title: Validation and Dimensionality of the Integration of Health Protection and Health Promotion Score: Evidence From the PULSE Small Business and VA Medical Center Surveys.
abstract: OBJECTIVE
  To conduct validation and dimensionality analyses for an existing measure of the integration of worksite health protection and health promotion approaches.
  
  
  METHODS
  A survey of small to medium size employers located in the United States was conducted between October 2013 and March 2014 (N = 115). A survey of Department of Veterans Affairs (VA) administrative parents was also conducted from June to July 2014 (N = 140). Exploratory factor analysis (EFA) was used to determine the dimensionality of the Integration Score in each sample.
  
  
  RESULTS
  Using EFA, both samples indicated the presence of one unified factor. The VA survey indicated that customization improves the relevance of the Integration Score for different types of organizations.
  
  
  CONCLUSIONS
  The Integration Score is a valid index for assessing the integration of worksite health protection and health promotion approaches and is customizable based on industry.
  
  
  CONCLUSIONS
  The Integration Score may be used as a single metric for assessing the integration of worksite health protection and health promotion approaches in differing work contexts.
authors.affiliation: Dana-Farber Cancer Institute (Drs McLellan, Sorensen, and Williams); Harvard T.H. Chan School of Public Health (Drs McLellan, Cabán-Martinez, Pronk, Katz, Wagner, and Sorensen); University of Miami, Miller School of Medicine Medical School (Dr Cabán-Martinez), Florida; HealthPartners, Inc. (Dr Pronk), Minneapolis, Minnesota; Brigham and Women's Hospital (Dr Katz); National Institute for Occupational Safety and Health (Dr Wagner), Washington, DC; University of Kansas Medical Center (Dr Williams), Kansas City, Kansas; Veterans Health Administration (Dr Schult), Minneapolis, Minnesota; and Massachusetts Department of Public Health (Dr Nelson), Boston.
authors.forename: Jessica A R
authors.initials: JA
authors.lastname: Williams
authors.forename: Tamara M
authors.initials: TM
authors.lastname: Schult
authors.forename: Candace C
authors.initials: CC
authors.lastname: Nelson
authors.forename: Alberto J
authors.initials: AJ
authors.lastname: Cabán-Martinez
authors.forename: Jeffrey N
authors.initials: JN
authors.lastname: Katz
authors.forename: Gregory R
authors.initials: GR
authors.lastname: Wagner
authors.forename: Nicolaas P
authors.initials: NP
authors.lastname: Pronk
authors.forename: Glorian
authors.initials: G
authors.lastname: Sorensen
authors.forename: Deborah L
authors.initials: DL
authors.lastname: McLellan
mesh_terms: D006293:Health Promotion; D009786:Occupational Health Services; D058012:Small Business; D011795:Surveys and Questionnaires; D014481:United States; D014493:United States Department of Veterans Affairs; D017132:Workplace