A psychometric analysis of the adaptation of the integrative health and wellness assessment to Turkish

Nurses/nurse coaches working in health promotion need tools that can be used to holistically assess the emotional, physical, nutritional, spiritual, etc. status of adults.The aim of this study was to perform a validity and reliability study for the Integrative Health and Wellness Assessment developed by the International Nurse Coach Association in 2011, (McElligott & Turnier, 2020) and to adapt it to Turkish culture. The research was performed from February-May 2023 with individuals who volunteered to participate. An online survey was sent to adult individuals over 18 years of age living in Türkiye. In total, data for 699 individuals were analyzed. Data collection tools included the information form and the Integrative Health and Wellness Assessment. For adaptation to Turkish, the steps prepared and refined in several studies by the World Health Organization were followed. Statistical analyses were performed with SPPS and R Project. Validity analyses included content and construct analyses, while reliability analyses used the Cronbach alpha and omega coefficients. The Kaiser-Meyer-Olkin value (KMO=0.936) was at acceptable levels and significant correlation structure was observed with Bartlett’s sphericity test (ꭓ2=6478.783, p<0.001). The results of factor analysis found item load values from 0.859-0.522 for 31 items in a structure of 6 subdimensions (emotional awareness, health responsibility, nutrition, exercise, spiritual and avoiding harmful habits). This structure explained 64.929% of the total variance. As a result of the analyses, the scale is suitable for use to assess the integrative health and wellness of adult individuals and the Turkish form was concluded to be valid and reliable.