title: Holistic wellness assessment for young adults: psychometric analysis.
abstract: OBJECTIVE
  The purpose of this study was to develop the Holistic Wellness Assessment (HWA) that incorporates conventional dimensions of wellness with a new dimension of wellness influencing young adults: financial wellness that is psychometrically sound and developmentally appropriate.
  
  
  METHODS
  The study design to establish the initial psychometrics of the HWA was the single-group design. The cross-sectional nature of this design allowed for the postclassification of the participants into different demographic groups facilitating comparisons of the instrument's derived subscales.
  
  
  METHODS
  From 5,075 university students, 2,090 participants completed an online 285-item HWA and 2,086 respondents provided demographic information.
  
  
  RESULTS
  Exploratory factor analysis of the HWA revealed eight dimensions: Self-Regard, Self-Awareness and Responsibility, Sustainability, Relational, Risk Prevention, Spirituality, Physical Health, and Health Care Maintenance.
  
  
  RESULTS
  Four of the eight factors were consistent with existing models of wellness. Three new dimensions of wellness- Self-Regard, Self-Awareness and Responsibility, and Sustainability-emerged from the comprehensive item set that included financial wellness and will set the stage for the development and expansion of wellness models and theories.
  
  
  CONCLUSIONS
  Initial psychometric analysis suggests that this instrument may prove useful in the young adult population for measuring wellness awareness curriculum and behavior change outcomes.
authors.affiliation: Western Michigan University, Kalamazoo, Michigan, USA. charlene.brown@wmich.edu
authors.forename: Charlene
authors.initials: C
authors.lastname: Brown
authors.forename: Brooks
authors.initials: B
authors.lastname: Applegate
mesh_terms: D003430:Cross-Sectional Studies; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion / Q000379:methods*; D006304:Health Status; D006694:Holistic Health; D006801:Humans; D008297:Male; D015146:Midwestern United States; D011594:Psychometrics / Q000379:methods*; D012959:Socioeconomic Factors; D013334:Students / Q000523:psychology; D011795:Surveys and Questionnaires; D014495:Universities; D055815:Young Adult