Factor Structure, Reliability, and Construct Validity of the Wellness Inventory.

IF 3.3 3区 医学 Q1 HEALTH POLICY & SERVICES Psychiatric services Pub Date : 2024-11-05 DOI:10.1176/appi.ps.20230622
Margaret Swarbrick, Angelo Di Bello, SunHee Jang Eissenstat, Patricia B Nemec, Denise Aimee Hien, Kenneth J Gill
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Abstract

Objective: Wellness has been associated with various general medical and mental health outcomes; however, few empirically supported measures capture the breadth of the wellness construct. The first author had previously developed the Wellness Inventory through an iterative process with key stakeholders to establish face and content validity and examined the psychometric properties of the Wellness Inventory as a tool for assessing wellness across eight dimensions.

Methods: The authors assessed the Wellness Inventory by using data from self-report online surveys in three samples of data collected from two groups of respondents: students and faculty members in a public university and behavioral health providers (N=3,446; 50% White and 43% female). Exploratory and confirmatory factor analyses and data from samples 1 and 2 were used to examine the factor structure and fit of the inventory. Data from sample 3 were used to assess test-retest reliability and convergent and discriminant validity.

Results: Factor analyses yielded a one-factor model comprising 54 items. A revised instrument based on this model revealed good fit to the data, internal consistency, and test-retest reliability and reasonable construct validity.

Conclusions: The Wellness Inventory is a comprehensive and psychometrically valid tool for assessing wellness. The findings support a single dimension of wellness, suggesting wellness as a holistic, general construct. This inventory has implications for research on health promotion and prevention and clinical outcomes in both research and treatment.

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健康量表的因子结构、可靠性和结构有效性。
目的:健康与各种一般医疗和心理健康结果有关;然而,很少有经验支持的测量方法能够捕捉到健康结构的广度。第一位作者之前通过与主要利益相关者的迭代过程开发了 "健康量表",以建立表面和内容效度,并研究了 "健康量表 "作为评估八个维度健康的工具的心理测量特性:作者使用自我报告在线调查中的数据对健康量表进行了评估,这些数据来自两组受访者的三个样本:一所公立大学的学生和教职员工以及行为健康提供者(样本数=3446;50%为白人,43%为女性)。探索性因子分析和确认性因子分析以及样本 1 和样本 2 的数据被用来检验量表的因子结构和拟合度。样本 3 的数据用于评估测试再测可靠性以及收敛性和区分性有效性:因子分析得出了一个由 54 个项目组成的单因子模型。在此模型基础上修订的工具显示出良好的数据拟合度、内部一致性和重测信度,以及合理的建构效度:健康量表是一种全面的、心理测量有效的健康评估工具。研究结果支持健康的单一维度,表明健康是一个整体的、一般性的概念。该量表对促进和预防健康的研究以及研究和治疗的临床结果都有意义。
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来源期刊
Psychiatric services
Psychiatric services 医学-公共卫生、环境卫生与职业卫生
CiteScore
5.80
自引率
7.90%
发文量
295
审稿时长
3-8 weeks
期刊介绍: Psychiatric Services, established in 1950, is published monthly by the American Psychiatric Association. The peer-reviewed journal features research reports on issues related to the delivery of mental health services, especially for people with serious mental illness in community-based treatment programs. Long known as an interdisciplinary journal, Psychiatric Services recognizes that provision of high-quality care involves collaboration among a variety of professionals, frequently working as a team. Authors of research reports published in the journal include psychiatrists, psychologists, pharmacists, nurses, social workers, drug and alcohol treatment counselors, economists, policy analysts, and professionals in related systems such as criminal justice and welfare systems. In the mental health field, the current focus on patient-centered, recovery-oriented care and on dissemination of evidence-based practices is transforming service delivery systems at all levels. Research published in Psychiatric Services contributes to this transformation.
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