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Development and preliminary psychometric properties of a well-being index for medical students

BACKGROUND: Psychological distress is common among medical students but manifests in a variety of forms. Currently, no brief, practical tool exists to simultaneously evaluate these domains of distress among medical students. The authors describe the development of a subject-reported assessment (Medi...

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Autores principales: Dyrbye, Liselotte N, Szydlo, Daniel W, Downing, Steven M, Sloan, Jeff A, Shanafelt, Tait D
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2823603/
https://www.ncbi.nlm.nih.gov/pubmed/20105312
http://dx.doi.org/10.1186/1472-6920-10-8
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author Dyrbye, Liselotte N
Szydlo, Daniel W
Downing, Steven M
Sloan, Jeff A
Shanafelt, Tait D
author_facet Dyrbye, Liselotte N
Szydlo, Daniel W
Downing, Steven M
Sloan, Jeff A
Shanafelt, Tait D
author_sort Dyrbye, Liselotte N
collection PubMed
description BACKGROUND: Psychological distress is common among medical students but manifests in a variety of forms. Currently, no brief, practical tool exists to simultaneously evaluate these domains of distress among medical students. The authors describe the development of a subject-reported assessment (Medical Student Well-Being Index, MSWBI) intended to screen for medical student distress across a variety of domains and examine its preliminary psychometric properties. METHODS: Relevant domains of distress were identified, items generated, and a screening instrument formed using a process of literature review, nominal group technique, input from deans and medical students, and correlation analysis from previously administered assessments. Eleven experts judged the clarity, relevance, and representativeness of the items. A Content Validity Index (CVI) was calculated. Interrater agreement was assessed using pair-wise percent agreement adjusted for chance agreement. Data from 2248 medical students who completed the MSWBI along with validated full-length instruments assessing domains of interest was used to calculate reliability and explore internal structure validity. RESULTS: Burnout (emotional exhaustion and depersonalization), depression, mental quality of life (QOL), physical QOL, stress, and fatigue were domains identified for inclusion in the MSWBI. Six of 7 items received item CVI-relevance and CVI-representativeness of ≥0.82. Overall scale CVI-relevance and CVI-representativeness was 0.94 and 0.91. Overall pair-wise percent agreement between raters was ≥85% for clarity, relevance, and representativeness. Cronbach's alpha was 0.68. Item by item percent pair-wise agreements and Phi were low, suggesting little overlap between items. The majority of MSWBI items had a ≥74% sensitivity and specificity for detecting distress within the intended domain. CONCLUSIONS: The results of this study provide evidence of reliability and content-related validity of the MSWBI. Further research is needed to assess remaining psychometric properties and establish scores for which intervention is warranted.
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spelling pubmed-28236032010-02-18 Development and preliminary psychometric properties of a well-being index for medical students Dyrbye, Liselotte N Szydlo, Daniel W Downing, Steven M Sloan, Jeff A Shanafelt, Tait D BMC Med Educ Research Article BACKGROUND: Psychological distress is common among medical students but manifests in a variety of forms. Currently, no brief, practical tool exists to simultaneously evaluate these domains of distress among medical students. The authors describe the development of a subject-reported assessment (Medical Student Well-Being Index, MSWBI) intended to screen for medical student distress across a variety of domains and examine its preliminary psychometric properties. METHODS: Relevant domains of distress were identified, items generated, and a screening instrument formed using a process of literature review, nominal group technique, input from deans and medical students, and correlation analysis from previously administered assessments. Eleven experts judged the clarity, relevance, and representativeness of the items. A Content Validity Index (CVI) was calculated. Interrater agreement was assessed using pair-wise percent agreement adjusted for chance agreement. Data from 2248 medical students who completed the MSWBI along with validated full-length instruments assessing domains of interest was used to calculate reliability and explore internal structure validity. RESULTS: Burnout (emotional exhaustion and depersonalization), depression, mental quality of life (QOL), physical QOL, stress, and fatigue were domains identified for inclusion in the MSWBI. Six of 7 items received item CVI-relevance and CVI-representativeness of ≥0.82. Overall scale CVI-relevance and CVI-representativeness was 0.94 and 0.91. Overall pair-wise percent agreement between raters was ≥85% for clarity, relevance, and representativeness. Cronbach's alpha was 0.68. Item by item percent pair-wise agreements and Phi were low, suggesting little overlap between items. The majority of MSWBI items had a ≥74% sensitivity and specificity for detecting distress within the intended domain. CONCLUSIONS: The results of this study provide evidence of reliability and content-related validity of the MSWBI. Further research is needed to assess remaining psychometric properties and establish scores for which intervention is warranted. BioMed Central 2010-01-27 /pmc/articles/PMC2823603/ /pubmed/20105312 http://dx.doi.org/10.1186/1472-6920-10-8 Text en Copyright ©2010 Dyrbye et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Dyrbye, Liselotte N
Szydlo, Daniel W
Downing, Steven M
Sloan, Jeff A
Shanafelt, Tait D
Development and preliminary psychometric properties of a well-being index for medical students
title Development and preliminary psychometric properties of a well-being index for medical students
title_full Development and preliminary psychometric properties of a well-being index for medical students
title_fullStr Development and preliminary psychometric properties of a well-being index for medical students
title_full_unstemmed Development and preliminary psychometric properties of a well-being index for medical students
title_short Development and preliminary psychometric properties of a well-being index for medical students
title_sort development and preliminary psychometric properties of a well-being index for medical students
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2823603/
https://www.ncbi.nlm.nih.gov/pubmed/20105312
http://dx.doi.org/10.1186/1472-6920-10-8
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