Measuring Worksite Health Promotion Programs: an application of Structural Equation Modeling with ordinal data

This paper presents a model for measuring the outcome of Worksite Health Promotion Programs through an application of Structural Equation Modeling with ordinal data. We model the function “being healthy” as a vector comprised of three latent or unobservable variables: Health Status, Lifestyle and Stress. Each variable can be measured only indirectly through a set of manifest or observable ordinal indicators. The objective is to derive and analyze the distributions, and changes in distributions over time, of the latent variables on an individual level. The model is analyzed empirically on data from three large Swedish manufacturing firms.

[1]  C. Fornell,et al.  Evaluating structural equation models with unobservable variables and measurement error. , 1981 .

[2]  Michael R. Mullen,et al.  Structural equation modelling: guidelines for determining model fit , 2008 .

[3]  Thomas F. Golob,et al.  Structural Equation Modeling For Travel Behavior Research , 2001 .

[4]  A two-level structural equation model approach for analyzing multivariate longitudinal responses. , 2008, Statistics in medicine.

[5]  Y. Lecrubier The burden of depression and anxiety in general medicine. , 2001, The Journal of clinical psychiatry.

[6]  Adamantios Diamantopoulos,et al.  Introducing Lisrel: A Guide for the Uninitiated , 2000 .

[7]  J. Mcewen,et al.  Measuring Health—A Review of Quality of Life Measurement Scales , 1992 .

[8]  Bernhard Zimolong,et al.  Management of Work Site Health-Promotion Programs: A Review , 2009, HCI.

[9]  J. Sayers The world health report 2001 - Mental health: new understanding, new hope , 2001 .

[10]  M. Järvelin,et al.  Health, schooling and lifestyle among young adults in Finland. , 2006, Health economics.

[11]  L. A. Peplau,et al.  Relation between loneliness and depression: a structural equation analysis. , 1980, Journal of personality and social psychology.

[12]  T. Mills,et al.  Measuring Health: A Guide to Rating Scales and Questionnaires , 2006 .

[13]  Ming-Hui Chen,et al.  Do associations between employee self-reported organizational assessments and attitudinal outcomes change over time? An analysis of four Veterans Health Administration surveys using structural equation modelling. , 2011, Health economics.

[14]  V. Ulrich,et al.  I feel good! Gender differences and reporting heterogeneity in self-assessed health , 2010, The European Journal of Health Economics.

[15]  E. van Doorslaer,et al.  Cut-Point Shift and Index Shift in Self-Reported Health , 2004, Journal of health economics.

[16]  Allard J van der Beek,et al.  Effectiveness of physical activity programs at worksites with respect to work-related outcomes. , 2002, Scandinavian journal of work, environment & health.

[17]  P. Rissanen,et al.  Nurses’ intentions to leave nursing in Finland , 2008, The European Journal of Health Economics.

[18]  D. Kaplan Structural Equation Modeling: Foundations and Extensions , 2000 .

[19]  H. Marsh,et al.  Causal effects of academic self-concept on academic achievement: Structural equation models of longitudinal data. , 1997 .

[20]  C. Björklund,et al.  A comprehensive workplace intervention and its outcome with regard to lifestyle, health and sick leave: the AHA study. , 2008, Work.

[21]  Rex B. Kline,et al.  Principles and Practice of Structural Equation Modeling , 1998 .

[22]  David Kaplan,et al.  Structural Equation Modeling (2nd ed.): Foundations and Extensions , 2009 .

[23]  P M Bentler,et al.  Structural equation models in medical research , 1992, Statistical methods in medical research.

[24]  I. McDowell,et al.  Measuring health: A guide to rating scales and questionnaires, 3rd ed. , 2006 .

[25]  Andrew M Jones,et al.  Inequalities in self-reported health: validation of a new approach to measurement. , 2003, Journal of health economics.

[26]  David Madden,et al.  Ordinal and cardinal measures of health inequality: an empirical comparison. , 2010, Health economics.

[27]  Karl G. Jöreskog,et al.  Latent variable scores and their uses , 2004 .

[28]  Jarl K. Kampen,et al.  The Ordinal Controversy Revisited , 2000 .

[29]  Xin-Yuan Song,et al.  Bayesian semiparametric analysis of structural equation models with mixed continuous and unordered categorical variables , 2009, Statistics in medicine.

[30]  S S Stevens,et al.  On the Theory of Scales of Measurement. , 1946, Science.

[31]  R. Bagozzi,et al.  On the evaluation of structural equation models , 1988 .

[32]  Arthur van Soest,et al.  Vignettes and self-reports of work disability in the United States and the Netherlands , 2007 .

[33]  M. Shipley,et al.  Overweight and stroke in the Whitehall study. , 1991, Journal of epidemiology and community health.

[34]  Hein Putter,et al.  Joint analysis of multiple longitudinal outcomes: Application of a latent class model , 2008, Statistics in medicine.

[35]  Peter M. Bentler,et al.  Practical Issues in Structural Modeling , 1987 .

[36]  Karl G. Jöreskog,et al.  Structural equation modeling with ordinal variables , 1994 .

[37]  Willem van Mechelen,et al.  Worksite health promotion programs with environmental changes: a systematic review. , 2005, American journal of preventive medicine.

[38]  K. Jöreskog,et al.  LISREL 8: New Statistical Features , 1999 .

[39]  C. Fornell,et al.  The American Customer Satisfaction Index: Nature, Purpose, and Findings , 1996 .

[40]  M. Marmot,et al.  Behavioural and biological correlates of physical functioning in middle aged office workers: the UK whitehall II study. , 1998, Journal of epidemiology and community health.

[41]  R. MacCallum,et al.  Applications of structural equation modeling in psychological research. , 2000, Annual review of psychology.

[42]  R. Baran,et al.  Psychometric development and validation of the chronic constipation treatment satisfaction questionnaire (CTSAT-Q). , 2009, Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research.

[43]  Steven Hawken,et al.  Preventive cardiologyAbstractsEffect of potentially modifiable risk factors associated with myocardial infarction in 52 countries (the INTERHEART study): Case-control study , 2004 .

[44]  Ronald J Ozminkowski,et al.  The health and cost benefits of work site health-promotion programs. , 2008, Annual review of public health.

[45]  R. P. McDonald,et al.  Structural Equations with Latent Variables , 1989 .