Article (Scientific journals)
Cross-National Validation of the WHO-5 Well-Being Index Within Adolescent Populations: Findings From 43 Countries.
SISCHKA, Philipp; Martin, Gina; RESIDORI, Caroline et al.
2025In Assessment, p. 10731911241309452
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Keywords :
Health Behaviour in School-aged Children; WHO-5 Well-Being Index; adolescents; cross-cultural research; differential item functioning; item response theory; measurement invariance; short scale; well-being
Abstract :
[en] The five-item World Health Organization Well-Being Index (WHO-5) is among the most frequently used brief standard measures to assess hedonic well-being. Numerous studies have investigated different facets of its psychometric properties in adult populations. However, whether these results apply to adolescents is uncertain, and only few psychometric studies employed adolescent populations. Thus, the current study aimed to conduct an in-depth psychometric item response theory analysis of the WHO-5 among adolescents from 43 countries using the Health Behaviour in School-aged Children (HBSC) 2022 data set and investigated its (a) dimensionality and measurement structure, (b) test information values and marginal reliability, (c) cross-country measurement invariance and differential item/test functioning, and (d) convergent validity with other measures related to mental health and well-being across countries. The WHO-5 showed a unidimensional measurement structure and overall high test information values and marginal reliability. Furthermore, although a large proportion of parameters were flagged as non-invariant, differential test functioning of the WHO-5 was only modest. Moreover, the WHO-5 mainly showed a concurring nomological network with the other measures related to mental health and well-being across countries, although with some differences in effect sizes. The WHO-5 Well-Being Index is a psychometrically sound measure that has shown promise for cross-cultural research among adolescents in the included European, Central Asia, and North American countries. The translated versions of the WHO-5 are available at https://osf.io/pbexq.
Disciplines :
Theoretical & cognitive psychology
Author, co-author :
SISCHKA, Philipp  ;  University of Luxembourg > Faculty of Humanities, Education and Social Sciences (FHSE) > Department of Behavioural and Cognitive Sciences (DBCS) > Health and Behaviour
Martin, Gina ;  Athabasca University, Athabasca, Alberta, Canada
RESIDORI, Caroline  ;  University of Luxembourg
Hammami, Nour ;  Trent University Durham, Oshawa, Ontario, Canada
Page, Nicholas;  Centre for Development, Evaluation, Complexity and Implementation in Public Health Improvement (DECIPHer), Cardiff University, UK
Schnohr, Christina;  University of Copenhagen, Denmark
Cosma, Alina ;  Trinity College Dublin, Ireland ; Palacky University Olomouc, Czechia
External co-authors :
yes
Language :
English
Title :
Cross-National Validation of the WHO-5 Well-Being Index Within Adolescent Populations: Findings From 43 Countries.
Publication date :
30 January 2025
Journal title :
Assessment
ISSN :
1073-1911
eISSN :
1552-3489
Publisher :
SAGE Publications, United States
Pages :
10731911241309452
Peer reviewed :
Peer Reviewed verified by ORBi
Focus Area :
Sustainable Development
Development Goals :
3. Good health and well-being
Funders :
Research of Excellence on Digital Technologies and Wellbeing
European Union’s Horizon 2020 research and innovation programme
Centre for Development, Evaluation, Complexity and Implementation in Public Health Improvement
Available on ORBilu :
since 01 February 2025

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