Development of the What Matters 2 Adults (WM2A) wellbeing measure for Aboriginal and Torres Strait Islander adults.

Howard, K; Garvey, G; Anderson, K; Dickson, M; Viney, R; Ratcliffe, J; Howell, M; Gall, A; Cunningham, J; Whop, LJ; Cass, A; Jaure, A; Mulhern, B

Development of the What Matters 2 Adults (WM2A) wellbeing measure for Aboriginal and Torres Strait Islander adults.

Howard, K Garvey, G Anderson, K Dickson, M Viney, R

Ratcliffe, J Howell, M Gall, A Cunningham, J Whop, LJ Cass, A Jaure, A Mulhern, B

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Publisher:: PERGAMON-ELSEVIER SCIENCE LTD
Publication Type:: Journal Article
Citation:: Soc Sci Med, 2024, 347, pp. 116694
Issue Date:: 2024-04

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Field	Value	Language
dc.contributor.author	Howard, K
dc.contributor.author	Garvey, G
dc.contributor.author	Anderson, K
dc.contributor.author	Dickson, M
dc.contributor.author	Viney, R https://orcid.org/0000-0002-0039-9635
dc.contributor.author	Ratcliffe, J
dc.contributor.author	Howell, M
dc.contributor.author	Gall, A
dc.contributor.author	Cunningham, J
dc.contributor.author	Whop, LJ
dc.contributor.author	Cass, A
dc.contributor.author	Jaure, A
dc.contributor.author	Mulhern, B https://orcid.org/0000-0003-3656-8063
dc.date.accessioned	2024-09-19T05:28:25Z
dc.date.available	2024-02-12
dc.date.available	2024-09-19T05:28:25Z
dc.date.issued	2024-04
dc.identifier.citation	Soc Sci Med, 2024, 347, pp. 116694
dc.identifier.issn	0277-9536
dc.identifier.issn	1873-5347
dc.identifier.uri	http://hdl.handle.net/10453/180875
dc.description.abstract	PURPOSE: As wellbeing is culturally bound, wellbeing measures for Aboriginal and Torres Strait Islander peoples must be culturally relevant and grounded in Aboriginal and Torres Strait Islander values and preferences. We describe the development of a nationally-relevant and culturally grounded wellbeing measure for Aboriginal and Torres Strait Islander adults: the What Matters to Adults (WM2A) measure. METHODS: We used a mixed methods approach to measure development, combining Indigenist methodologies and psychometric methods. Candidate items were derived through a large national qualitative study. Think-aloud interviews (n = 17) were conducted to assess comprehension, acceptability, and wording of candidate items. Two national surveys collected data on the item pool (n = 312, n = 354). Items were analysed using exploratory factor analysis (EFA), and item response theory (IRT) to test dimensionality, local dependence and item fit. A Collaborative Yarning approach ensured Aboriginal and Torres Strait Islander voices were privileged throughout. RESULTS: Fifty candidate items were developed, refined, and tested. Using EFA, an eight factor model was developed. All items met pre-specified thresholds for maximum endorsement frequencies, and floor and ceiling effects; no item redundancy was identified. Ten items did not meet thresholds for aggregate adjacent endorsement frequencies. During Collaborative Yarning, six items were removed based on low factor loadings (<0.4) and twelve due to conceptual overlap, high correlations with other items, endorsement frequencies, and/or low IRT item level information. Several items were retained for content validity. The final measure includes 32 items across 10 domains (Balance & control; Hope & resilience; Caring for others; Culture & Country; Spirit & identity; Feeling valued; Connection with others; Access; Racism & worries; Pride & strength). CONCLUSIONS: The unique combination of Indigenist and psychometric methodologies to develop WM2A ensures a culturally and psychometrically robust measure, relevant across a range of settings and applications.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	PERGAMON-ELSEVIER SCIENCE LTD
dc.relation.ispartof	Soc Sci Med
dc.relation.isbasedon	10.1016/j.socscimed.2024.116694
dc.rights	info:eu-repo/semantics/openAccess
dc.subject	11 Medical and Health Sciences, 14 Economics, 16 Studies in Human Society
dc.subject.classification	Public Health
dc.subject.classification	38 Economics
dc.subject.classification	42 Health sciences
dc.subject.classification	44 Human society
dc.subject.mesh	Adult
dc.subject.mesh	Humans
dc.subject.mesh	Australian Aboriginal and Torres Strait Islander Peoples
dc.subject.mesh	Emotions
dc.subject.mesh	Factor Analysis, Statistical
dc.subject.mesh	Health Services, Indigenous
dc.subject.mesh	Indigenous Peoples
dc.subject.mesh	Psychometrics
dc.subject.mesh	Australia
dc.subject.mesh	Humans
dc.subject.mesh	Factor Analysis, Statistical
dc.subject.mesh	Emotions
dc.subject.mesh	Psychometrics
dc.subject.mesh	Adult
dc.subject.mesh	Health Services, Indigenous
dc.subject.mesh	Indigenous Peoples
dc.subject.mesh	Australian Aboriginal and Torres Strait Islander Peoples
dc.subject.mesh	Adult
dc.subject.mesh	Humans
dc.subject.mesh	Australian Aboriginal and Torres Strait Islander Peoples
dc.subject.mesh	Emotions
dc.subject.mesh	Factor Analysis, Statistical
dc.subject.mesh	Health Services, Indigenous
dc.subject.mesh	Indigenous Peoples
dc.subject.mesh	Psychometrics
dc.subject.mesh	Australia
dc.title	Development of the What Matters 2 Adults (WM2A) wellbeing measure for Aboriginal and Torres Strait Islander adults.
dc.type	Journal Article
utslib.citation.volume	347
utslib.location.activity	England
utslib.for	11 Medical and Health Sciences
utslib.for	14 Economics
utslib.for	16 Studies in Human Society
pubs.organisational-group	University of Technology Sydney
pubs.organisational-group	University of Technology Sydney/Faculty of Health
pubs.organisational-group	University of Technology Sydney/Strength - CHERE - Centre for Health Economics Research and Evaluation
pubs.organisational-group	University of Technology Sydney/Faculty of Health/Research Centres/Centre for Health Economics Research and Evaluation
pubs.organisational-group	University of Technology Sydney/UTS Groups
pubs.organisational-group	University of Technology Sydney/UTS Groups/Centre for Health Economics Research and Evaluation (CHERE)
pubs.organisational-group	University of Technology Sydney/Faculty of Health/Research Centres
utslib.copyright.status	open_access	*
dc.rights.license	This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0). To view a copy of this license, visit https://creativecommons.org/licenses/by/4.0/
dc.rights.license	This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0). To view a copy of this license, visit https://creativecommons.org/licenses/by/4.0/
dc.date.updated	2024-09-19T05:28:23Z
pubs.publication-status	Published
pubs.volume	347

