Validity and Sensitivity of Holistic Well-Being Scale (Thai version)
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Abstract
Background: Spiritual well-being is a key component of perfect health and is considered the highest standards of health. International publications state that spiritual well-being affects the treatment results in a positive way, both physically and psychological. However, at present, there is no spiritual well-being assessment that is simple, standardized and suitable for use in the context of Thai society.
Objective: To develop and evaluate the validity and reliability of the Thai version of the Holistic Well-Being Scale
Methods: Created a Thai version of the Spiritual Health Assessment Questionnaire from searching 21 global spiritual health assessment questionnaires. The assessment was obtained with the content appropriate to the context of Thai society and covering all dimensions of spiritual well-being, the Holistic Well-Being Scale, developed by Dr. Chan H.Y. Celia et al. Then translated the questionnaire from English into Thai language. The resulting questionnaires were then used to find the Index of item objective congruence (IOC) and Scale content validity index (S-CVI). This was followed by testing on a total of 60 samples to determine the stability by using test-retest reliability method together with finding internal consistency by calculating Cronbach's alpha coefficient
Resulit: The content validity index of The Thai version of Holistic Well-Being Scale was 1.00 for all questions. The coefficient of stability was 0.711 – 0.901, except for the Mindful awareness was 0.689. However, the 56th data was removed due to an abnormally high difference in scores from repetition leading to the Mindful awareness having a coefficient of stability at 0.701, which was in good range. Internal consistency, calculated from Cronbach's alpha coefficient, is in the range of 0.603 – 0.857, except the General vitality and the Spiritual self-care were 0.580 and 0.555, respectively. However, when analyzed separately between preclinical medical student and clinical medical student, it was found that the Cronbach's alpha coefficient of the General vitality in clinical medical student and the Spiritual self-care in preclinical medical student were 0.665 and 0.603, respectively, which were within the acceptable range.
Conclusion: The Thai version of Holistic Well-Being Scale has good content validity, good stability and acceptable internal consistency
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