{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T17:59:49Z","timestamp":1790791189332,"version":"4.1.0"},"reference-count":62,"publisher":"Public Library of Science (PLoS)","issue":"9","license":[{"start":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T00:00:00Z","timestamp":1790726400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100011730","name":"Templeton World Charity Foundation","doi-asserted-by":"publisher","award":["https:\/\/doi.org\/10.54224\/20629"],"award-info":[{"award-number":["https:\/\/doi.org\/10.54224\/20629"]}],"id":[{"id":"10.13039\/501100011730","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["www.plosglobalpublichealth.org"],"crossmark-restriction":false},"short-container-title":["PLOS Glob Public Health"],"abstract":"<jats:p>Adolescents living with HIV (ALHIV) in Eastern and Southern Africa experience challenges around medication adherence, mental health and wellbeing. Although interventions such as Zvandiri aim to strengthen mental health and wellbeing to impact HIV treatment outcomes, available measures often focus on negative outcomes or rely on positive psychology instruments developed in high-income settings. These tools may not adequately capture culturally embedded and relational dimensions of wellbeing. We describe the development of the Zvandiri Character Strength (ZCS) scale and draw methodological lessons for culturally grounded wellbeing measurement. The multi-stage scale-development process (2022\u20132025) comprised a scoping and systematic review, qualitative discussions, expert panel input, construct and item prioritisation, cognitive interviews, iterative item reduction, and exploratory factor and Rasch analyses. We reduced an initial item bank to a 53-item candidate scale, then to the ZCS 38 (38 items) and finally, the ZCS 25 (25 items), based on quantitative analyses and participant feedback. We subsequently assessed the ZCS 25 using retrospective pretest, post-test and follow-up administration. The review identified conceptually overlapping positive psychological constructs, many of which are measured using instruments developed in high-income settings and not adequately validated for ALHIV in Africa. Qualitative work highlighted connectedness, hope, self-acceptance, self-efficacy, purpose, and flourishing as key. Discussions also highlighted that wellbeing was relational, contextually situated, and often co-occurring with distress. Quantitative testing showed highly positive responses, disordered thresholds, ceiling effects, weak internal structure, and fluctuating retrospective ratings. Participant feedback suggested that positive responses likely reflected affirmations, and were partly linked to social desirability. In conclusion, the ZCS scale did not support a single interpretable total score, but its development offers important methodological lessons. Future measurement should begin with clearer construct definition, response-process validation, domain-level testing and explicit decisions about whether the measure aims to capture lived wellbeing, domain-specific positive outcomes or intervention-relevant change.<\/jats:p>","DOI":"10.1371\/journal.pgph.0006845","type":"journal-article","created":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T17:47:06Z","timestamp":1790790426000},"page":"e0006845","update-policy":"https:\/\/doi.org\/10.1371\/journal.pgph.corrections_policy","source":"Crossref","is-referenced-by-count":0,"title":["Rethinking wellbeing measurement: Learning from a scale development study with adolescents living with HIV in Zimbabwe"],"prefix":"10.1371","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1881-4398","authenticated-orcid":true,"given":"Webster","family":"Mavhu","sequence":"first","affiliation":[{"name":"Centre for Sexual Health and HIV\/AIDS Research (CeSHHAR)","place":["Harare, Zimbabwe"],"department":["Sexual and Reproductive Health Department"]},{"name":"Liverpool School of Tropical Medicine","place":["Liverpool, United Kingdom"],"department":["Department of International Public Health"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jermaine M.","family":"Dambi","sequence":"additional","affiliation":[{"name":"University of Zimbabwe","place":["Harare, Zimbabwe"],"department":["Rehabilitation Sciences Unit, Faculty of Medicine and Health Sciences"]},{"name":"Friendship Bench","place":["Harare, Zimbabwe"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4897-458X","authenticated-orcid":true,"given":"Victoria","family":"Simms","sequence":"additional","affiliation":[{"name":"MRC International Statistics and Epidemiology Group, London School of Hygiene & Tropical Medicine","place":["London, United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Faith","family":"Martin","sequence":"additional","affiliation":[{"name":"University of Bath","place":["Somerset, United Kingdom"],"department":["Department of Psychology"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1240-6916","authenticated-orcid":true,"given":"Joni","family":"Lariat","sequence":"additional","affiliation":[{"name":"Sydney