Examining the relationship between the Short Warwick-Edinburgh Mental Well-being Scale (SWEMWBS) and EQ-5D-5L and comparing their psychometric properties

Abstract Background The purpose of this study is to examine the relationship between the Short Warwick-Edinburgh Mental Well-being Scale (SWEMWBS) and EQ-5D-5L and compare their psychometric properties in 4 chronic conditions in China. Methods Participants were invited to complete the online survey....

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Main Authors: Yanming Hong, Xinru Jiang, Tiantian Zhang, Nan Luo, Zhihao Yang
Format: Article
Language:English
Published: BMC 2023-03-01
Series:Health and Quality of Life Outcomes
Subjects:
Online Access:https://doi.org/10.1186/s12955-023-02108-y
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author Yanming Hong
Xinru Jiang
Tiantian Zhang
Nan Luo
Zhihao Yang
author_facet Yanming Hong
Xinru Jiang
Tiantian Zhang
Nan Luo
Zhihao Yang
author_sort Yanming Hong
collection DOAJ
description Abstract Background The purpose of this study is to examine the relationship between the Short Warwick-Edinburgh Mental Well-being Scale (SWEMWBS) and EQ-5D-5L and compare their psychometric properties in 4 chronic conditions in China. Methods Participants were invited to complete the online survey. Spearman’s rank correlation was used to evaluate the correlation between SWEMWBS and EQ-5D-5L; exploratory factor analysis was used to ascertain the number of unique underlying latent factors measured by SWEMWBS and EQ-5D-5L. Next, we assessed the psychometric properties of SWEMWBS and EQ-5D-5L by reporting distributions and examining their known-group validity and convergent validity. Results In total, 500 individuals participated the online survey. Spearman’s rank correlation showed that EQ-5D-5L dimensions, except for the anxiety/depression dimension, were weakly correlated with all dimensions of SWEMWBS. The two-factor solution for exploratory factor analysis found that all of SWEMWBS dimensions loaded onto one factor, four EQ-5D-5L dimensions (mobility, self-care, usual activities and pain/discomfort) onto another, and the EQ-5D-5L item of anxiety/depression item loaded moderately onto both factors. Patients of four disease groups had different distributions of responses for both SWEMWBS and EQ-5D-5L. In terms of known-group validity, both the F statistic and AUROC value of EQ-5D-5L utility scores were significantly higher than SWEMWBS scores in all four pair-wised comparisons. The Pearson correlation coefficient between EQ-5D-5L utility scores, SWEMWBS scores and EQ-VAS was 0.44 (P < 0.01) and 0.65 (P < 0.01), respectively. Conclusions SWEMWBS and EQ-5D-5L measure different constructs and can be seen as complementary measures. Both measures demonstrated good convergent validity and known-group validity with EQ-5D-5L being a more sensitive measure, even for mental conditions.
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spelling doaj.art-69d55b4cd7914814844051c07ed87abb2023-03-22T12:26:53ZengBMCHealth and Quality of Life Outcomes1477-75252023-03-0121111110.1186/s12955-023-02108-yExamining the relationship between the Short Warwick-Edinburgh Mental Well-being Scale (SWEMWBS) and EQ-5D-5L and comparing their psychometric propertiesYanming Hong0Xinru Jiang1Tiantian Zhang2Nan Luo3Zhihao Yang4The Third Affiliated Hospital of Sun Yat-Sen UniversityTianhe Foreign Language SchoolCollege of Pharmacy, Jinan UniversitySaw Swee Hock School of Public Health, National University of SingaporeHealth Services Management Department, Guizhou Medical UniversityAbstract Background The purpose of this study is to examine the relationship between the Short Warwick-Edinburgh Mental Well-being Scale (SWEMWBS) and EQ-5D-5L and compare their psychometric properties in 4 chronic conditions in China. Methods Participants were invited to complete the online survey. Spearman’s rank correlation was used to evaluate the correlation between SWEMWBS and EQ-5D-5L; exploratory factor analysis was used to ascertain the number of unique underlying latent factors measured by SWEMWBS and EQ-5D-5L. Next, we assessed the psychometric properties of SWEMWBS and EQ-5D-5L by reporting distributions and examining their known-group validity and convergent validity. Results In total, 500 individuals participated the online survey. Spearman’s rank correlation showed that EQ-5D-5L dimensions, except for the anxiety/depression dimension, were weakly correlated with all dimensions of SWEMWBS. The two-factor solution for exploratory factor analysis found that all of SWEMWBS dimensions loaded onto one factor, four EQ-5D-5L dimensions (mobility, self-care, usual activities and pain/discomfort) onto another, and the EQ-5D-5L item of anxiety/depression item loaded moderately onto both factors. Patients of four disease groups had different distributions of responses for both SWEMWBS and EQ-5D-5L. In terms of known-group validity, both the F statistic and AUROC value of EQ-5D-5L utility scores were significantly higher than SWEMWBS scores in all four pair-wised comparisons. The Pearson correlation coefficient between EQ-5D-5L utility scores, SWEMWBS scores and EQ-VAS was 0.44 (P < 0.01) and 0.65 (P < 0.01), respectively. Conclusions SWEMWBS and EQ-5D-5L measure different constructs and can be seen as complementary measures. Both measures demonstrated good convergent validity and known-group validity with EQ-5D-5L being a more sensitive measure, even for mental conditions.https://doi.org/10.1186/s12955-023-02108-yEQ-5D-5LHealth-related quality of lifeSWEMWBSMental well-beingChina
spellingShingle Yanming Hong
Xinru Jiang
Tiantian Zhang
Nan Luo
Zhihao Yang
Examining the relationship between the Short Warwick-Edinburgh Mental Well-being Scale (SWEMWBS) and EQ-5D-5L and comparing their psychometric properties
Health and Quality of Life Outcomes
EQ-5D-5L
Health-related quality of life
SWEMWBS
Mental well-being
China
title Examining the relationship between the Short Warwick-Edinburgh Mental Well-being Scale (SWEMWBS) and EQ-5D-5L and comparing their psychometric properties
title_full Examining the relationship between the Short Warwick-Edinburgh Mental Well-being Scale (SWEMWBS) and EQ-5D-5L and comparing their psychometric properties
title_fullStr Examining the relationship between the Short Warwick-Edinburgh Mental Well-being Scale (SWEMWBS) and EQ-5D-5L and comparing their psychometric properties
title_full_unstemmed Examining the relationship between the Short Warwick-Edinburgh Mental Well-being Scale (SWEMWBS) and EQ-5D-5L and comparing their psychometric properties
title_short Examining the relationship between the Short Warwick-Edinburgh Mental Well-being Scale (SWEMWBS) and EQ-5D-5L and comparing their psychometric properties
title_sort examining the relationship between the short warwick edinburgh mental well being scale swemwbs and eq 5d 5l and comparing their psychometric properties
topic EQ-5D-5L
Health-related quality of life
SWEMWBS
Mental well-being
China
url https://doi.org/10.1186/s12955-023-02108-y
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