Clinical Scorecard: Psychometric Assessment of the Chinese Version of the Warwick–Edinburgh Mental Well-Being Scale in Individuals with Heart Failure or Myocardial Infarction: Insights from Classical Test Theory and Item Response Theory

At a Glance

Key Highlights

• Chinese-language WEMWBS demonstrated excellent internal consistency (Cronbach’s α = 0.961)
• Modified one-factor confirmatory factor model showed acceptable fit indices
• Strong positive correlation with the WHO-5 (r = 0.746) indicating good criterion-related validity
• Item response theory analyses indicated satisfactory item discrimination
• WEMWBS may complement existing measures of psychological distress in cardiovascular care

Guideline-Based Recommendations

Diagnosis

• Utilize the WEMWBS for assessing positive mental well-being in patients with heart failure or myocardial infarction

Management

• Incorporate WEMWBS in cardiac rehabilitation and psychological support programs

Monitoring & Follow-up

• Regularly assess mental well-being using WEMWBS to track changes over time

Risks

• Consider the psychological burden and its impact on treatment adherence and quality of life

Patient & Prescribing Data

Individuals with heart failure or myocardial infarction

WEMWBS can provide insights into mental well-being that may influence treatment outcomes

Clinical Best Practices

• Use WEMWBS alongside symptom-focused measures to provide a comprehensive assessment of mental health
• Evaluate psychometric properties of assessment tools in the intended clinical population before use

Related Resources & Content

• Warwick–Edinburgh Mental Well-Being Scale