alpha. The participants were 494 workers from two workplaces.
  • Results
    Eighteen items were selected for the final scale, and the results of the confirmatory factor analysis supported a five-factor model of wellness with acceptable model fit, and factors named as physical · emotional · social · intellectual · occupational wellness. The convergent and discriminant validity were also supported. The Cronbach's alpha coefficient was .91.
  • Conclusion
    The results indicate that the WIW is a valid and reliable instrument to comprehensively assess workers' wellness, and to provide basic directions for developing workplace wellness program.
  • 1. Dunn HL. High level wellness. Thorofare, NJ: Charles B. Slack; 1977.
  • 2. Larson JS. The conceptualization of health. Med Care Res Rev. 1999;56(2):123–136. ArticlePubMedPDF
  • 3. Smith BJ, Tang KC, Nutbeam D. WHO health promotion glossary: New terms. Health Promot Int. 2006;21(4):340–345. ArticlePubMed
  • 4. Office of Strategic R & D Planning, Korea Institute of Industrial Technology. 2012 trends analysis and future strategies of wellness industry. Cheonan: Korea Institute of Industrial Technology; 2012.
  • 5. Roscoe LJ. Wellness: A review of theory and measurement for counselors. J Couns Dev. 2009;87(2):216–226. Article
  • 6. World Economic Forum. The workplace wellness alliance - making the right investment: Employee health and the power of metrics [Internet]. Geneva, CH, Author. 2013;cited 2015 January 10. Available from: http://www3.weforum.org/docs/WEF_HE_WorkplaceWellnessAlliance_Report_2013.pdf
  • 7. Doyle EI, Ward SE, Oomen-Early J. The process of community health education and promotion. 2nd ed. Long Grove, IL: Waveland Press; 2010.
  • 8. Centers for Disease Control and Prevention. National healthy worksite program [Internet]. Atlanta, GA, Author. 2014;cited 2015 January 10. Available from: http://www.cdc.gov/nationalhealthyworksite/index.html
  • 9. Ministry of Health and Welfare. National health plan 2020. Seoul: Author; 2011.
  • 10. Baicker K, Cutler D, Song Z. Workplace wellness programs can generate savings. Health Aff (Millwood). 2010;29(2):304–311. ArticlePubMed
  • 11. Hettler B. Wellness promotion on a university campus. Fam Community Health. 1980;3(1):77–95.ArticlePubMed
  • 12. Travis JW, Ryan RS. Wellness workbook. 3rd ed. Berkeley, CA: Ten Speed Press; 2004.
  • 13. Harrington D. Confirmatory factor analysis. New York, NY: Oxford University Press; 2009.
  • 14. Korea Ministry of Government Legislation. Labor standards act [Internet]. Sejong, Author. 2015;cited 2015 July 6. Available from: http://www.law.go.kr/lsInfoP.do?lsiSeq=150421&efYd=20140701#0000
  • 15. National Institute of Korean Language. Basic Korean dictionary [Internet]. Seoul, Author. 2015;cited 2015 July 6. Available from: http://stdweb2.korean.go.kr/search/View.jsp
  • 16. Myers JE, Sweeney TJ. The indivisible self: An evidence-based model of wellness. J Individ Psychol. 2004;60(3):234–245.
  • 17. Sweeney TJ, Witmer JM. Beyond social interest: Striving toward optimum health and wellness. Individ Psychol. 1991;47(4):527–540.
  • 18. Depken D. Wellness through the lens of gender: A paradigm shift. Wellness Perspect. 1994;10(2):54–69.
  • 19. Adams T, Bezner J, Steinhardt M. The conceptualization and measurement of perceived wellness: Integrating balance across and within dimensions. Am J Health Promot. 1997;11(3):208–218. ArticlePubMedPDF
  • 20. Renger RF, Midyett SJ, Soto Mas FG, Erin TD, McDermott HM, Papenfuss RL, et al. Optimal living profile: An inventory to assess health and wellness. Am J Health Behav. 2000;24(6):403–412. Article
  • 21. Hair JF Jr, Black WC, Babin BJ, Anderson RE. Multivariate data analysis. 7th ed. Upper Saddle River, NJ: Pearson Prentice-Hall; 2010.
  • 22. Ware JE Jr, Gandek B. Methods for testing data quality, scaling assumptions, and reliability: The IQOLA project approach. J Clin Epidemiol. 1998;51(11):945–952. PubMed
  • 23. Schumacker RE, Lomax RG. A beginner's guide to structural equation modeling. 3rd ed. New York, NY: Routledge; 2010.
  • 24. Lee K, Shin S. Validity of instrument development research in Korean nursing research. J Korean Acad Nurs. 2013;43(6):697–703. ArticlePubMed
  • 25. Bae BR. Structural equation modeling with Amos 19: Principles and practice. Seoul: Chungram Books; 2011.
  • 26. Hattie JA, Myers JE, Sweeney TJ. A factor structure of wellness: Theory, assessment, analysis, and practice. J Couns Dev. 2004;82(3):354–364. Article
  • 27. Dahlgren G, Whitehead M. European strategies for tackling social inequities in health: Levelling up part 2. Copenhagen, DK: World Health Organization Regional Office for Europe; 2006.
  • 28. Ministry of Employment and Labor. Campaign for balance of work and life [Internet]. Sejong, Author. 2014;cited 2015 January 10. Available from: http://www.worklifebalance.co.kr/campaign/
  • 29. Nunally JC. Psychometric theory. 2nd ed. New York, NY: McGraw-Hill; 1978.
  • 30. Strout K. Wellness promotion and the institute of medicine's future of nursing report: Are nurses ready? Holist Nurs Pract. 2012;26(3):129–136. PubMed
Table 1

