Validation of the WHO-5 Well-Being Index in adolescents with type 1 diabetes

Maartie de Wit, Frans Pouwer, Reinoud J B J Gemke, Henriette A Delemarre-van de Waal, Frank J Snoek

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Resumé

OBJECTIVE: It is recommended that the psychological status of adolescents with diabetes be assessed periodically as part of ongoing care. The World Health Organization-Five Well-Being Index (WHO-5) is a short self-report instrument that appears suitable for this purpose. This study is the first to assess the reliability and validity of the WHO-5 in adolescents with type 1 diabetes.

RESEARCH DESIGN AND METHODS: Ninety-one adolescents with type 1 diabetes (aged 13-17 years) from four pediatric clinics completed the WHO-5, along with other psychological measures: the Center for Epidemiologic Studies Depression Scale (CES-D), the Diabetes Family Conflict Scale (DFCS), and the mental health and self-esteem subscales of the Child Health Questionnaire (CHQ-CF87). Confirmatory factor analysis (CFA) and exploratory factor analysis were conducted. Readability, homogeneity, and item-total and inter-item correlations were determined. Concurrent validity was examined by calculating correlation coefficients among all measures. Sensitivity and specificity of the WHO-5 were tested against those for the CES-D using receiver operating characteristic (ROC) curves.

RESULTS: CFA confirmed the one-factor structure; Cronbach's alpha of this 5-item scale was 0.82. The WHO-5 showed a moderate to strong correlation with the CES-D (r = -0.67), with the mental health (r = 0.60) and self-esteem (r = 0.43) subscales of the CHQ-CF87, and with the DFCS (r = -0.34), confirming concurrent validity. ROC curve analysis confirmed the WHO-5 cutoff point of <50 for identification of mild to severe depressive affect (sensitivity 89% and specificity 86%).

CONCLUSIONS: The WHO-5 is a brief, patient-friendly measure of positive well-being with good psychometric properties that appears suitable for routine use in adolescents with type 1 diabetes.

OriginalsprogEngelsk
TidsskriftDiabetes Care
Vol/bind30
Udgave nummer8
Sider (fra-til)2003-6
Antal sider4
ISSN0149-5992
DOI
StatusUdgivet - aug. 2007

Fingeraftryk

Statistical Factor Analysis
Epidemiologic Studies
Depression
ROC Curve
Mental Health
Psychometrics
Reproducibility of Results
Self Report
Pediatrics
Surveys and Questionnaires
Child Health

Citer dette

de Wit, M., Pouwer, F., Gemke, R. J. B. J., Delemarre-van de Waal, H. A., & Snoek, F. J. (2007). Validation of the WHO-5 Well-Being Index in adolescents with type 1 diabetes. Diabetes Care, 30(8), 2003-6. https://doi.org/10.2337/dc07-0447
de Wit, Maartie ; Pouwer, Frans ; Gemke, Reinoud J B J ; Delemarre-van de Waal, Henriette A ; Snoek, Frank J. / Validation of the WHO-5 Well-Being Index in adolescents with type 1 diabetes. I: Diabetes Care. 2007 ; Bind 30, Nr. 8. s. 2003-6.
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abstract = "OBJECTIVE: It is recommended that the psychological status of adolescents with diabetes be assessed periodically as part of ongoing care. The World Health Organization-Five Well-Being Index (WHO-5) is a short self-report instrument that appears suitable for this purpose. This study is the first to assess the reliability and validity of the WHO-5 in adolescents with type 1 diabetes.RESEARCH DESIGN AND METHODS: Ninety-one adolescents with type 1 diabetes (aged 13-17 years) from four pediatric clinics completed the WHO-5, along with other psychological measures: the Center for Epidemiologic Studies Depression Scale (CES-D), the Diabetes Family Conflict Scale (DFCS), and the mental health and self-esteem subscales of the Child Health Questionnaire (CHQ-CF87). Confirmatory factor analysis (CFA) and exploratory factor analysis were conducted. Readability, homogeneity, and item-total and inter-item correlations were determined. Concurrent validity was examined by calculating correlation coefficients among all measures. Sensitivity and specificity of the WHO-5 were tested against those for the CES-D using receiver operating characteristic (ROC) curves.RESULTS: CFA confirmed the one-factor structure; Cronbach's alpha of this 5-item scale was 0.82. The WHO-5 showed a moderate to strong correlation with the CES-D (r = -0.67), with the mental health (r = 0.60) and self-esteem (r = 0.43) subscales of the CHQ-CF87, and with the DFCS (r = -0.34), confirming concurrent validity. ROC curve analysis confirmed the WHO-5 cutoff point of <50 for identification of mild to severe depressive affect (sensitivity 89{\%} and specificity 86{\%}).CONCLUSIONS: The WHO-5 is a brief, patient-friendly measure of positive well-being with good psychometric properties that appears suitable for routine use in adolescents with type 1 diabetes.",
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de Wit, M, Pouwer, F, Gemke, RJBJ, Delemarre-van de Waal, HA & Snoek, FJ 2007, 'Validation of the WHO-5 Well-Being Index in adolescents with type 1 diabetes', Diabetes Care, bind 30, nr. 8, s. 2003-6. https://doi.org/10.2337/dc07-0447

Validation of the WHO-5 Well-Being Index in adolescents with type 1 diabetes. / de Wit, Maartie; Pouwer, Frans; Gemke, Reinoud J B J; Delemarre-van de Waal, Henriette A; Snoek, Frank J.

