The World Health Organization's Health Promoting School (HPS) framework takes a multi-component approach integrating health into education, environment, policy, and community partnership. Effective implementation depends not only on resources but also on school culture-the shared values and norms that sustain health promoting practice. The Health Promoting School Culture Scale (HPSCS) measures these cultural and normative foundations. This study validated a Japanese version (J-HPSCS) and examined its psychometric and multilevel properties. A web-based survey was administered to 1148 staff from 135 public high schools in one Japanese prefecture. After forward-backward translation and expert review, confirmatory factor analysis tested factorial validity; convergent and discriminant validity were examined using composite reliability, average variance extracted, and the Fornell-Larcker criterion. Multilevel models assessed between-school variation and concurrent validity using workplace social capital as an external correlate. Four items on community partnerships, school meals, and active transport showed weak performance and were removed. The refined 12-item, three-factor structure (Parent engagement in the school, School/Teachers' Commitment to Student Health, and School Physical Environment) demonstrated acceptable reliability and validity. J-HPSCS scores were positively associated with workplace social capital at both individual and school levels, with stronger effects at the school level. The J-HPSCS provides a concise, reliable measure of school organizational culture that supports health promoting practice and can be used to monitor implementation and inform policy within educational systems.
Kyan et al. (Tue,) studied this question.