School of Health Sciences, J?nk?ping University, J?nk?ping, Sweden . The Sahlgrenska Academy, G?teborg University, G?teborg, Sweden .
Aim: Validated instruments exist measuring parts of personal health, ill-health and life , but there are few, if any, instruments “grasping the big picture” of wellness and ethos. Accordingly the aim was to develop and establish the psychometric properties of a 74-item Ethos towards Wellness Questionnaire (EtWeQ) with regards to content and construct validity, as well as homogeneity and stability reliability. Methods: A questionnaire based on a methodological and developmental design was sent out twice with a four week gap between, on 221 healthy middle-aged participants in four steps: item generating, content validating, statistical analyzing and establishing the final questionnaire. Results: The substantial base, consisting of content validity resulted in, besides basic characteristics, six well-defined and sufficient indexes comprising of; two health indexes (healthiness and ill-healthiness), three life context indexes (work, family, spare time), and one brief comprehensive index (ethos). The three life context as well as the ethos indexes at an ordinal scale level, identified overall satisfactory communalities of >0.30, factor loadings > 0.30, and factor total variance > 50% with regard to construct validity. The homogeneity reliability, in terms of Cronbach’s alpha coefficient > 0.70, at both occasions with a four week gap between, as well as the stability reliability in terms of intraclass correlation coefficient > 0.70, were also considered satisfactory in the same indexes. Conclusions: This newly developed, and likely the only questionnaire focusing on “grasping the big human picture”, was based on both a philosophical reasoning and empirical recommendations of wellness, is shown to be a valid and reliable measurement in screening or in follow-up of healthy people’s wellness and ethos.
Fridlund, B. and Baigi, A. (2014) Developing and Establishing the Psychometric Properties of an Ethos towards Wellness Questionnaire (EtWeQ). Open Journal of Nursing, 4, 538-547. doi: 10.4236/ojn.2014.47057.
[1] Corbin, C.B. and Pangrazi, R.P. (2005) Toward a Uniform Definition of Wellness. Research Digest, 3, 1-8. [2] Saylor, C. (2004) The Circle of Health: A Health Definition Model. Journal of Holistic Nursing, 22, 97-115.
http://dx.doi.org/10.1177/0898010104264775 [3] Miller, G. and Foster, L.T. (2010) Critical Synthesis of Wellness Literature. Faculty of Human and Social Development, University of Victoria, Victoria. [4] Antonovsky, A. (1979) Health, Stress and Coping. Jossey-Bass Publ., San Francisco. [5] Antonovsky, A. (1987) Unraveling of Health—How People Manage Stress and Stay Well. Jossey-Bass Publ., San Francisco. [6] LaRossa, R. and Reitzes, D.C. (1993) Symbolic Interactionism and Family Studies. In: Boss, P.G., Doherty, W.J., LaRossa, R., Schumm, W.R. and Steinmetz, S.K., Eds., Sourcebook of Family Theories and Methods: A Contextual Approach. Plenum, New York, 135-163.
http://dx.doi.org/10.1007/978-0-387-85764-0_6 [7] Verdonk, P., de Rijk, A., Klinge, I. and de Vries, A. (2008) Sickness Absence as an Interactive Process: Gendered Experiences of Young, Highly Educated Women with Mental Health Problems. Patient Education and Counselling, 73, 300-306.
http://dx.doi.org/10.1016/j.pec.2008.06.003 [8] House, J.S. (1981) Work Stress and Social Support. Addison-Wesley, Reading. [9] Ryan, R.M. and Deci, E.L. (2000) Self-Determination Theory and the Facilitation of Intrinsic Motivation, Social Development, and Well-Being. American Psychology, 55, 68-78.
http://dx.doi.org/10.1037/0003-066X.55.1.68 [10] Reiss, S. (2000) Who Am I? The 16 Basic Desires that Motivate Our Actions and Define Our Personalities. The Berkeley Publ Group, New York. [11] Niedhammer, I., Chastang, J.F., Sultan-Taieb, H., Vermeylen, G. and Parent-Thirion, A. (2013) Psychosocial Work Factors and Sickness in 31 Countries in Europe. European Journal of Public Health, 23, 22-29.
