Validation of a Swahili version of the World Health Organization 5-item well-being index among adults living with HIV and epilepsy in rural coastal Kenya
Abstract Objective The purpose of this study was to evaluate the psychometric properties of the World Health Organization’s five item well-being index (WHO-5) when administered to adults living with HIV or epilepsy in a rural setting at the coast of Kenya. Methods A case control study design was con...
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| Format: | Article |
| Language: | English |
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BMC
2018-09-01
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| Series: | Global Health Research and Policy |
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| Online Access: | http://link.springer.com/article/10.1186/s41256-018-0081-z |
| _version_ | 1818458843328282624 |
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| author | Esther Chongwo Derrick Ssewanyana Carophine Nasambu Patrick N. Mwangala Paul M. Mwangi Moses K. Nyongesa Charles R. Newton Amina Abubakar |
| author_facet | Esther Chongwo Derrick Ssewanyana Carophine Nasambu Patrick N. Mwangala Paul M. Mwangi Moses K. Nyongesa Charles R. Newton Amina Abubakar |
| author_sort | Esther Chongwo |
| collection | DOAJ |
| description | Abstract Objective The purpose of this study was to evaluate the psychometric properties of the World Health Organization’s five item well-being index (WHO-5) when administered to adults living with HIV or epilepsy in a rural setting at the coast of Kenya. Methods A case control study design was conducted among 230 adults aged 18–50 years, who comprised 147 cases (63 living with epilepsy and 84 living with HIV) and 83 healthy controls. The participants were administered to a face-to-face interview during which they completed the Swahili version of WHO-5 well-being index, the Major Depression Inventory (MDI) and responded to some items on their socio-demographic characteristics. Analysis to assess internal consistency, construct validity, discriminant validity, and convergent validity of the Swahili version of WHO-5 well-being index was conducted. A multivariate regression was carried out to assess the association between psychological wellbeing (assessed using Swahili version of WHO-5 well-being index) and having a chronic illness (HIV or epilepsy). Results The Swahili version of WHO-5 well-being index demonstrated good internal consistency with Cronbach alpha ranges of 0.86–0.88 among the three study groups. The tool had good discriminant validity. A one factor structure of the tool was obtained from confirmatory factor analysis (overall Comparative Fit Index = 1.00, Tuckler Lewis Index = 1.01, Root Mean Square of Error Approximation = 0.00). Living with HIV or epilepsy in comparison to being a healthy control was significantly associated with greater odds of having sub-optimal psychological wellbeing. Conclusion Our findings demonstrate that the Swahili version of WHO-5 well-being index has good psychometric properties and is appropriate for use to evaluate psychological well-being among adults living with chronic conditions such as HIV or epilepsy from a rural low resource setting in Kenya. Given its brevity and ease of use, the Swahili version of WHO-5 well-being index could potentially be used by lay workers and other paraprofessional to monitor psychological well-being among chronically ill adults in resource poor settings. |
| first_indexed | 2024-12-14T23:04:54Z |
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| institution | Directory Open Access Journal |
| issn | 2397-0642 |
| language | English |
| last_indexed | 2024-12-14T23:04:54Z |
| publishDate | 2018-09-01 |
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| series | Global Health Research and Policy |
