Health Friendly Activity Index

We developed the Health-Friendly Activity Index (HFAI) to comprehensively
measure the health-friendly activities of corporations or organizations.
We validated the developed tool and reported on its use as an assessment
tool to improve consumers’ health-related outcomes. This was a
cross-sectional study. Development of the HFAI questionnaire followed a
three-phase process: item generation, item construction, and validation
with field testing. Using relevance and feasibility criteria, we developed
a 105-item questionnaire with six domains (Governance and Infrastructure,
Needs Assessment, Planning, Implementation, Monitoring and Feedback, and
Outcomes). To assess the sensitivity and validity of the questionnaire,
the HFAI and Contribution Assessment Tool for Consumer’s Health (CATCH)
were administered to 302 participants (151 employers and 151 employees)
from 151 Korean companies. The CATCH measured the contribution of each
company to the physical, mental, social, and spiritual health of its
consumers. To estimate the reliability and validity of all five HFAI
domains and their respective scales, Cronbach’s α coefficients and
correlation coefficients were used. Each domain and scale of the HFAI
exhibited a Cronbach’s α coefficient between 0.80 and 0.98 for the
employers and employees. The overall HFAI and its six domains correlated
significantly and positively with all health outcomes such as physical,
mental, social, and spiritual status scores evaluated using the CATCH
(Spearman’s correlation range: 0.37 to 0.68). The HFAI, a unique
assessment tool with acceptable psychometric properties, can help
corporate managers assess their health-friendly activities.