http://dx.doi.org/10.1093/eurpub/cks124 [12] Niedhammer, I., Sultan-Taieb, H., Chastang, J.F., Vermeylen, G. and Parent-Thirion, A. (2012) Exposure to Psychosocial Work Factors in European Countries. Occupational Medicine (London), 62, 196-202.
http://dx.doi.org/10.1093/occmed/kqs020 [13] Sperlich, S., Arnhold-Kerri, S. and Geyer, S. (2011) What Accounts for Depressive Symptoms Among Mothers? The Impact of Socioeconomic Status, Family Structure and Psychosocial Stress. International Journal of Public Health, 56, 385-396.
http://dx.doi.org/10.1007/s00038-011-0272-6 [14] Sultan-Taieb, H., Lejeune, C., Drummond, A. and Niedhammer, I. (2011) Fractions of Cardiovascular Diseases, Mental Disorders, and Musculoskeletal Disorders Attribute to Job Strain. International Archives in Occupational and Environmental Health, 84, 911-925.
http://dx.doi.org/10.1007/s00420-011-0633-8 [15] Repetti, R.L., Wang, S. and Saxbe, D.E. (2011) Adult Health in the Context of Every Family Life. Annals of Behavioral Medicine, 42, 285-293.
http://dx.doi.org/10.1007/s12160-011-9293-x [16] Dziak, E., Janzen, B.L. and Muhajarine, N. (2010) Inequalities in the Psychological Wellbeing of Employed, Single and Partnered Mothers: The Role of Psychosocial Work Quality and Work-Family Conflict. International Journal for Equity in Health, 9, 6.
http://dx.doi.org/10.1186/1475-9276-9-6 [17] Norlund, S., Reuterwall, C., Höög, J., Lindahl, B., Janlert, U. and Birgander, L.S. (2010) Burnout, Working Conditions and Gender—Results from the Northern Sweden MONICA Study. BMC Public Health, 10, 326.
http://dx.doi.org/10.1186/1471-2458-10-326 [18] Brown, S.C., Geiselman, P.J., Copeland, A.L., Gordon, C. and Richard-Eaglin, A. (2008) Reliability and Validity of the Personal Wellness Profile (PWP) Questionnaire in African American College Women. Journal of Cultural Diversity, 15, 163-167. [19] Streiner, D.L. and Norman, G.R. (2008) Health Measurement Scales: A Practical Guide to Their Development and Use. Oxford University Press, New York. [20] Kuusela, H. and Paul, P. (2000) A Comparison of Concurrent and Retrospective Verbal Protocol Analysis. American Journal of Psychology, 113, 387-404.
http://dx.doi.org/10.2307/1423365 [21] Rattray, J. and Jones, M.C. (2007) Essential Elements of Questionnaire Design and Development. Journal of Clinical Nursing, 16, 234-243.
http://dx.doi.org/10.1111/j.1365-2702.2006.01573.x [22] Tappatrampet. www.tappa.se [23] Creswell, J.W. (2013) Qualitative Enquiry and Research Design: Choosing Among Five Traditions. Sage, London. [24] Cohen, J., Cohen, P., West, S.G. and Aiken, L. (2003) Applied Multiple Regression/Correlation Analysis for the Behavioral Science. 3rd Edition, Lawrence Erlbaum Associates, New Jersey. [25] Magasi, S., Ryan, G., Revicki, D., Lenderking, W., Hays, R.D., Brod, M., Snyder, C., Boers, M. and Cella, D. (2012) Content Validity of Patient-Reported Outcome Measures: Perspectives from a PROMIS Meeting. Quality of Life Research, 21, 739-746.
http://dx.doi.org/10.1007/s11136-011-9990-8