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  4. Measuring resilience after spinal cord injury: Development, validation and psychometric characteristics of the SCI-QOL Resilience item bank and short form

Measuring resilience after spinal cord injury: Development, validation and psychometric characteristics of the SCI-QOL Resilience item bank and short form

The Journal of Spinal Cord Medicine, 2015 · DOI: 10.1179/2045772315Y.0000000016 · Published: May 1, 2015

Spinal Cord InjuryParticipationMental Health

Simple Explanation

This study focuses on creating and testing a way to measure resilience in people with spinal cord injuries (SCI). Resilience, in this context, is the ability to adapt well to stressful life events. The researchers developed a set of questions (item bank) to assess resilience and then tested these questions with a large group of individuals with SCI to ensure the questions were reliable and accurate. The final result is a set of questions that can be used to measure resilience in individuals with SCI, which can help clinicians and researchers understand and promote better adaptation and quality of life after injury.

Study Duration
Not specified
Participants
717 individuals with SCI
Evidence Level
Not specified

Key Findings

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    A unidimensional model was observed (CFI = 0.968; RMSEA = 0.074) indicating that the items measure a single construct of resilience.
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    Measurement precision was good (theta range between −3.1 and 0.9), demonstrating the reliability of the item bank in measuring resilience across a range of individuals.
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    The final calibrated item bank resulted in 21 retained items, indicating that these items effectively capture the construct of resilience in individuals with SCI.

Research Summary

The study developed and validated the SCI-QOL Resilience item bank and short form to measure resilience in individuals with spinal cord injury (SCI). The item bank was developed using focus groups, cognitive interviews, and item-response theory based analytic approaches. The final 21-item bank demonstrated good psychometric properties, including unidimensionality and measurement precision, making it a robust tool for assessing resilience in the SCI population.

Practical Implications

Clinical Assessment

The SCI-QOL Resilience item bank can be used to assess resilience in individuals with SCI, helping clinicians identify those who may need additional support to improve their psychosocial adjustment.

Research

The item bank can be used in research to better understand the factors that influence resilience in individuals with SCI and to evaluate the effectiveness of interventions designed to promote resilience.

Self-Monitoring

The computerized format of the SCI-QOL allows for self-monitoring of resilience, which can help patients track their progress and identify areas where they may need additional support.

Study Limitations

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