| spelling | doaj.art-1db8358e981f4bb99959907ae1e4fe202022-12-21T22:44:21ZengBMCGlobal Health Research and Policy2397-06422018-09-01311710.1186/s41256-018-0081-zValidation of a Swahili version of the World Health Organization 5-item well-being index among adults living with HIV and epilepsy in rural coastal KenyaEsther Chongwo0Derrick Ssewanyana1Carophine Nasambu2Patrick N. Mwangala3Paul M. Mwangi4Moses K. Nyongesa5Charles R. Newton6Amina Abubakar7Centre for Geographic Medicine Research Coast, Kenya Medical Research Institute (KEMRI)Centre for Geographic Medicine Research Coast, Kenya Medical Research Institute (KEMRI)Centre for Geographic Medicine Research Coast, Kenya Medical Research Institute (KEMRI)Centre for Geographic Medicine Research Coast, Kenya Medical Research Institute (KEMRI)Centre for Geographic Medicine Research Coast, Kenya Medical Research Institute (KEMRI)Centre for Geographic Medicine Research Coast, Kenya Medical Research Institute (KEMRI)Centre for Geographic Medicine Research Coast, Kenya Medical Research Institute (KEMRI)Centre for Geographic Medicine Research Coast, Kenya Medical Research Institute (KEMRI)Abstract Objective The purpose of this study was to evaluate the psychometric properties of the World Health Organization’s five item well-being index (WHO-5) when administered to adults living with HIV or epilepsy in a rural setting at the coast of Kenya. Methods A case control study design was conducted among 230 adults aged 18–50 years, who comprised 147 cases (63 living with epilepsy and 84 living with HIV) and 83 healthy controls. The participants were administered to a face-to-face interview during which they completed the Swahili version of WHO-5 well-being index, the Major Depression Inventory (MDI) and responded to some items on their socio-demographic characteristics. Analysis to assess internal consistency, construct validity, discriminant validity, and convergent validity of the Swahili version of WHO-5 well-being index was conducted. A multivariate regression was carried out to assess the association between psychological wellbeing (assessed using Swahili version of WHO-5 well-being index) and having a chronic illness (HIV or epilepsy). Results The Swahili version of WHO-5 well-being index demonstrated good internal consistency with Cronbach alpha ranges of 0.86–0.88 among the three study groups. The tool had good discriminant validity. A one factor structure of the tool was obtained from confirmatory factor analysis (overall Comparative Fit Index = 1.00, Tuckler Lewis Index = 1.01, Root Mean Square of Error Approximation = 0.00). Living with HIV or epilepsy in comparison to being a healthy control was significantly associated with greater odds of having sub-optimal psychological wellbeing. Conclusion Our findings demonstrate that the Swahili version of WHO-5 well-being index has good psychometric properties and is appropriate for use to evaluate psychological well-being among adults living with chronic conditions such as HIV or epilepsy from a rural low resource setting in Kenya. Given its brevity and ease of use, the Swahili version of WHO-5 well-being index could potentially be used by lay workers and other paraprofessional to monitor psychological well-being among chronically ill adults in resource poor settings.http://link.springer.com/article/10.1186/s41256-018-0081-zWellbeingValidationHIVEpilepsyPsychometricsWHO-5 item index |
| spellingShingle | Esther Chongwo Derrick Ssewanyana Carophine Nasambu Patrick N. Mwangala Paul M. Mwangi Moses K. Nyongesa Charles R. Newton Amina Abubakar Validation of a Swahili version of the World Health Organization 5-item well-being index among adults living with HIV and epilepsy in rural coastal Kenya Global Health Research and Policy Wellbeing Validation HIV Epilepsy Psychometrics WHO-5 item index |
| title | Validation of a Swahili version of the World Health Organization 5-item well-being index among adults living with HIV and epilepsy in rural coastal Kenya |
| title_full | Validation of a Swahili version of the World Health Organization 5-item well-being index among adults living with HIV and epilepsy in rural coastal Kenya |
| title_fullStr | Validation of a Swahili version of the World Health Organization 5-item well-being index among adults living with HIV and epilepsy in rural coastal Kenya |
| title_full_unstemmed | Validation of a Swahili version of the World Health Organization 5-item well-being index among adults living with HIV and epilepsy in rural coastal Kenya |
| title_short | Validation of a Swahili version of the World Health Organization 5-item well-being index among adults living with HIV and epilepsy in rural coastal Kenya |
| title_sort | validation of a swahili version of the world health organization 5 item well being index among adults living with hiv and epilepsy in rural coastal kenya |
| topic | Wellbeing Validation HIV Epilepsy Psychometrics WHO-5 item index |
| url | http://link.springer.com/article/10.1186/s41256-018-0081-z |
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