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Developing the Community College Student Perceived Health, Healthcare Access, and Utilization Scale (SPHAUS)

Kasey Renee Edwardson, University of Nebraska - Lincoln


The Community College Student Health, Healthcare Access, and Utilization (SPHAUS) Scale was developed to provide a tool that was designed specifically for use in community college settings, to enhance researchers’ abilities to study the relationship between student health and academic measures. This instrument was not designed to gather all pertinent data to evaluate the relationship between health and academics, but rather to use in conjunction with other existing instruments and measures. Subject matter experts were consulted to determine the appropriateness of the constructs and components included in the SPHAUS. Community college students were recruited for cognitive interviews to determine the readability of the instrument, which was then administered to a larger population of students at two-year institutions. Subsequently, the internal consistency of the items was determined, and confirmatory factor analysis was performed. A final model with items loading on four constructs—perceived health, healthcare access through college, personal access, and utilization—was evaluated for the strength at which items measured their respective construct. The findings of this study provide a tool that can be combined with other measurements to study community college student health and its association with academic and other outcomes of interest.

Subject Area

Health care management|Community college education|Public Health Education

Recommended Citation

Edwardson, Kasey Renee, "Developing the Community College Student Perceived Health, Healthcare Access, and Utilization Scale (SPHAUS)" (2021). ETD collection for University of Nebraska-Lincoln. AAI28861035.