School of Public Health, University of Sydney","place":["Camperdown, NSW, Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rufaro","family":"Mbundure","sequence":"additional","affiliation":[{"name":"Centre for Sexual Health and HIV\/AIDS Research (CeSHHAR)","place":["Harare, Zimbabwe"],"department":["Sexual and Reproductive Health Department"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leviticus","family":"Makoni","sequence":"additional","affiliation":[{"name":"Centre for Sexual 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Zimbabwe"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abigail","family":"Mutsinze","sequence":"additional","affiliation":[{"name":"Zvandiri","place":["Harare, Zimbabwe"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frances M.","family":"Cowan","sequence":"additional","affiliation":[{"name":"Centre for Sexual Health and HIV\/AIDS Research (CeSHHAR)","place":["Harare, Zimbabwe"],"department":["Sexual and Reproductive Health Department"]},{"name":"Liverpool School of Tropical Medicine","place":["Liverpool, United Kingdom"],"department":["Department of International Public Health"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0452-0196","authenticated-orcid":true,"given":"Nicola","family":"Willis","sequence":"additional","affiliation":[{"name":"Zvandiri","place":["Harare, 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Psychol"},{"issue":"1","key":"pgph.0006845.ref023","doi-asserted-by":"crossref","first-page":"585","DOI":"10.1186\/s40359-024-02074-0","article-title":"A scoping review of well-being measures: Conceptualisation and scales for overall well-being","volume":"12","author":"W Zhang","year":"2024","journal-title":"BMC Psychol"},{"issue":"1","key":"pgph.0006845.ref024","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1186\/s12955-026-02487-y","article-title":"A synthesis of dimensions of wellbeing among adolescents and young people living with HIV from Sub-Saharan Africa for measurement in economic evaluation: A qualitative overview of reviews","volume":"24","author":"S Carries","year":"2026","journal-title":"Health Qual Life Outcomes"},{"key":"pgph.0006845.ref025","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1080\/09540121.2018.1556384","article-title":"Toward an enhanced understanding of psychological resilience for HIV youth populations","volume":"30","author":"S Harrison","year":"2018","journal-title":"AIDS Care"},{"issue":"6","key":"pgph.0006845.ref026","doi-asserted-by":"crossref","first-page":"363","DOI":"10.1136\/bmjebm-2023-112681","article-title":"Guidelines for the development and validation of patient-reported outcome measures: A scoping review","volume":"29","author":"A Jung","year":"2024","journal-title":"BMJ Evid Based Med"},{"issue":"4","key":"pgph.0006845.ref027","doi-asserted-by":"crossref","first-page":"456","DOI":"10.1177\/2515245920952393","article-title":"Measurement Schmeasurement: Questionable Measurement Practices and How to Avoid Them","volume":"3","author":"JK Flake","year":"2020","journal-title":"Advances in Methods and Practices in Psychological Science"},{"issue":"8","key":"pgph.0006845.ref028","doi-asserted-by":"crossref","first-page":"1889","DOI":"10.1007\/s11136-012-0344-y","article-title":"ISOQOL recommends minimum standards for patient-reported outcome measures used in patient-centered outcomes and comparative effectiveness research","volume":"22","author":"BB Reeve","year":"2013","journal-title":"Qual Life Res"},{"issue":"5","key":"pgph.0006845.ref029","doi-asserted-by":"crossref","first-page":"1159","DOI":"10.1007\/s11136-018-1829-0","article-title":"COSMIN methodology for evaluating the content validity of patient-reported outcome measures: A Delphi study","volume":"27","author":"CB Terwee","year":"2018","journal-title":"Qual Life Res"},{"issue":"8","key":"pgph.0006845.ref030","doi-asserted-by":"crossref","first-page":"978","DOI":"10.1016\/j.jval.2011.06.013","article-title":"Content validity--establishing and reporting the evidence in newly developed patient-reported outcomes (PRO) instruments for medical product evaluation: ISPOR PRO Good Research Practices Task Force report: part 2--assessing respondent understanding","volume":"14","author":"DL Patrick","year":"2011","journal-title":"Value Health"},{"issue":"9","key":"pgph.0006845.ref031","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2022-066129","article-title":"Conceptualisation and psychometric evaluation of positive psychological outcome measures used in adolescents and young adults living with HIV: A mixed scoping and systematic review protocol","volume":"12","author":"JM Dambi","year":"2022","journal-title":"BMJ Open"},{"issue":"4","key":"pgph.0006845.ref032","doi-asserted-by":"crossref","first-page":"459","DOI":"10.1002\/nur.20199","article-title":"Is the CVI an acceptable indicator of content validity? Appraisal and recommendations","volume":"30","author":"DF Polit","year":"2007","journal-title":"Res Nurs Health"},{"issue":"6","key":"pgph.0006845.ref033","doi-asserted-by":"crossref","first-page":"563","DOI":"10.1080\/13691050801948102","article-title":"What