General Characteristics of Participants (N =494)

jkan-46-69-i001.jpg
Table 2

Goodness of Fit Indices for Wellness Index using Confirmatory Factor Analysis

jkan-46-69-i002.jpg

CMIN/DF=Chi-square minimum/degree of freedom; GFI=Goodness of fit index; NFI=Normal fit index; CFI=Comparative fit index; TLI=Turker-Lewis index; RMSEA=Root mean square error of approximation.

Table 3

Confirmatory Factor Analysis and Final Items for WIW

jkan-46-69-i003.jpg

AVE=Average variance extracted; CR=Composite reliability; WIW=Wellness index for workers.

Table 4

Correlations between the Five Dimensions of Wellness

jkan-46-69-i004.jpg

AVE=Average variance extracted.

Table 5

Reliability of Five Dimensions of Wellness

jkan-46-69-i005.jpg

Figure & Data

REFERENCES

    Citations

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    Development of a Wellness Index for Workers
    Development of a Wellness Index for Workers

    General Characteristics of Participants (N =494)

    Goodness of Fit Indices for Wellness Index using Confirmatory Factor Analysis

    CMIN/DF=Chi-square minimum/degree of freedom; GFI=Goodness of fit index; NFI=Normal fit index; CFI=Comparative fit index; TLI=Turker-Lewis index; RMSEA=Root mean square error of approximation.

    Confirmatory Factor Analysis and Final Items for WIW

    AVE=Average variance extracted; CR=Composite reliability; WIW=Wellness index for workers.

    Correlations between the Five Dimensions of Wellness

    AVE=Average variance extracted.

    Reliability of Five Dimensions of Wellness

    Table 1 General Characteristics of Participants (N =494)

    Table 2 Goodness of Fit Indices for Wellness Index using Confirmatory Factor Analysis

    CMIN/DF=Chi-square minimum/degree of freedom; GFI=Goodness of fit index; NFI=Normal fit index; CFI=Comparative fit index; TLI=Turker-Lewis index; RMSEA=Root mean square error of approximation.

    Table 3 Confirmatory Factor Analysis and Final Items for WIW

    AVE=Average variance extracted; CR=Composite reliability; WIW=Wellness index for workers.

    Table 4 Correlations between the Five Dimensions of Wellness

    AVE=Average variance extracted.

    Table 5 Reliability of Five Dimensions of Wellness


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