Psychometric properties of the Alimetry Gut-Brain Wellbeing Survey-II: A revised, unidirectional mental health scale for patients with chronic gastroduodenal symptoms
- 1The University of Auckland
Abstract
ObjectiveThe Alimetry Gut-Brain Wellbeing (AGBW) Survey is a validated 10-item scale developed to assess mental health in patients with chronic gastroduodenal symptoms. While the original scale demonstrated strong psychometric properties overall, as part of an ongoing commitment to continuous instrument optimization, this study evaluated a revised, unidirectional version of the scale (AGBW-II) to enhance measurement precision.
MethodsThe psychometric properties of the revised AGBW-II were evaluated via an anonymous online questionnaire in a sample of 161 patients with chronic gastroduodenal symptoms. Score distributions, factor analysis, reliability, and validity were analyzed and compared with data from the validation study of the original scale (n= 311).
ResultsThe AGBW-II total and subscale scores demonstrated robust reliability and validity, outperforming the original AGBW Survey. Notable improvements in the reliability and validity of the stress subscale were observed following item rewording. Confirmatory factor analysis verified the three-factor model separating the depression, stress, and anxiety subscales, with the AGBW-II showing improved model fit indices.
ConclusionsThe revised, unidirectional AGBW-II demonstrated improved reliability and validity, while maintaining the underlying psychometric properties of the original scale. Consequently, the AGBW-II provides a reliable, valid, and brief mental health assessment for patients with chronic gastroduodenal symptoms.
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BibTeX
@misc{law2026psychometric,
title = {{Psychometric properties of the Alimetry Gut-Brain Wellbeing Survey-II: A revised, unidirectional mental health scale for patients with chronic gastroduodenal symptoms}},
author = {M. Law and I. Pickering and G. Schamberg and C. Daker and A. A. Gharibans and G. O'Grady and C. N. Andrews and S. Calder},
howpublished = {medRxiv},
year = {2026},
month = sep,
doi = {10.64898/2026.09.30.26364444},
url = {https://www.medrxiv.org/content/10.64898/2026.09.30.26364444v1},
note = {CC BY-NC-ND},
}
RIS
TY - UNPB
TI - Psychometric properties of the Alimetry Gut-Brain Wellbeing Survey-II: A revised, unidirectional mental health scale for patients with chronic gastroduodenal symptoms
AU - M. Law
AU - I. Pickering
AU - G. Schamberg
AU - C. Daker
AU - A. A. Gharibans
AU - G. O'Grady
AU - C. N. Andrews
AU - S. Calder
PY - 2026
DA - 2026/09/30
PB - medRxiv
DO - 10.64898/2026.09.30.26364444
UR - https://www.medrxiv.org/content/10.64898/2026.09.30.26364444v1
AB - ObjectiveThe Alimetry Gut-Brain Wellbeing (AGBW) Survey is a validated 10-item scale developed to assess mental health in patients with chronic gastroduodenal symptoms. While the original scale demonstrated strong psychometric properties overall, as part of an ongoing commitment to continuous instrument optimization, this study evaluated a revised, unidirectional version of the scale (AGBW-II) to enhance measurement precision. MethodsThe psychometric properties of the revised AGBW-II were evaluated via an anonymous online questionnaire in a sample of 161 patients with chronic gastroduodenal symptoms. Score distributions, factor analysis, reliability, and validity were analyzed and compared with data from the validation study of the original scale (n= 311). ResultsThe AGBW-II total and subscale scores demonstrated robust reliability and validity, outperforming the original AGBW Survey. Notable improvements in the reliability and validity of the stress subscale were observed following item rewording. Confirmatory factor analysis verified the three-factor model separating the depression, stress, and anxiety subscales, with the AGBW-II showing improved model fit indices. ConclusionsThe revised, unidirectional AGBW-II demonstrated improved reliability and validity, while maintaining the underlying psychometric properties of the original scale. Consequently, the AGBW-II provides a reliable, valid, and brief mental health assessment for patients with chronic gastroduodenal symptoms.
ER -