The Well-Being 5: Development and Validation of a Diagnostic Instrument to Improve Population Well-being
The Well-Being 5: Development and Validation of a Diagnostic Instrument to Improve Population Well-being
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DOI：
10.1089/pop.2013.0119
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发表时间：
2014-12-01
影响因子：
2.5
通讯作者：
Harter, James K.
中科院分区：
文献类型：
--
作者：
Sears, Lindsay E.;Agrawal, Sangeeta;Harter, James K.
这项研究的目标是在对2个经过验证的幸福感工具进行广泛研究的基础上，开发和验证一个全面的、可操作的幸福感工具，以告知并促进个人、社区和国家的福祉的改善。该测量的目标是全面性、有效性和可靠性，与健康和绩效结果的显著关系，以及干预的诊断能力。在测量开发和验证方面，来自幸福感评估和幸福感查找器的问题被作为测试题库同时管理给来自3个独立样本的13,000多名个人。探索性因素分析是从第一个样本中随机选择的，并在其他样本中得到确认。通过与幸福感评估和幸福感查找器中确定的幸福感得分以及反映卫生保健利用率和生产力的个人结果的相关性，进一步确定了有效性的证据。结果表明，幸福感5分全面反映了幸福感中的已知结构，显示出良好的信度和效度，与健康和绩效结果显著相关，具有诊断性和干预信息，可以跟踪和比较随时间和跨组的幸福感。使用这一工具，可以有效地识别、优先处理和解决人群中的幸福缺陷，从而有可能大幅改善个人的健康状况、绩效和生活质量，并为利益攸关方节省成本。(人口健康管理2014；17：357-365)
Building upon extensive research from 2 validated well-being instruments, the objective of this research was to develop and validate a comprehensive and actionable well-being instrument that informs and facilitates improvement of well-being for individuals, communities, and nations. The goals of the measure were comprehensiveness, validity and reliability, significant relationships with health and performance outcomes, and diagnostic capability for intervention. For measure development and validation, questions from the Well-being Assessment and Wellbeing Finder were simultaneously administered as a test item pool to over 13,000 individuals across 3 independent samples. Exploratory factor analysis was conducted on a random selection from the first sample and confirmed in the other samples. Further evidence of validity was established through correlations to the established well-being scores from the Well-Being Assessment and Wellbeing Finder, and individual outcomes capturing health care utilization and productivity. Results showed the Well-Being 5 score comprehensively captures the known constructs within well-being, demonstrates good reliability and validity, significantly relates to health and performance outcomes, is diagnostic and informative for intervention, and can track and compare well-being over time and across groups. With this tool, well-being deficiencies within a population can be effectively identified, prioritized, and addressed, yielding the potential for substantial improvements to the health status, performance, and quality of life for individuals and cost savings for stakeholders. (Population Health Management 2014;17:357-365)