Table 2.
Standardized factor loadings for the seven-factor J-HPSIQ model (final SEM model).
| Factor | Indicator | Standardized Factor loading | 95% CI |
|---|---|---|---|
| Adherence | |||
| Acted on evaluation findings | 0.725 | [0.615, 0.834] | |
| Annual evaluation of HPS initiatives | 0.595 | [0.462, 0.728] | |
| HPS coordination in place | 0.74 | [0.640, 0.841] | |
| Regular survey: hygiene / infection control | 0.608 | [0.478, 0.738] | |
| Regular survey: nutrition | 0.5 | [0.348, 0.652] | |
| Regular survey: physical activity | 0.695 | [0.586, 0.804] | |
| Regular survey: physical environment | 0.523 | [0.375, 0.670] | |
| Regular survey: relationships & sexuality | 0.615 | [0.487, 0.742] | |
| Regular survey: sleep | 0.535 | [0.391, 0.679] | |
| Regular survey: students requiring special support | 0.539 | [0.396, 0.682] | |
| Regular survey: tobacco/alcohol/drugs | 0.336 | [0.160, 0.513] | |
| Sufficient funding for HPS | 0.597 | [0.462, 0.732] | |
| Sufficient staff time for HPS | 0.696 | [0.580, 0.812] | |
| Dose | |||
| Behavioral guidelines in place (staff/students/parents) | 0.704 | [0.597, 0.810] | |
| Early identification & discussion of student issues | 0.561 | [0.424, 0.698] | |
| Formal lessons implemented (health topics) | 0.742 | [0.648, 0.836] | |
| Policy includes topic: parents | 0.822 | [0.746, 0.899] | |
| Policy includes topic: staff | 0.847 | [0.780, 0.913] | |
| Policy includes topic: students | 0.79 | [0.703, 0.877] | |
| Supplementary activities (campaigns/trips/guests) | 0.417 | [0.255, 0.579] | |
| Participant Responsiveness | |||
| Stakeholder participation: education board | 0.634 | [0.518, 0.750] | |
| Stakeholder participation: external advisors (public health/child services) | 0.727 | [0.634, 0.820] | |
| Stakeholder participation: external partners (physician/dentist/pharmacist) | 0.749 | [0.661, 0.836] | |
| Stakeholder participation: management | 0.869 | [0.816, 0.921] | |
| Stakeholder participation: parents | 0.793 | [0.719, 0.867] | |
| Stakeholder participation: school health coordinator | 0.815 | [0.745, 0.884] | |
| Stakeholder participation: students | 0.823 | [0.756, 0.889] | |
| Stakeholder participation: support staff | 0.685 | [0.580, 0.789] | |
| Stakeholder participation: teachers | 0.843 | [0.783, 0.903] | |
| Quality of Delivery | |||
| Active communication: staff/students/parents | 0.807 | [0.731, 0.883] | |
| Core values/mission align with HPS | 0.67 | [0.556, 0.783] | |
| Health considered in activities/environment | 0.801 | [0.724, 0.878] | |
| Healthy choices encouraged in school | 0.622 | [0.496, 0.747] | |
| Staff are role models for health | 0.828 | [0.758, 0.897] | |
| Integration | |||
| External experts’ competence for HPS | 0.845 | [0.771, 0.920] | |
| Regular contact with external supporters | 0.773 | [0.684, 0.863] | |
| Teacher competence for HPS implementation | 0.749 | [0.653, 0.845] | |
| Program Differentiation | 1.000 | (Fixed) | |
| Adaptation | 1.000 | (Fixed) |
Factor loadings are completely standardized estimates from the final structural equation model (SEM). Program Differentiation and Adaptation were modeled as single-indicator latent variables with their loadings fixed to 1.00 and error variances constrained based on an assumed reliability of ρ = 0.70. All other latent constructs were identified by at least two observed indicators.