Development and Validation of a Health and Work Survey Based on the Rasch Model among Portuguese Workers

  • Carla Barros
  • Liliana Cunha
  • Pilar Baylina
  • Alexandra Oliveira
  • Álvaro Rocha
Patient Facing Systems
Part of the following topical collections:
  1. Health Information Systems & Technologies


The purpose of this study was to develop the Health and Work Survey (INSAT) and examine the validity of the discomfort rating scale. Data were collected from 706 Portuguese workers from six economic sectors with the support of the Health and Work Survey (INSAT - Inquérito Saúde e Trabalho). The INSAT is a self-administered questionnaire to assessing working conditions, health and wellbeing, and to provide information to the occupational health systems in the organisations. For the survey instrument validation, the Rasch Partial Credit Model (PCM) was used to analyse item fit statistics. From the application of PCM, Person Separation Reliability was obtained (0.8761) and the value can be considered very good (>0.8). From the statistical analysis, the Overall Model fit information, given by Outfit Mean square/Infit Mean square, is between 0.5 and 1.5, meaning “Productive for measurement” and “acceptable fit overall”. The INSAT items can generate predictable response patterns. We recommend that the INSAT discomfort rating scale and some other items should be reviewed in future works. In any event, this tool proves to be useful in assessing the relationship between work and health and in evaluating key main risk factors, helping to prevent problems and improving occupational health systems.


Occupational health system Risk factors Work and health relations Survey validation Rasch partial credit model Discomfort rating scale 


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Copyright information

© Springer Science+Business Media New York 2017

Authors and Affiliations

  • Carla Barros
    • 1
  • Liliana Cunha
    • 2
    • 3
  • Pilar Baylina
    • 4
  • Alexandra Oliveira
    • 5
  • Álvaro Rocha
    • 6
  1. 1.University Fernando PessoaPortoPortugal
  2. 2.Centre for Psychology at University of PortoPortoPortugal
  3. 3.Faculty of Psychology and Education SciencesUniversity of PortoPortoPortugal
  4. 4.Department of Management and Administration in HealthHealth School - Polytechnic Institute of PortoPortoPortugal
  5. 5.Department of Biomathematics, Biostatistics and BioinformaticsHealth School - Polytechnic Institute of PortoPortoPortugal
  6. 6.Department of Informatics EngineeringUniversity of CoimbraCoimbraPortugal

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