Perera B P R, Wickremasinghe A R, De Za T A P
Department of Rogavijnana, Faculty of Indigenous Medicine, Gampaha Wickramarachchi University of Indigenous Medicine, Yakkala, Sri Lanka.
Department of Public Health, Faculty of Medicine, University of Kelaniya, Ragama, Sri Lanka.
Syst Rev. 2025 Jul 18;14(1):149. doi: 10.1186/s13643-025-02897-x.
Patient reported outcomes are increasingly being assessed in many studies due to the demand for reliable and valid measures that enable assessment of such outcomes and comparison of scores between different populations. The Warwick Edinburgh Mental Well-being Scale (WEMWBS) and its shorter version (SWEMWBS) are widely used questionnaires that assess subjective mental well-being at the population level. The scales have been translated into many languages and are being used in a variety of settings to assess well-being. This systematic review aimed to evaluate the psychometric properties of the available versions of the scale.
The protocol was registered in the International Prospective Register of Systematic Reviews (PROSPERO registration number CRD42020149849) reports the psychometric properties reported by validation studies published until 31 December 2023. A search for 'WEMWBS' and/or 'Warwick Edinburgh Mental Well-being Scale', used in combination with 'validation', was used to search PubMed, Semantic Scholar, OpenGrey, and the first 10 pages of Google Scholar. One author screened all titles after duplicates and unrelated items were removed. The abstracts of the remaining studies (n = 142) were screened and suitable articles were selected for data extraction. Methodological quality was independently assessed by two investigators against the CONSensus-based Standards for the Selection of Health Measurement Instruments (COSMIN) risk of bias assessment checklist. The articles were evaluated and compared based on the reported translation process, internal consistency reliability and test-retest reliability, construct validity, responsiveness to change, and discriminatory power.
Fifty-six full-text articles were included in the study and were assessed for adherence to the accepted translation protocol and reporting of reliability and validity criteria. Many studies that have translated the instrument have focused on forward and backward translation without paying much attention to the appraisal of the translation. Most reports of internal consistency were within acceptable limits. However, test-retest reliability was not often assessed. The instrument has been administered online and in person. The instrument was well received by many populations; the instrument was able to capture changes in well-being scores between subgroups and post intervention.
The WEMWBS can be used to assess mental well-being in populations; it provides reliable assessments and is responsive to change. Cognitive assessments and pretesting of the scale prior to data collection are strongly advised.
PROSPERO CRD42020149849.
由于需要可靠且有效的测量方法来评估患者报告的结果，并比较不同人群之间的得分，因此在许多研究中越来越多地对这些结果进行评估。沃里克-爱丁堡心理健康量表（WEMWBS）及其简版（SWEMWBS）是广泛使用的问卷，用于在人群层面评估主观心理健康状况。这些量表已被翻译成多种语言，并在各种环境中用于评估幸福感。本系统评价旨在评估该量表现有版本的心理测量学特性。
该方案已在国际系统评价前瞻性注册库（PROSPERO注册号CRD42020149849）中注册，报告了截至2023年12月31日发表的验证研究报告的心理测量学特性。使用“WEMWBS”和/或“沃里克-爱丁堡心理健康量表”与“验证”相结合进行搜索，以检索PubMed、语义学者、OpenGrey和谷歌学术的前10页。在去除重复项和不相关项目后，由一位作者筛选所有标题。对其余研究（n = 142）的摘要进行筛选，并选择合适的文章进行数据提取。由两名研究人员根据基于共识的健康测量工具选择标准（COSMIN）偏倚风险评估清单独立评估方法学质量。根据报告的翻译过程、内部一致性信度和重测信度、结构效度、对变化的反应性和区分能力对文章进行评估和比较。
本研究纳入了56篇全文文章，并评估了其是否遵循公认的翻译方案以及可靠性和有效性标准的报告情况。许多翻译该工具的研究都集中在正向和反向翻译上，而没有过多关注翻译的评估。大多数内部一致性报告都在可接受的范围内。然而，重测信度并不经常被评估。该工具已通过在线和面对面方式进行施测。该工具受到了许多人群的欢迎；该工具能够捕捉亚组之间以及干预后幸福感得分的变化。
WEMWBS可用于评估人群的心理健康状况；它提供可靠的评估，并且对变化有反应。强烈建议在数据收集之前对该量表进行认知评估和预测试。
PROSPERO CRD42020149849。
