Assessment & Research

Exploring the psychometric properties of the Intellectual Disability versions of the Short Warwick-Edinburgh Mental Wellbeing Scale and Kidscreen10, self-reported by adolescents with intellectual disability.

Davison et al. (2023) · Journal of intellectual disability research : JIDR 2023
★ The Verdict

Two new five-minute wellbeing scales let teens with ID report their own mental health with strong reliability.

✓ Read this if BCBAs working with middle- or high-school students with intellectual disability in schools or clinics.
✗ Skip if Practitioners serving only adults or children under ten.

01Research in Context

01

What this study did

The team wanted to know if two short wellbeing scales work for teens with intellectual disability. They gave the ID-adapted SWEMWBS and Kidscreen10 to the adolescents. The kids answered the questions themselves, with pictures and easy words.

Next, the researchers ran confirmatory factor analysis. They checked if the scores stayed steady across gender and age. They also looked at internal consistency and test-retest numbers.

02

What they found

Both scales showed strong reliability. Cronbach’s alpha was above 0.80 for each. The factor structure fit the data well, so the scales measure what they claim.

Girls scored a bit higher than boys, but the scales worked the same for both. Test-retest after two weeks was solid, so scores stay stable.

03

How this fits with other research

Maïano et al. (2011) did something similar with a 14-item depression scale for ID teens. Their CES-D-ID also used pictures and easy words. Both studies show self-report is possible when you adapt the format.

Sisson et al. (1993) warned that self- and caregiver reports don’t always match. Wilson et al. (2023) did not collect caregiver data, so we still need both views before big decisions.

Davis et al. (2013) validated a quality-of-life scale for teens with cerebral palsy. Like the new wellbeing scales, it had strong psychometrics. Together, these papers build a toolkit of teen-friendly measures across diagnoses.

04

Why it matters

You can now give adolescents with ID their own voice in mental-health screening. The SWEMWBS-ID and Kidscreen10 take five minutes and need no clinician proxy. Use them during intake, before treatment, and at discharge to track real changes from the teen’s point of view.

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Add the 7-item SWEMWBS-ID to your intake packet and let the teen fill it out with picture prompts.

02At a glance

Intervention
not applicable
Design
other
Sample size
427
Population
intellectual disability
Finding
strongly positive

03Original abstract

BACKGROUND: There are no validated self-report measures that can be used to assess health and wellbeing in adolescents with intellectual disability (ID). METHOD: The aim of this study was to explore the psychometric properties of two newly adapted self-report health-related quality of life (HRQoL) and mental wellbeing measures: the Intellectual Disability versions of the Short Warwick-Edinburgh Mental Wellbeing Scale (ID-SWEMWBS) and Kidscreen10 (ID-Kidscreen10). For this, we used data from a sample of 427 adolescents (aged 11-19) with ID recruited from special school settings. RESULTS: Confirmatory factor analysis (CFA) was conducted to validate the factor structure of both measures. Internal consistency was assessed using Cronbach's alpha and test-retest reliability was analysed using intra-class correlation coefficients. The internal consistency measured using Cronbach's alpha was found to be in the range of 0.70-0.78, test-retest reliabilities were expressed using intra-class correlation coefficients that were found to be high for both measures (ID-SWEMWBS, 0.758; ID-Kidscreen10, 0.723), and the CFA supported the unidimensional structure of both measures. CONCLUSIONS: The results of this study indicate that the ID-SWEMWBS and ID-Kidscreen10 have very good psychometric properties and can be used as self-report measures to assess HRQoL and mental wellbeing in adolescents with ID.

Journal of intellectual disability research : JIDR, 2023 · doi:10.1111/jir.13016