03.03.2020OttawaSymp AssessmentofWellbeing MSBY

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Assessment of Wellbeing

MUHAMAD SAIFUL BAHRI YUSOFF


Medical Education Department, School of Medical Sciences,
Universiti Sains Malaysia, [email protected]

OTTAWA 2020 | Symposium | 3 March 2020 | KLCC, MALAYSIA


Today’s Focus
Facets Challenges
EXPLAIN Explain the facets of REFLECT Reflect on the challenges of
wellbeing assessment of wellbeing

Assessment Future
DISCUSS Discuss the assessment EXPLORE Explore the future practice
of wellbeing for assessing wellbeing
WELLBEING
It is argued here that well-being is a
combination of feeling good and
functioning well, and that in order to
advance well-being science, we need
a multi-dimensional approach to
definition and measurement.
(Huppert, 2017)
The Facets of Wellbeing
Professional Mental
Selecting and participating in Ability to cope with normal stresses
a career that is meaningful
and rewarding
6 1 of life, work productively, and make
contributions to communities

Spiritual Intellectual
Finding meaning and purpose
in life
5 2 Engaging in the ongoing
acquisition and utilization of
knowledge and skills

Emotional
Physical
Taking responsibility for
4 3 Achieving a personal sense of life
satisfaction and being able to
personal health
experience and manage emotions

(Henning et al, 2018)


“ Time, Culture, Opportunity
and Individual Strengths are
four overriding elements to influence
wellbeing achievement in higher
education and life in general. They are
realities that need to be considered in
the structure of the higher education
environment by leaders as well as
academics and students. Some may
apply more than others, but all should
be considered.
(Henning et al, 2018) ”
Assessment
of Wellbeing
Programmatic
Programmatic
A longitudinal assessment of wellbeing for
Summative decision making - diagnostic, therapeutic,
Making judgments about prognostic, high stake decision (pass/fail)
Summative
competence and fitness
to practice

Formative
Formative
Guiding future learning, providing
reassurance, promoting reflection,
and shaping values
Learning & Work • Mental
Environments Wellbeing • Intellectual
• Emotional
• Physical
Educational • Spiritual
Outcomes • Professional

The DEAL Technology Programmatic


Program
STUDENTS

Teaching &
Assessment
Learning Activities

TBL Mind- Other learning Summative Formative


body experiences
ASSESSMENT TOOLS BY APPROACH

LEARNING OUTCOMES Summative Formative Programmat


(Wellbeing) ic
Ability to cope with normal Brief COPE MSWBI
360o
stresses of life (Mental) MSSQ CBI
Assessment
Ability to make contributions to P-MEX
communities (Mental) CFCS Portfolio
STEPS

Selecting a career that is BMAT/MCAT/


meaningful and rewarding Personality Portfolio
MMI
(Professional) test
Able to manage emotions Simulated DASS-21 EQ-i
(Emotional) Patient
Finding meaning and purpose in
SWBS SWBS Portfolio
life (Spiritual)

MSWBI – Medical Student Wellbeing Index; SWBS – Spiritual Wellbeing Scale; P-MEX – Professionalism Mini-Evaluation Exercise; STEPS - Simplified Thematic
Engagement of Professionalism Scale; DASS – Depression Anxiety Stress Scale; CFCS – Community & Family Case Studies; MSSQ – Medical Student Stressor
Questionnaire; BMAT – BioMedical Admissions Test; MCAT – Medical College Admission Test; MMI – Multiple Mini-Interview; EQ-i – Emotional Quotient
Inventory; CBI – Copenhagen Burnout Inventory
The DEAL Program
Single four-hour workshop
Psychoeducational and
Problem-oriented Stress
Management Program
Session one - psychoeducation on stress,
stressors, and coping mechanisms
Session two - learning problem-solving
techniques and coping strategies to manage
stress.
Session three - group-based exercises to
practice these strategies
Session four - sharing experiences
(Rith-Najarian et al, J Affective Disorder, 2019; 257, 568-584;
Witt K, et al. Evid Based Mental Health, BMJ, 2019;22:84–90)
Reduced distress (DASS-21)

Reduced depression (DASS-


Quantitative Data 21)
Reduced denial (Brief COPE)

Reduced self-blame (Brief


COPE)
Reduced perceived
academic stress (MSSQ)
RESULTS
Perceived as a very useful,
relevant, applicable and
feasible educational
Qualitative Data strategy
Improved coping ability
To apply DEAL approach in
dealing with adversities
(Yusoff et al., 2013; Yusoff & Esa, 2015; Yusoff et al., 2015)
CHALLENGE
“ The real reason well-being
matters is that well-being is
an end in itself – an ultimate
good. However, because
there is as yet no agreed
definition of well-being,
there is no universally
agreed method for
measuring well-being.

(Huppert, 2017)
CHALLENGE
“ At this early stage in the
science of well-being,
policymakers would be
well advised to use
measures which
encompass a diversity
of well-being
constructs.

(Huppert, 2017)
Multiple Valid tools
Assess multiple Use valid assessment tools for
wellbeing constructs measuring wellbeing constructs
02 03

Outcomes Longitudinal
01 04 Embrace longitudinal
Establish
assessment of
wellbeing-focused
wellbeing constructs
learning outcomes

FUTURE PRACTICE
Take Home Messages
#1 Establish wellbeing-focused outcomes
It is essential to clearly define the learning outcomes
related to the wellbeing constructs

#2 Use valid assessment tools


It is important to use valid
assessment tools which encompass
a diversity of wellbeing constructs

#3 Assessment fit purposes


Assessment must be aligned
with the purposes of
assessment system
Thank You
MUHAMAD SAIFUL BAHRI YUSOFF, MD,MSC,PHD
Department of Medical Education, School of Medical Sciences,
Universiti Sains Malaysia, email: [email protected].

https://www.researchgate.net/profile/Muhamad_Saiful_Bahri_Yusoff

**This PPT slide can be downloaded from https://tinyurl.com/vjoejjw

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