Kent County Council Public Health Department how to measure Wellbeing in population by doing WEMWBS for more information email mentalwellbeing@kent.gov.uk.
Kent County Council Public Health Measuring Wellbeing WEMWBS May 2014
1. Measuring the Impact of Your Work on
Mental Wellbeing
The Warwick Edinburgh Mental
Wellbeing Scale – WEMWBS
Ivan Rudd
May 2014
2. What Is WEMWBS?
• WEMWBS is a scale which has been validated for the
measurement of mental wellbeing among people
aged 13* to 74 in the UK .
• It comprises 14 positively worded statements with
five response categories from ‘none of the time’ to
‘all of the time’.
* 12 year olds can complete if thirteen years old three
months after the project
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3. STATEMENTS None
of the
time
Rarely Some of
the time
Often All of
the time
I’ve been feeling optimistic about the future 1 2 3 4 5
I’ve been feeling useful 1 2 3 4 5
I’ve been feeling relaxed 1 2 3 4 5
I’ve been feeling interested in other people 1 2 3 4 5
I’ve had energy to spare 1 2 3 4 5
I’ve been dealing with problems well 1 2 3 4 5
I’ve been thinking clearly 1 2 3 4 5
I’ve been feeling good about myself 1 2 3 4 5
I’ve been feeling close to other people 1 2 3 4 5
I’ve been feeling confident 1 2 3 4 5
I’ve been able to make up my own mind
about things
1 2 3 4 5
I’ve been feeling loved 1 2 3 4 5
I’ve been interested in new things 1 2 3 4 5
I’ve been feeling cheerful 1 2 3 4 5
WEMWBS : The Warwick-Edinburgh Mental Well-being Scale
4. WEMWBS – Previous Two Weeks
• The period of assessment that you would be asking
participants to think about when they are answering
the statements is the previous two weeks, up to the
completion of the scale.
• The WEMWBS is designed to be filled in by
participants themselves. Studies suggest that
participants are comfortable filling in the scale and
that they recognise the scale to be assessing their
mental health and wellbeing.
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5. WEMWBS Measures Mental Wellbeing
• Mental wellbeing is often divided into two
perspectives:
• one which includes states of happiness and life
satisfaction (the hedonic perspective),
• and the other which includes positive psychological
functioning, good relationships with others and self-
realisation/acceptance (the eudaimonic perspective).
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6. Why Measure Mental Wellbeing?
• There is evidence that mental wellbeing is a good
indicator of how people and populations are able to
function and thrive
• Past research and practice surrounding mental
health and wellbeing have focused on mental health
problems and on prevention of developing a mental
disorder (mental health problem), rather than on
mental wellbeing.
• Collecting before and after project data can tell us a
lot about what strategies work best and what helps
people improve and sustain mental wellbeing.
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7. Questions to consider
• Here are some other questions to answer before you
begin:
• Is it clear to all project team members what mental
wellbeing is, and why it’s important for health? For
more information: www.sixwaystowellbeing.org.uk
• Is there a structure for collecting, recording and
managing WEMWBS data that project team
members know and agree upon?
• Are all team members clear on how to track and
maintain data on individuals over time?
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8. Completing WEMWBS
• WEMWBS is designed for participants to self-
complete. The original format is a paper copy of the
statements, which is what most people are
comfortable with.
• The scale has not been tested for interviewer
completion (the interviewer reading the statements
out and filling in the responses for them).
Interviewer comletion is therefore not
recommended unless necessary for helping people
with visual impairments or reading difficulties.
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9. Please Bear in Mind…
• WEMWBS is validated for use in individuals aged 13
and older.
• The participant will be involved in the project for
at least 2 weeks.
• The participant is willing to take part in the
project evaluation
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10. Consent to Participate
• You need to ask if participants are willing to take part
in the project evaluation. In other words, people who
don’t want to take part really shouldn’t. If they
agree, ask each participant to read, understand, and
sign your consent form which includes information
about the project, and how the information they
provide will be used.
• Assure them that their responses will remain
anonymous when the project effects are reported
and that the forms they fill will be kept secure and
confidential.
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11. Completion Request
• Ask participants to complete WEMWBS. You may
describe WEMWBS as:
‘statements about their thoughts and feelings in
the past two weeks’.
