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  

作　　者：Esther Chongwo Derrick Ssewanyana Carophine Nasambu Patrick N.Mwangala Paul M.Mwangi Moses K.Nyongesa Charles R.Newton Amina Abubakar 

机构地区：[1]Centre for Geographic Medicine Research Coast,Kenya Medical Research Institute(KEMRI),P.O Box 230,Kilifi,Kenya [2]Utrecht Centre for Child and Adolescent Studies,Utrecht University,P.O Box 80140,3508,TC,Utrecht,The Netherlands [3]Department of Public Health,Pwani University,P.O Box 195,Kilifi,Kenya [4]Department of Psychiatry,Warneford Hospital,University of Oxford,Oxford OX37JX,UK

出　　处：《Global Health Research and Policy》2018年第1期102-108,共7页全球健康研究与政策（英文）

基　　金：supported by funding from the Medical Research Council(Grant number MR/M025454/1)to AA;The Medical Research Council award is jointly funded by the UK Medical Research Council(MRC)and the UK Department for International Development(DFID)under MRC/DFID Concordant agreement and is also part of the EDCTP2 program supported by the European Union;During this work EC and DS were supported by the Initiative to Develop African Research Leaders(IDeAL)Wellcome Trust award(Grant number 107769/Z/15/Z)。

摘　　要：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 faceto-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 psy

关 键 词：Wellbeing VALIDATION HIV EPILEPSY Psychometrics WHO-5 item index 

分 类 号：R74[医药卫生—神经病学与精神病学]