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Short-Form Measures of Well-Being Centered Leadership for Matrixed Healthcare Systems
Anthony C Waddimba1,2,3, Rahul R Gunukula2,4, Megan E Douglas5
1Department of Surgery, Baylor University Medical Center, Dallas, TX, USA.
Journal of Healthcare Leadership
|May 12, 2026
Summary
Shortened versions of the adapted Mayo Leadership Impact Index (MLII) demonstrate comparable validity and reliability to the full scale. These brief assessments offer a lower-burden method for evaluating well-being centered leadership in healthcare.
Area of Science:
- Healthcare Management
- Psychometrics
- Organizational Behavior
Background:
- The adapted Mayo Leadership Impact Index (MLII) is a comprehensive tool for assessing leadership.
- Developing shorter versions is crucial for efficient administration in busy healthcare settings.
Purpose of the Study:
- To extract and evaluate the validity and reliability of short-form abbreviations of the adapted MLII.
- To compare these short forms against the full-length reference scale.
Main Methods:
- Data from physician surveys (2023-2024) in a Texas cardiovascular healthcare system were analyzed.
- Short-form scales (1-, 3-, and 4-item) were derived using factor loadings and item information.
- Convergent/divergent validity, internal consistency, and inter-rater reliability were assessed.
Main Results:
- Single-, 3-, and 4-item short-form scales exhibited similar validity and inter-rater reliability to the 9-item MLII.
- Internal consistency for the 9-, 4-, and 3-item versions exceeded 0.900.
- Sensitivity/specificity and kappa coefficients for short forms versus the full scale were >0.700.
Conclusions:
- Short-form abbreviations of the adapted MLII are reliable and valid.
- These shorter versions provide lower-burden alternatives for assessing well-being centered leadership.
- Findings support the use of adapted MLII short forms in matrixed healthcare systems.
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