Abstract
Purpose
To develop and psychometrically evaluate the brief Public Health Surveillance Well-Being Scale (PHS-WB) that captures mental, physical, and social components of well-being.
Methods
Using data from 5,399 HealthStyles survey respondents, we conducted bi-factor, item response theory, and differential item functioning analyses to examine the psychometric properties of a pool of 34 well-being items. Based on the statistical results and content considerations, we developed a brief 10-item well-being scale and assessed its construct validity through comparisons of demographic subgroups and correlations with measures of related constructs.
Results
Based on the bi-factor analyses, the items grouped into both an overall factor and individual domain-specific factors. The PHS-WB scale demonstrated good internal consistency (alpha = 0.87) and correlated highly with scores for the entire item pool (r = 0.94). The well-being scale scores differed as expected across demographic groups and correlated with global and domain-specific measures of similar constructs, supporting its construct validity.
Conclusion
The 10-item PHS-WB scale demonstrates good psychometric properties, and its high correlation with the item pool suggests minimal loss of information with the use of fewer items. The brief PHS-WB allows for well-being assessment on national surveys or in other situations where a longer form may not be feasible.
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Notes
About 68% of a population sample will have T scores that range between 40 and 60, 1 standard deviation above and below the mean.
SAS and SPSS programs for computing the scores are available by contacting the authors.
Abbreviations
- HP2020:
-
Healthy People 2020
- CDC:
-
Centers for Disease Control and Prevention
- BRFSS:
-
Behavioral Risk Factor Surveillance System
- WHO:
-
World Health Organization
- PROMIS:
-
Patient-Reported Outcomes Measurement Information System
- CFI:
-
Comparative Fit Index
- TLI:
-
Tucker-Lewis Fit Index
- SRMR:
-
Standardized Root Mean Square Residual
- IRT:
-
Item response theory
- DIF:
-
Differential item functioning
- CART:
-
Classification and regression tree
- SES:
-
Socioeconomic status
- NHIS:
-
National Health Interview Survey
- HRQOL:
-
Health-related quality of life
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Bann, C.M., Kobau, R., Lewis, M.A. et al. Development and psychometric evaluation of the public health surveillance well-being scale. Qual Life Res 21, 1031–1043 (2012). https://doi.org/10.1007/s11136-011-0002-9
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DOI: https://doi.org/10.1007/s11136-011-0002-9