Health Education Impact Questionnaire (heiQ)

Public Health Innovation's chronic disease self-management national quality and monitoring system, operationalised through the heiQ, has been translated into 20 languages and is used throughout the world.
heiQ has been administered to over 50,000 people since 2005. It has been shown to be psychometrically robust, not only in Australia, but in Germany, France, Japan and other countries.

Public Health Innovations is supporting teams in The Netherlands, Norway, Denmark and Canada to undertake cultural adaptation and vigorous validation studies.


Self-management programs are available to consumers in a variety of forms including facilitator-led groups, telephone coaching and web-based services. These programs are intended to have a wide range of impacts and include general educational information about health and disease, motivation to change risk factors, compliance with medical regimens, coping, general 'empowerment' and techniques for self-management. Evaluation of self-management and health education programs has been hampered by a lack of standardised and comprehensive assessment.

The development of the Health Education and Impact Questionnaire (heiQ) arose out of demands from funders, the community sector and researchers for a valid and relevant evaluation and data management system for health education and self-management programs. Its development was funded by the Australian Government Department of Health & Ageing.

The heiQ evaluation system
The heiQ is an Australian-developed health education impact evaluation system. It consists of 40 questions, organised into eight scales. Each scale is an independent questionnaire and together the 8 scales provide a comprehensive profile of the intended outcomes of health education / self-management programs. The heiQ is designed to measure effectiveness of health education programs and to inform health professionals and researchers on the outcomes of health education programs delivered to people with chronic diseases. The heiQ system provides course leaders and their affiliated institutions with valuable information about consumer satisfaction, service delivery quality, and effects of quality improvement activities.

The heiQ Core Dimensions:

  1. Health directed activity
  2. Positive and active engagement in life
  3. Emotional distress
  4. Self-monitoring and insight
  5. Constructive attitudes and approaches
  6. Skill and technique acquisition
  7. Social integration and support
  8. Health service navigation

The heiQ also include 9 course quality questions designed to provide pertinent information to course leaders and managers to assist with improving the quality of service delivery.

Please note: the heiQ system is copyright and reproduction and alterations
are not permitted without written permission from the authors.

Please contact for further information or complete the attached doc

Translation of the heiQ is permissible but only under license and using the heiQ translation and cultural adaption procedure. This includes a final consensus teleconference chaired by Prof Osborne. SPSS Code to calculate heiQ scores. Many thanks to Dr Sandra Nolte.