Abstract:

PURPOSE: As wellbeing is culturally bound, wellbeing measures for Aboriginal and Torres Strait Islander peoples must be culturally relevant and grounded in Aboriginal and Torres Strait Islander values and preferences. We describe the development of a nationally-relevant and culturally grounded wellbeing measure for Aboriginal and Torres Strait Islander adults: the What Matters to Adults (WM2A) measure. METHODS: We used a mixed methods approach to measure development, combining Indigenist methodologies and psychometric methods. Candidate items were derived through a large national qualitative study. Think-aloud interviews (n = 17) were conducted to assess comprehension, acceptability, and wording of candidate items. Two national surveys collected data on the item pool (n = 312, n = 354). Items were analysed using exploratory factor analysis (EFA), and item response theory (IRT) to test dimensionality, local dependence and item fit. A Collaborative Yarning approach ensured Aboriginal and Torres Strait Islander voices were privileged throughout. RESULTS: Fifty candidate items were developed, refined, and tested. Using EFA, an eight factor model was developed. All items met pre-specified thresholds for maximum endorsement frequencies, and floor and ceiling effects; no item redundancy was identified. Ten items did not meet thresholds for aggregate adjacent endorsement frequencies. During Collaborative Yarning, six items were removed based on low factor loadings (<0.4) and twelve due to conceptual overlap, high correlations with other items, endorsement frequencies, and/or low IRT item level information. Several items were retained for content validity. The final measure includes 32 items across 10 domains (Balance & control; Hope & resilience; Caring for others; Culture & Country; Spirit & identity; Feeling valued; Connection with others; Access; Racism & worries; Pride & strength). CONCLUSIONS: The unique combination of Indigenist and psychometric methodologies to develop WM2A ensures a culturally and psychometrically robust measure, relevant across a range of settings and applications.

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http://hdl.handle.net/10453/180875