The Well-Being Index is an online self-assessment tool invented by researchers at

Mayo Clinic Mayo Clinic () is a Nonprofit organization, private American Academic health science centre, academic Medical centers in the United States, medical center focused on integrated health care, healthcare, Mayo Clinic College of Medicine and Science ...

that measures

mental distress Mental distress or psychological distress encompasses the symptoms and experiences of a person's internal life that are commonly held to be troubling, confusing or out of the ordinary. Mental distress can potentially lead to a change of behavior, ...

and

well-being Well-being is what is Intrinsic value (ethics), ultimately good for a person. Also called "welfare" and "quality of life", it is a measure of how well life is going for someone. It is a central goal of many individual and societal endeavors. ...

in seven-nine items. The Well-Being Index is an anonymous tool that allows participants to reassess on a monthly basis, track their well-being scores over time, compare their results to peers' and national averages, and access customized resources based on their assessment results. There are six clinically-validated versions of the Well-Being Index: Advanced Practice Provider, Employee, Medical Student, Nurse, Physician, and Resident/Fellow.

Overview

The Well-Being Index takes around one minute to complete and measures six dimensions of distress and well-being specific to the Well-Being Index version. Possible dimensions include: * Likelihood of

burnout Burnout or burn-out may refer to: Entertainment * ''Burnout'' (film), a 2017 Moroccan film * ''Burn Out'' (film), a 2017 French film * Burnout (ride), a Funfields amusement ride in Australia * ''Burnout'' (series), a racing game series created by ...

* Severe fatigue * Suicidal ideation *

Quality of life Quality of life (QOL) is defined by the World Health Organization as "an individual's perception of their position in life in the context of the culture and value systems in which they live and in relation to their goals, expectations, standards ...

* Meaning in work * Work-life integration * Risk of

medical error A medical error is a preventable adverse effect of care (" iatrogenesis"), whether or not it is evident or harmful to the patient. This might include an inaccurate or incomplete diagnosis or treatment of a disease, injury, syndrome, behavior, ...

* Dropout risk * Overall well-being

History

The Well-Being Index was invented by Dr. Liselotte (Lotte) N. Dyrbye, MD, MHPE and Dr. Tait Shanafelt, MD of Mayo Clinic. It was originally developed to address

physician burnout Physician burnout has been classified as a psychological syndrome that can be expressed as a prolonged response to due chronic occupational stressors. In the practice of medicine, it has been known to affect a wide variety of individuals from medic ...

and distress internally at Mayo Clinic.

Uses

The Well-Being Index has been used by a variety of hospitals, universities, academic medical centers, and associations, including: *

Henry Ford Health System Henry Ford Health is an integrated, not-for-profit health care organization in the U.S. state of Michigan. Headquartered in Detroit, Henry Ford Health is the second-largest health system in Michigan, operating 13 hospitals across the Detroit, Ge ...

Weill Cornell Medicine Weill Cornell Medicine (; officially Joan and Sanford I. Weill Medical College of Cornell University), originally Cornell University Medical College, is the medical school of Cornell University, located on the Upper East Side of Manhattan in Ne ...

* Ascension Medical Group *

Baylor College of Medicine The Baylor College of Medicine (BCM) is a private medical school in Houston, Texas, United States. Originally as the Baylor University College of Medicine from 1903 to 1969, the college became independent with the current name and has been se ...

* American Academy of Family Physicians (AAFP) * American Pharmacists Association (APhA)

Versions

There are six clinically-validated versions of the Well-Being Index. Each version offers national benchmark comparative data.

Advanced Practice Provider Well-Being Index

The nine-item Advanced Practice Provider Well-Being Index measures distress and well-being among APPs, including nurse practitioners and physician assistants. This version of the Well-Being Index has been validated as a useful screening tool to measure likelihood of burnout, severe fatigue, prevalence of suicidal ideation, risk of medical error, meaning in work, and work-life integration among APPs.

Employee Well-Being Index (eWBI)

The eWBI was developed to identify distress and well-being among U.S. workers. The assessment consists of nine-items and measures six dimensions of distress and well-being, including quality of life, meaning in work, likelihood of burnout, severe fatigue, work-life integration, and suicidal ideation.

Medical Student Well-Being Index (MSWBI)

The MSWBI consists of seven items and is a version of the Well-Being Index designed to assess psychological distress in medical students. The MSWBI measures similar dimensions of distress and well-being as other versions of the Well-Being Index but includes dropout risk as a unique dimension.

Nurse Well-Being Index

The Nurse Well-Being Index is a nine-item assessment that measures likelihood of burnout, severe fatigue, suicidal ideation, quality of life, meaning in work, and work-life integration. This version of the Well-Being Index has been validated in stratifying distress and well-being and identifying the risk of reduced quality of care among U.S. nurses.

Physician Well-Being Index (PWBI)

The PWBI consists of nine items and is the original version of the Well-Being Index. It is designed as a brief screening tool for physicians in all specialties and measures the following six dimensions of distress and well-being: Likelihood of burnout, severe fatigue, suicidal ideation, risk of medical error, meaning in work, and work-life integration.

Resident & Fellow Well-Being Index

The Resident & Fellow Well-Being Index is designed specifically for physicians in training. This version consists of seven items that measure risk of medical error, sense of meaning in work, quality of life, suicidal ideation, severe fatigue, and likelihood of burnout.

Scoring

The Well-Being Index calculates a total well-being score for participants based on their assessment responses. Assessments contain seven or nine items depending on the Well-Being Index version. The seven-item versions consist of yes/no response categories and calculate scores by adding the number of 'yes' responses. The nine-item versions contain an additional two

Likert scale A Likert scale ( ,) is a psychometric scale named after its inventor, American social psychologist Rensis Likert, which is commonly used in research questionnaires. It is the most widely used approach to scaling responses in survey research, s ...

items that add or subtract points from the score of the first seven items.

References

{{reflist Psychological tests and scales