Expanding the purview of wellness indicators: validating a new measure that includes attitudes, behaviors, and perspectives.
| Autor: | Schwartz CE; DeltaQuest Foundation, Inc., Concord, MA, USA.; Departments of Medicine and Orthopaedic Surgery, Tufts University Medical School, Boston, MA, USA., Stucky BD; DeltaQuest Foundation, Inc., Concord, MA, USA., Stark RB; DeltaQuest Foundation, Inc., Concord, MA, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Health psychology and behavioral medicine [Health Psychol Behav Med] 2021 Dec 01; Vol. 9 (1), pp. 1031-1052. Date of Electronic Publication: 2021 Dec 01 (Print Publication: 2021). |
| DOI: | 10.1080/21642850.2021.2008940 |
| Abstrakt: | Objective: The present study validated the DeltaQuest Wellness Measure (DQ Wellness), a new 15-item measure of wellness that spans relevant attitudes, behaviors, and perspectives. Design: This cross-sectional web-based study recruited chronically-ill patients and/or caregivers ( n = 3,961) and a nationally representative comparison group (n = 855). Main Outcome Measures: The DQ Wellness assesses: a way of being in the world that involves seeing and embracing the good and expressing kindness toward others; engagement in one's activities and self-care; downplaying negative thoughts that reduce one's energy; and an ability to feel joy. Six widely used measures of physical and mental health, cognition, and psychological well-being enabled construct-validity comparisons. Item-response theory (IRT) methods evaluated reliability, factor structure, and differential item functioning (DIF) by gender. Results: The DQ Wellness showed strong cross-sectional reliability (marginal reliability = 0.89) and fit a bifactor model (RMSEA = 0.063, CFI = 0.982, TLI = 0.983). The DQ Wellness general score demonstrated construct validity, convergent and divergent validity, unique variance, and known-groups validity, and minimal gender DIF. The study is limited to addressing cross-sectional reliability and validity, and response rates are not known due to the recruitment source. Conclusion: The DQ Wellness is a relatively brief measure, taps novel content, and could be useful for observational or interventional studies. Competing Interests: No potential conflict of interest was reported by the author(s). (© 2021 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.) |
| Databáze: | MEDLINE |
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