I: Diabetes Care, Bind 30, Nr. 8, 08.2007, s. 2003-6.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

TY - JOUR

T1 - Validation of the WHO-5 Well-Being Index in adolescents with type 1 diabetes

AU - de Wit, Maartie

AU - Pouwer, Frans

AU - Gemke, Reinoud J B J

AU - Delemarre-van de Waal, Henriette A

AU - Snoek, Frank J

PY - 2007/8

Y1 - 2007/8

N2 - OBJECTIVE: It is recommended that the psychological status of adolescents with diabetes be assessed periodically as part of ongoing care. The World Health Organization-Five Well-Being Index (WHO-5) is a short self-report instrument that appears suitable for this purpose. This study is the first to assess the reliability and validity of the WHO-5 in adolescents with type 1 diabetes.RESEARCH DESIGN AND METHODS: Ninety-one adolescents with type 1 diabetes (aged 13-17 years) from four pediatric clinics completed the WHO-5, along with other psychological measures: the Center for Epidemiologic Studies Depression Scale (CES-D), the Diabetes Family Conflict Scale (DFCS), and the mental health and self-esteem subscales of the Child Health Questionnaire (CHQ-CF87). Confirmatory factor analysis (CFA) and exploratory factor analysis were conducted. Readability, homogeneity, and item-total and inter-item correlations were determined. Concurrent validity was examined by calculating correlation coefficients among all measures. Sensitivity and specificity of the WHO-5 were tested against those for the CES-D using receiver operating characteristic (ROC) curves.RESULTS: CFA confirmed the one-factor structure; Cronbach's alpha of this 5-item scale was 0.82. The WHO-5 showed a moderate to strong correlation with the CES-D (r = -0.67), with the mental health (r = 0.60) and self-esteem (r = 0.43) subscales of the CHQ-CF87, and with the DFCS (r = -0.34), confirming concurrent validity. ROC curve analysis confirmed the WHO-5 cutoff point of <50 for identification of mild to severe depressive affect (sensitivity 89% and specificity 86%).CONCLUSIONS: The WHO-5 is a brief, patient-friendly measure of positive well-being with good psychometric properties that appears suitable for routine use in adolescents with type 1 diabetes.

AB - OBJECTIVE: It is recommended that the psychological status of adolescents with diabetes be assessed periodically as part of ongoing care. The World Health Organization-Five Well-Being Index (WHO-5) is a short self-report instrument that appears suitable for this purpose. This study is the first to assess the reliability and validity of the WHO-5 in adolescents with type 1 diabetes.RESEARCH DESIGN AND METHODS: Ninety-one adolescents with type 1 diabetes (aged 13-17 years) from four pediatric clinics completed the WHO-5, along with other psychological measures: the Center for Epidemiologic Studies Depression Scale (CES-D), the Diabetes Family Conflict Scale (DFCS), and the mental health and self-esteem subscales of the Child Health Questionnaire (CHQ-CF87). Confirmatory factor analysis (CFA) and exploratory factor analysis were conducted. Readability, homogeneity, and item-total and inter-item correlations were determined. Concurrent validity was examined by calculating correlation coefficients among all measures. Sensitivity and specificity of the WHO-5 were tested against those for the CES-D using receiver operating characteristic (ROC) curves.RESULTS: CFA confirmed the one-factor structure; Cronbach's alpha of this 5-item scale was 0.82. The WHO-5 showed a moderate to strong correlation with the CES-D (r = -0.67), with the mental health (r = 0.60) and self-esteem (r = 0.43) subscales of the CHQ-CF87, and with the DFCS (r = -0.34), confirming concurrent validity. ROC curve analysis confirmed the WHO-5 cutoff point of <50 for identification of mild to severe depressive affect (sensitivity 89% and specificity 86%).CONCLUSIONS: The WHO-5 is a brief, patient-friendly measure of positive well-being with good psychometric properties that appears suitable for routine use in adolescents with type 1 diabetes.

KW - Adolescent

KW - Analysis of Variance

KW - Attitude to Health

KW - Conflict (Psychology)

KW - Diabetes Mellitus, Type 1

KW - Factor Analysis, Statistical

KW - Female

KW - Hemoglobin A, Glycosylated

KW - Humans

KW - Male

KW - Patient Satisfaction

KW - Reproducibility of Results

KW - Journal Article

KW - Research Support, Non-U.S. Gov't

U2 - 10.2337/dc07-0447

DO - 10.2337/dc07-0447

M3 - Journal article

VL - 30

SP - 2003

EP - 2006

JO - Diabetes Care

JF - Diabetes Care

SN - 0149-5992

IS - 8

ER -