• Explain that you are going to ask them about these
statements before they start the project and then
again at the end and again at three months to follow
the impact of this project
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12. Distress
• Occasionally reflection on the WEMWBS statements
may generate distress. For participants to recognise
that their mental wellbeing is not good is not
necessarily a bad thing. It can be the first step
towards taking action to feel better. It is important
nevertheless to be able to offer support in such
circumstances.
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13. Distress – support available
• When a person’s mental wellbeing is very poor,
doing everyday things like working and going out is
very difficult, and/or their mental wellbeing is
significantly affecting their relationships.
• Please advise people who are distressed to talk to
their GP.
• Alternatively they can contact local helplines or free
NHS counselling services at www.liveitwell.org.uk or
NHS choices
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14. Time scales
Time points should be collected at:
•the very start, before anything has ‘happened’
•at the end
•three months after the end.
•It may not be practical to follow up after the
project at all, and this should be discussed with
your project team and KCC PH.
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15. Completing the first scale
• Complete the front of the WEMWBS questionnaire
with the project’s name and date
• The participant to fill out:
• Your consent form
• Profile information form (age, gender, ethnicity etc.)
• The WEMWBS scale, and
• Get the participant to think of a memorable name –
such as mother’s maiden name and write it in the
space provided .
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16. WEMWBS ‘Pack’
• Write this memorable name on the profile form and
two blank WEMWBS forms to be completed at the
end of the intervention and at three months later
and keep in an envelope – this is the pack.
• Label each pack and all its contents with the
participant’s memorable name (all the WEMWBS
forms, the demographic form and anything else for
your project). The contents remain together for the
duration of the project then arrange for the first two
completed forms to be collected by KCC PH.
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17. Welcome pack 2
• A tip for keeping things organised and secure is to
have a separate ‘tracking’ sheet which has only the
Participant memorable name and their real name in
a table, but is stored, locked and kept separately
from the WEMWBS packs.
• When accessing the participant’s file, refer to the
tracking sheet to find the memorable name which
should be labelled on the WEMWBS ‘pack’/envelope.
It will be easier to keep things secure and easier to
access. KCC PH have no need to see the real name.
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18. End of project and three month follow up
• At the end of the project please arrange for
collection by KCC PH of the profile form and the
two completed WEMWBS forms
• Have a plan for participants completion of final
form at three months. Let KCC PH know how this
will happen (email: mentalwellbeing@kent.gov.uk)
• At three months arrange for participants to
complete the third and final WEMWBS
• Contact KCC PH for WEMWBS collection
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19. Thank you
This Guidance is based on the work carried out by
Coventry City, University of Warwick and NHS
Coventry as part of their Feeling Good and Doing
Well Programme.
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And of course WEMWBS
14 items
Positive wording
Coverage of psychological & subjective wellbeing
Self complete
Two week reference
5 point Likert scale
Be active – Go for a walk or run. Step outside. Cycle. Play a game. Gardening, dance. Exercising makes you feel good. Most importantly, discover a physical activity you enjoy and that suits your level of mobility and fitness.
Keep Learning – Try something new. Rediscover an old interest. Sign up for that course. Take one a different responsibility at work. Fix a bike. Learn to play an instrument or how to cook your favourite food. Set a challenge you will enjoy achieving. Learning new things will make you more confident as well as being fun.
Give – Do something nice for a friend, or a stranger. Thank someone. Smile. Volunteer your time. Join a community group. Look out, as well as in. Seeing yourself, and your happiness, linked to the wider community can be incredibly rewarding and creates connections with the people around you.
Connect – Connect with the people around you. With family, friends, colleagues and neighbours – at home, work, school or in your local community. Think of them as the cornerstones of your life and invest time in developing connections with them. Building these connections will support and enrich you every day.
Take notice – Be curious. Catch sight of the beautiful. Remark on the unsual. Notice the changing seasons. Savour the moment, whether you are walking to work, eating lunch or talking to friends. Be aware of the world around you and what you are feeling. Reflecting on your experience will help you appreciate what matters to you.
Grow – Look after your local surroundings. Get involved with a community group or invest your time in a green or small business initiative where you live. Share your own knowledge with people in your area to develop your community’s skills. Plant some seeds or grow vegetables. Recycle where you can. Save energy.