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.