《沃里克-爱丁堡心理健康量表-智力残疾版本的开发与初步心理测量学特性》。

Development and initial psychometric properties of the Warwick-Edinburgh Mental Wellbeing Scale-Intellectual Disability version.

机构信息

Research Department of Clinical, Educational and Health Psychology, University College London, London, UK.

CEDAR, University of Warwick, Coventry, UK.

出版信息

J Intellect Disabil Res. 2023 Sep;67(9):893-900. doi: 10.1111/jir.13039. Epub 2023 May 2.

DOI:10.1111/jir.13039

PMID:37129069

Abstract

BACKGROUND

The Warwick-Edinburgh Mental Wellbeing Scale (WEMWBS; Tennant et al., 2007) is yet to be validated in the intellectual disability (ID) population. The aim of this study was to report the development process and assess the psychometric properties of a newly adapted version of the WEMWBS and the Short WEMWBS for individuals with mild to moderate IDs (WEMWBS-ID/SWEMWBS-ID).

METHOD

The WEMWBS item wordings and response options were revised by clinicians and researchers expert in the field of ID, and a visual aid was added to the scale. The adapted version was reviewed by 10 individuals with IDs. The measure was administered by researchers online using screenshare, to individuals aged 16+ years with mild to moderate IDs. Data from three UK samples were collated to evaluate the WEMWBS-ID (n = 96). A subsample (n = 22) completed the measure again 1 to 2 weeks later to assess test-retest reliability, and 95 participants additionally completed an adapted version of the adapted Rosenberg Self-Esteem Scale to examine convergent validity. Additional data from a Canadian sample (n = 27) were used to evaluate the SWEMWBS-ID (n = 123).

RESULTS

The WEMWBS-ID demonstrated good internal consistency (ω = 0.77-0.87), excellent test-retest reliability [intraclass correlation coefficient (ICC) = .88] and good convergent validity with the self-esteem scale (r = .48-.60) across samples. A confirmatory factor analysis for a single factor model demonstrated an adequate fit. The SWEMWBS-ID showed poor to good internal consistency (ω = 0.36-0.74), moderate test-retest reliability (ICC = .67) and good convergent validity (r = .48-.60) across samples, and a confirmatory factor analysis indicated good model fit for a single factor structure.

CONCLUSIONS

The WEMWBS-ID and short version demonstrated promising psychometric properties, when administered virtually by a researcher. Further exploration of the scales with larger, representative samples is warranted.

摘要

背景

沃里克-爱丁堡心理健康量表（WEMWBS；Tennant 等人，2007 年）尚未在智力障碍（ID）人群中得到验证。本研究的目的是报告新改编版本的 WEMWBS 和 WEMWBS 简短版（WEMWBS-ID/SWEMWBS-ID）的开发过程，并评估其心理测量特性。

方法

由 ID 领域的临床医生和研究人员专家对 WEMWBS 的项目措辞和反应选项进行了修订，并在量表中添加了一个视觉辅助工具。10 名 ID 患者对改编版本进行了审查。研究人员通过屏幕共享在线向 16 岁及以上的轻度至中度 ID 患者管理该措施。从三个英国样本中收集数据以评估 WEMWBS-ID（n=96）。一个子样本（n=22）在 1 到 2 周后再次完成该措施以评估测试-重测信度，95 名参与者还完成了改编版的适应性罗森伯格自尊量表以检验收敛效度。来自加拿大样本（n=27）的额外数据用于评估 SWEMWBS-ID（n=123）。

结果

WEMWBS-ID 表现出良好的内部一致性（ω=0.77-0.87），极好的测试-重测信度[组内相关系数（ICC）=0.88]，以及与自尊量表的良好收敛效度（r=0.48-0.60）在所有样本中。单因素模型的验证性因子分析表明拟合度良好。SWEMWBS-ID 表现出较差至较好的内部一致性（ω=0.36-0.74），适度的测试-重测信度（ICC=0.67）和良好的收敛效度（r=0.48-0.60）在所有样本中，验证性因子分析表明单因素结构的良好模型拟合度。