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Clinical validity and diagnostic accuracy of the Maslach Burnout Inventory-Student Survey in Sri Lanka

BACKGROUND: Absence of context-specific clinically validated cut-off values for assessing burnout as a dichotomous phenomenon has hindered the progress of student burnout research with regard to quantifying the magnitude of the problem. Hence, the present study was aimed at developing clinically val...

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Autores principales: Wickramasinghe, Nuwan Darshana, Dissanayake, Devani Sakunthala, Abeywardena, Gihan Sajiwa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6247504/
https://www.ncbi.nlm.nih.gov/pubmed/30458785
http://dx.doi.org/10.1186/s12955-018-1048-y
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author Wickramasinghe, Nuwan Darshana
Dissanayake, Devani Sakunthala
Abeywardena, Gihan Sajiwa
author_facet Wickramasinghe, Nuwan Darshana
Dissanayake, Devani Sakunthala
Abeywardena, Gihan Sajiwa
author_sort Wickramasinghe, Nuwan Darshana
collection PubMed
description BACKGROUND: Absence of context-specific clinically validated cut-off values for assessing burnout as a dichotomous phenomenon has hindered the progress of student burnout research with regard to quantifying the magnitude of the problem. Hence, the present study was aimed at developing clinically validated cut-off values and evaluating the diagnostic accuracy of the Sinhala translation of the 15-item Maslach Burnout Inventory-Student Survey (MBI-SS) in assessing burnout among collegiate cycle students in Sri Lanka. METHODS: This prospective validation study was conducted among 194 grade thirteen students in the Kurunegala district, Sri Lanka. Clinically validated cut-off values for the subscale scores of the MBI-SS test was developed by computing ROC curves, using the clinical diagnosis made by the Consultant Psychiatrist as the reference standard. Diagnostic accuracy of the MBI-SS test results based on “exhaustion+ 1” criterion was assessed comparing with the results of the clinical diagnosis. RESULTS: The clinically validated cut-off values for the exhaustion, cynicism and reduced professional efficacy subscale scores were 12.5, 7.5 and 10.5 for the respectively. The sensitivity, specificity, positive and negative predictive values of the Sinhala translation of the 15-item MBI-SS were 91.9% (95% CI = 82.5–96.5%), 93.2% (95% CI = 87.5–96.4%), 86.4% (95% CI = 76.1–92.7%) and 96.1% (95% CI = 91.2–98.3%) respectively. The positive and negative likelihood ratios were 13.48 (95% CI = 7.15–25.44) and 0.09 (95% CI = 0.04–0.20) respectively. CONCLUSIONS: By using the clinically validated cut-off values for the subscale scores and based on the “exhaustion + 1” criterion, the Sinhala translation of the 15-item MBI-SS could be effectively used as a screening tool to assess burnout among collegiate cycle students. The study findings broaden the global evidence base pertaining to validated cut-off values of the MBI-SS.
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spelling pubmed-62475042018-11-26 Clinical validity and diagnostic accuracy of the Maslach Burnout Inventory-Student Survey in Sri Lanka Wickramasinghe, Nuwan Darshana Dissanayake, Devani Sakunthala Abeywardena, Gihan Sajiwa Health Qual Life Outcomes Research BACKGROUND: Absence of context-specific clinically validated cut-off values for assessing burnout as a dichotomous phenomenon has hindered the progress of student burnout research with regard to quantifying the magnitude of the problem. Hence, the present study was aimed at developing clinically validated cut-off values and evaluating the diagnostic accuracy of the Sinhala translation of the 15-item Maslach Burnout Inventory-Student Survey (MBI-SS) in assessing burnout among collegiate cycle students in Sri Lanka. METHODS: This prospective validation study was conducted among 194 grade thirteen students in the Kurunegala district, Sri Lanka. Clinically validated cut-off values for the subscale scores of the MBI-SS test was developed by computing ROC curves, using the clinical diagnosis made by the Consultant Psychiatrist as the reference standard. Diagnostic accuracy of the MBI-SS test results based on “exhaustion+ 1” criterion was assessed comparing with the results of the clinical diagnosis. RESULTS: The clinically validated cut-off values for the exhaustion, cynicism and reduced professional efficacy subscale scores were 12.5, 7.5 and 10.5 for the respectively. The sensitivity, specificity, positive and negative predictive values of the Sinhala translation of the 15-item MBI-SS were 91.9% (95% CI = 82.5–96.5%), 93.2% (95% CI = 87.5–96.4%), 86.4% (95% CI = 76.1–92.7%) and 96.1% (95% CI = 91.2–98.3%) respectively. The positive and negative likelihood ratios were 13.48 (95% CI = 7.15–25.44) and 0.09 (95% CI = 0.04–0.20) respectively. CONCLUSIONS: By using the clinically validated cut-off values for the subscale scores and based on the “exhaustion + 1” criterion, the Sinhala translation of the 15-item MBI-SS could be effectively used as a screening tool to assess burnout among collegiate cycle students. The study findings broaden the global evidence base pertaining to validated cut-off values of the MBI-SS. BioMed Central 2018-11-20 /pmc/articles/PMC6247504/ /pubmed/30458785 http://dx.doi.org/10.1186/s12955-018-1048-y Text en © The Author(s). 2018 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research
Wickramasinghe, Nuwan Darshana
Dissanayake, Devani Sakunthala
Abeywardena, Gihan Sajiwa
Clinical validity and diagnostic accuracy of the Maslach Burnout Inventory-Student Survey in Sri Lanka
title Clinical validity and diagnostic accuracy of the Maslach Burnout Inventory-Student Survey in Sri Lanka
title_full Clinical validity and diagnostic accuracy of the Maslach Burnout Inventory-Student Survey in Sri Lanka
title_fullStr Clinical validity and diagnostic accuracy of the Maslach Burnout Inventory-Student Survey in Sri Lanka
title_full_unstemmed Clinical validity and diagnostic accuracy of the Maslach Burnout Inventory-Student Survey in Sri Lanka
title_short Clinical validity and diagnostic accuracy of the Maslach Burnout Inventory-Student Survey in Sri Lanka
title_sort clinical validity and diagnostic accuracy of the maslach burnout inventory-student survey in sri lanka
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6247504/
https://www.ncbi.nlm.nih.gov/pubmed/30458785
http://dx.doi.org/10.1186/s12955-018-1048-y
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