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ORIGINAL RESEARCH article

Front. Psychol.

Sec. Organizational Psychology

Volume 16 - 2025 | doi: 10.3389/fpsyg.2025.1689559

This article is part of the Research TopicResignation and Strategic Retention: Shaping the Future WorkforceView all 10 articles

Development and Validation of the Organizational Health Behavior Index (OHBI): A Mixed-Methods Instrument for Measuring Organizational Health

Provisionally accepted
Abad  AlzumanAbad Alzuman1Muath  Al JaafariMuath Al Jaafari2Zaiba  AliZaiba Ali1Dr Rahila  AliDr Rahila Ali3*Lina  Ibrahim BakadamLina Ibrahim Bakadam1
  • 1Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia
  • 2Organizational Culture and Internal Communication, ICM, Amjad Watan, Riyadh 12312,, Riyadh 12312, Saudi Arabia
  • 3Jagran Lakecity University, Bhopal, India

The final, formatted version of the article will be published soon.

Background: Organizational health is crucial to promote employees' well-being, sustainable performances, and long-term survival; existing tools are, however, frequently unidimensional and have been developed without consideration for the organizational context. Purpose: The purpose of this study was to construct and validate the Organization Health Behavior Index (OHBI), a composite measure that includes quantitative and qualitative domains. Methods: A sequential mixed-methods design was used to survey 7,548 workers in various Saudi industries. Subscale A (Quantitative) comprised Awareness, Appreciation, Relations, Engagement, and Communication Satisfaction, which were validated through EFA, CFA, and reliability. Subscale B (Qualitative) included Organizational Culture, Employee Persona, and Voice, which were analyzed for theme, inter-rater reliability, and expert triangulation. Results: CFA revealed a good fit (CFI = 0.960, TLI = 0.950, RMSEA = 0.053) with factor loadings > 0.70 and reliability α ≥ 0.707. Criterion-related validity demonstrated strong correlations (r = 0.75–0.83) with an existing model. The second aim we accomplished was to enhance our results by measuring employee-induced cultural perceptions (subscale B). Conclusion: The OHBI is a reliable multidimensional measure of organizational health, providing both theoretical and practical value. Future validation work in other contexts is suggested.

Keywords: Organizational health, Awareness, appreciation, relations, engagement, and Communication Satisfaction, Organizational Culture, Employee Persona

Received: 20 Aug 2025; Accepted: 07 Oct 2025.

Copyright: © 2025 Alzuman, Jaafari, Ali, Ali and Bakadam. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Dr Rahila Ali, rahila.ali@jlu.edu.in

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