A Comprehensive Resiliency Framework: Theoretical Model, Treatment, and Evaluation
Elyse R Park, Christina M Luberto, Emma Chad-Friedman, Lara Traeger, Daniel L Hall, Giselle K Perez, Brett Goshe, Ana-Maria Vranceanu, Margaret Baim, John W Denninger Md PhD, Gregory Fricchione Md, Herbert Benson Md, Suzanne C Lechner, Elyse R Park, Christina M Luberto, Emma Chad-Friedman, Lara Traeger, Daniel L Hall, Giselle K Perez, Brett Goshe, Ana-Maria Vranceanu, Margaret Baim, John W Denninger Md PhD, Gregory Fricchione Md, Herbert Benson Md, Suzanne C Lechner
Abstract
Background: There is heterogeneity in conceptualizations of resiliency, and there is, to date, no established theoretically driven resiliency assessment measure that aligns with a targeted resiliency intervention. We operationalize resiliency as one's ability to maintain adaptive functioning in response to the ongoing, chronic stress of daily living, and we use a novel resiliency measure that assesses the target components of an evidence based resiliency intervention. We present our resiliency theory, treatment model, and corresponding assessment measure (Current Experience Scale; CES).
Methods: To establish the psychometric properties of the CES, we report the factor structure and internal consistency reliability (N = 273). Among participants in our resiliency intervention (N = 151), we explored construct validity in terms of associations with theoretical model constructs, a validated resiliency measure, and sensitivity to change from before to after the intervention.
Results: Results indicated that a 23-item, 6-factor solution was a good fit to the data (RMSEA = .08, CFI = .97; TLI =.96) and internal consistency was good (α = .81 to .95). The CES showed correlations in the expected direction with resiliency model constructs (all p's < .001) and significant post intervention improvements.
Conclusion: Our resiliency theory, treatment model, and outcome appear aligned; the CES demonstrated promise as a psychometrically sound outcome measure for our resiliency intervention and may be used in future longitudinal studies and resiliency building interventions to assess individuals' resiliency to adapt to ongoing stress.
Keywords: health; measurement; resiliency; stress; theory.
Conflict of interest statement
Declaration of Conflicting Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
© The Author(s) 2021.
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Source: PubMed