ArticleAnnals of medicine2025
Psychometric validation of the Physician Well-Being Index-Expanded (ePWBI) among physician educators in Hong Kong.
Article in Annals of medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 citing paper in PubMed.
- "From Exhaustion to Invigoration": a mixed-methods study exploring the role of a community in supporting resilience of pediatric education leaders.Medical education online · 2026Article
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8 authors.
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Abstract
introductionPhysician educators' distress and well-being are of emerging concern in academic medicine. The Physician Well-Being Index-Expanded (ePWBI) is known for measuring physician distress and well-being, yet its psychometric properties in Asian contexts, including Hong Kong (HK), remain unexamined. This study evaluated the reliability and validity of the ePWBI in determining the distress and well-being of HK physician educators.
methodThis cross-sectional validation study recruited 333 physician educators using convenience sampling at a HK medical school from October 2020 to January 2021, during the COVID-19 pandemic. Participants voluntarily completed the 9-item ePWBI and 5-item World Health Organization Well-Being Index (WHO-5) instruments in an online survey. Psychometric validation included within-network analyses (confirmatory factor analysis [CFA], one-way ANOVA, independent
resultsUsing data from 333 physician educators, the ePWBI demonstrated excellent construct validity. CFA results indicated good data fit to the a priori model: Comparative Fit Index=0.99, Tucker-Lewis Index=0.99, Standardized Root Mean Square Residual=0.05, and Root Mean Square Error of Approximation=0.02 [90% CI 0.00-0.05]. Most factor loadings ranged from 0.36 to 0.69 and were statistically significant (
conclusionThe ePWBI appears to be a valid and reliable instrument for assessing the distress and well-being of HK physician educators. It shows promise as a tool for identifying those at higher risk of distress who could benefit from early tailored interventions and in practice, it could thereby strengthen mental health support systems in academic medical institutions.
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