Design, Development, and Validation of the Self-Perceived Health Scale (SPHS)

Healthcare (Basel). 2023 Jul 12;11(14):2007. doi: 10.3390/healthcare11142007.

Abstract

Health is a multidimensional concept with notable psychological factors, such as self-perceived health (SPH). SPH is defined as the subjective assessment of individual health status, and it integrates information related to both physical and psychological aspects, such as lifestyle. This study describes the development of the Self-Perceived Health Scale (SPHS), and its validation in a Mexican sample (n = 600). Exploratory factor analysis (n = 303) and confirmatory factor analysis (n = 293) were carried out, and they supported the three-dimensionality of the SPH construct: physical health, psychological health, and healthy lifestyle. A final 12-item scale was obtained, and the scale showed adequate validity and reliability, as well as measurement invariance between sexes, indicating its robustness.

Keywords: constructs; measurement; patient-reported outcomes (PRO); psychometrics; reliability; scales; self-perceived health; validation of psychological instruments.