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Reliability and Validity Testing of the CDC Worksite Health ScoreCard: An Assessment Tool to Help Employers Prevent Heart Disease, Stroke, and Related Health Conditions

Roemer, Enid Chung PhD; Kent, Karen B. MPH; Samoly, Daniel K. MPH; Gaydos, Laura M. PhD; Smith, Kristyn J. BA; Agarwal, Amol BS; Matson-Koffman, Dyann M. DrPH, MPH, CHES; Goetzel, Ron Z. PhD

Journal of Occupational and Environmental Medicine: May 2013 - Volume 55 - Issue 5 - p 520–526
doi: 10.1097/JOM.0b013e31828349a7
Original Articles

Objective: To develop, evaluate, and improve the reliability and validity of the CDC Worksite Health ScoreCard (HSC).

Methods: We tested interrater reliability by piloting the HSC at 93 worksites, examining question response concurrence between two representatives from each worksite. We conducted cognitive interviews and site visits to evaluate face validity of items and refined the instrument for general distribution.

Results: The mean question concurrence rate was 77%. Respondents reported the tool to be useful, and on average 49% of all possible interventions were in place at the surveyed worksites. The interviews highlighted issues undermining reliability and validity, which were addressed in the final version of the instrument.

Conclusions: The revised HSC is a reasonably valid and reliable tool for assessing worksite health promotion programs, policies, and environmental supports directed at preventing cardiovascular disease.

From the Emory University Institute for Health and Productivity Studies (Drs Roemer and Goetzel, Mr Samoly, and Ms Kent and Ms Smith), Washington, DC, and Emory University (Dr Gaydos and Mr Agarwal), Atlanta, Ga: Center for Disease Control and Prevention/National Center for Chronic Disease Prevention and Health Promotion/Division for Heart Disease and Stroke Prevention (Dr Matson-Koffman), Atlanta, Ga; and Truven Health Analytics (Dr Goetzel), Bethesda, Md.

Address correspondence to: Enid Chung Roemer, PhD, Emory University Institute for Health and Productivity Studies, Rollins School of Public Health, 1341 22nd Street NW, Washington, DC 20037 (

The authors declare no conflicts of interest.

Funding for this study was provided through a cooperative agreement between the Centers for Disease Control and Prevention and the Emory University Prevention Research Center; grant number 5U48DP001909.

The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.

©2013The American College of Occupational and Environmental Medicine