Measuring Development of Self-Help Organizations for Patients with Chronic Health Conditions in Hong Kong: Development and Validation of the Self-Help Organization Development Scale (SHODS)
Abstract
:1. Introduction
1.1. Background: Significance and Challenges of Self-Help Organizations
1.2. The Present Study
1.3. Model Development: Indicators of SHO Development
1.4. Concurrent Validity: Organizational Variables and SHO Development
2. Materials and Methods
2.1. Procedure and Participants
2.2. Measures
2.2.1. Development of Self-Help Organization Development Scale (SHODS)
2.2.2. Measurement of SHO Development Factors
2.2.3. Measurement of Organizational Variables
2.3. Data Analysis
3. Results
3.1. Scale Items and Descriptive Statistics
3.2. Confirmatory Factor Analysis
3.3. Reliability and Validity Analysis
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Factor | N | Mean | SD |
---|---|---|---|
Citizen support | 229 | 33.93 | 20.41 |
Business support | 229 | 36.17 | 28.88 |
Member recovery and mutual aid | 231 | 66.47 | 17.23 |
Organizational health | 230 | 46.86 | 19.22 |
Functional sustainability | 230 | 59.75 | 16.19 |
Model Fit Indices | CFA of Total Sample Model (n = 232) | SHO Establishment Duration in Months (Median = 240) | Affiliation with Another SHO/NGO | ||
---|---|---|---|---|---|
Below or Equal to Median (n = 114) | Above Median (n = 107) | Affiliated (n = 115) | Not Affiliated (n = 117) | ||
CFI | 0.959 | 0.934 | 0.930 | 0.929 | 0.942 |
TLI | 0.950 | 0.919 | 0.914 | 0.914 | 0.928 |
RMSEA | 0.056 | 0.075 | 0.070 | 0.077 | 0.067 |
SRMR | 0.052 | 0.071 | 0.068 | 0.062 | 0.068 |
Factor | Item | CFA | Cronbach’s Alpha |
---|---|---|---|
Citizen support | CS1 Receiving donations from citizens | 0.755 | 0.851 |
CS2 Citizens collaborating with the SHO to advocate for patient rights | 0.820 | ||
CS3 Citizens participating in the SHO’s volunteer service | 0.827 | ||
CS4 Citizens having adequate understanding of the SHO | 0.693 | ||
Business support | BS1 Having good relationships with businesses and enterprises | 0.963 | 0.950 |
BS2 Businesses and enterprises having a good understanding of the SHO | 0.946 | ||
BS3 Receiving funding support from businesses and enterprises | 0.877 | ||
Member recovery and mutual aid | MRMA1 Good self-help and mutual support among members | 0.712 | 0.840 |
MRMA2 Positive change in members’ sense of hope and resilience in the face of the chronic health condition | 0.810 | ||
MRMA3 Members’ stress has been reduced | 0.771 | ||
MRMA4 Members are appreciated by others | 0.716 | ||
Organizational health | OH1 Stable funding | 0.652 | 0.783 |
OH2 Stable supplies, such as wheelchairs, computers, and recreational facilities | 0.748 | ||
OH3 Stable human resources | 0.778 | ||
OH4 Adapting to the changing environment | 0.579 | ||
Functional sustainability | FS1 Members gain more knowledge about self-care and their chronic health condition | 0.801 | 0.837 |
FS2 Members express fulfilment of their needs | 0.820 | ||
FS3 Members recognize their own values | 0.762 |
Factor | Citizen Support | Business Support | Member Recovery and Mutual Aid | Organizational Health | Functional Sustainability |
---|---|---|---|---|---|
Citizen support | 1 | ||||
Business support | 0.463 *** | 1 | |||
Member recovery and mutual aid | 0.197 ** | 0.263 *** | 1 | ||
Organizational health | 0.362 *** | 0.316 *** | 0.265 *** | 1 | |
Functional sustainability | 0.280 *** | 0.199 ** | 0.555 *** | 0.307 *** | 1 |
Factor | Organizational Variables | ||||
---|---|---|---|---|---|
Staff Understanding | Staff Supervision | Networking | Advocating | Educating the Public and Patients | |
Citizen support | 0.229 ** | 0.259 ** | 0.579 *** | 0.542 *** | 0.573 *** |
Business support | 0.166 * | 0.262 ** | 0.463 *** | 0.500 *** | 0.407 *** |
Member recovery and mutual aid | 0.276 *** | 0.377 *** | 0.327 *** | 0.349 *** | 0.439 *** |
Organizational health | 0.460 *** | 0.467 *** | 0.496 *** | 0.361 *** | 0.393 *** |
Functional sustainability | 0.283 *** | 0.328 *** | 0.299 *** | 0.307 *** | 0.323 *** |
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Ngai, S.S.-y.; Jiang, S.; Cheung, C.-k.; Tang, H.-y.; Ngai, H.-l.; Ng, Y.-h. Measuring Development of Self-Help Organizations for Patients with Chronic Health Conditions in Hong Kong: Development and Validation of the Self-Help Organization Development Scale (SHODS). Int. J. Environ. Res. Public Health 2021, 18, 1351. https://doi.org/10.3390/ijerph18031351
Ngai SS-y, Jiang S, Cheung C-k, Tang H-y, Ngai H-l, Ng Y-h. Measuring Development of Self-Help Organizations for Patients with Chronic Health Conditions in Hong Kong: Development and Validation of the Self-Help Organization Development Scale (SHODS). International Journal of Environmental Research and Public Health. 2021; 18(3):1351. https://doi.org/10.3390/ijerph18031351
Chicago/Turabian StyleNgai, Steven Sek-yum, Shan Jiang, Chau-kiu Cheung, Hon-yin Tang, Hiu-lam Ngai, and Yuen-hang Ng. 2021. "Measuring Development of Self-Help Organizations for Patients with Chronic Health Conditions in Hong Kong: Development and Validation of the Self-Help Organization Development Scale (SHODS)" International Journal of Environmental Research and Public Health 18, no. 3: 1351. https://doi.org/10.3390/ijerph18031351
APA StyleNgai, S. S. -y., Jiang, S., Cheung, C. -k., Tang, H. -y., Ngai, H. -l., & Ng, Y. -h. (2021). Measuring Development of Self-Help Organizations for Patients with Chronic Health Conditions in Hong Kong: Development and Validation of the Self-Help Organization Development Scale (SHODS). International Journal of Environmental Research and Public Health, 18(3), 1351. https://doi.org/10.3390/ijerph18031351