is \u201csex\u201d exactly? Using cognitive interviewing to improve the validity of sexual behaviour reporting among young people in rural Zimbabwe","volume":"10","author":"W Mavhu","year":"2008","journal-title":"Cult Health Sex"},{"issue":"2","key":"pgph.0006845.ref034","doi-asserted-by":"crossref","first-page":"305","DOI":"10.1037\/0033-2909.110.2.305","article-title":"Conventional wisdom on measurement: A structural equation perspective","volume":"110","author":"K Bollen","year":"1991","journal-title":"Psychological Bulletin"},{"issue":"2","key":"pgph.0006845.ref035","doi-asserted-by":"crossref","first-page":"243","DOI":"10.1177\/1470595806066332","article-title":"Response styles in cross-national survey research","volume":"6","author":"A-W Harzing","year":"2006","journal-title":"Int\u2019l Jnl of Cross Cultural Management"},{"key":"pgph.0006845.ref036","doi-asserted-by":"crossref","first-page":"80","DOI":"10.1186\/1477-7525-10-80","article-title":"The importance of rating scales in measuring patient-reported outcomes","volume":"10","author":"J Khadka","year":"2012","journal-title":"Health Qual Life Outcomes"},{"issue":"3","key":"pgph.0006845.ref037","doi-asserted-by":"crossref","first-page":"294","DOI":"10.1037\/pas0000787","article-title":"The well-being profile (WB-Pro): Creating a theoretically based multidimensional measure of well-being to advance theory, research, policy, and practice","volume":"32","author":"HW Marsh","year":"2020","journal-title":"Psychol Assess"},{"issue":"3","key":"pgph.0006845.ref038","doi-asserted-by":"crossref","first-page":"439","DOI":"10.1037\/0022-0663.86.3.439","article-title":"Using the National Longitudinal Study of 1988 to evaluate theoretical models of self-concept: The Self-Description Questionnaire","volume":"86","author":"HW Marsh","year":"1994","journal-title":"J Educational Psychol"},{"key":"pgph.0006845.ref039","doi-asserted-by":"crossref","first-page":"349","DOI":"10.1037\/h0047358","article-title":"A new scale of social desirability independent of psychopathology","volume":"24","author":"DP Crownw","year":"1960","journal-title":"J Consult Psychol"},{"issue":"11","key":"pgph.0006845.ref040","doi-asserted-by":"crossref","first-page":"776","DOI":"10.1037\/h0043424","article-title":"On the social psychology of the psychological experiment: With particular reference to demand characteristics and their implications","volume":"17","author":"MT Orne","year":"1962","journal-title":"American Psychologist"},{"issue":"3","key":"pgph.0006845.ref041","doi-asserted-by":"crossref","first-page":"213","DOI":"10.1002\/acp.2350050305","article-title":"Response strategies for coping with the cognitive demands of attitude measures in surveys","volume":"5","author":"JA Krosnick","year":"1991","journal-title":"Appl Cognitive Psychol"},{"issue":"5","key":"pgph.0006845.ref042","doi-asserted-by":"crossref","first-page":"859","DOI":"10.1037\/0033-2909.133.5.859","article-title":"Sensitive questions in surveys","volume":"133","author":"R Tourangeau","year":"2007","journal-title":"Psychol Bull"},{"issue":"1","key":"pgph.0006845.ref043","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1177\/0022022103260380","article-title":"Acquiescent Response Bias as an Aspect of Cultural Communication Style","volume":"35","author":"PB Smith","year":"2004","journal-title":"J Cross-Cultural Psychol"},{"issue":"3","key":"pgph.0006845.ref044","doi-asserted-by":"crossref","first-page":"346","DOI":"10.1177\/0022022104264126","article-title":"Response styles in rating scales: evidence of method bias in data from 6 EU countries","volume":"35","author":"H van Herk","year":"2004","journal-title":"J Cross-Cultural Psychol"},{"key":"pgph.0006845.ref045","article-title":"\u201cA bit more truthful\u201d: the validity of adolescent sexual behaviour data collected in rural northern Tanzania using five methods","author":"ML Plummer","year":"2004","journal-title":"Sex Transm Infect"},{"key":"pgph.0006845.ref046","article-title":"Consistency in the reporting of sexual behaviour by adolescent girls in Kenya: a comparison of interviewing methods","author":"PC Hewett","year":"2004","journal-title":"Sex Transm Infect"},{"issue":"2","key":"pgph.0006845.ref047","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1136\/sti.2009.037374","article-title":"How you ask really matters: randomised comparison of four sexual behaviour questionnaire delivery modes in Zimbabwean youth","volume":"87","author":"LF Langhaug","year":"2011","journal-title":"Sex Transm Infect"},{"issue":"2","key":"pgph.0006845.ref048","doi-asserted-by":"crossref","first-page":"93","DOI":"10.7196\/SAJBL.2019.v12i2.679","article-title":"Core aspects of ubuntu: A systematic review","volume":"12","author":"C Ewuoso","year":"2019","journal-title":"S Afr J BL"},{"issue":"1","key":"pgph.0006845.ref049","article-title":"Using African Ubuntu theory in social work with children in Zimbabwe","volume":"9","author":"J Mugumbate","year":"2019","journal-title":"African J 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