A Comprehensive Resiliency Framework: Theoretical Model, Treatment, and Evaluation
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 respo...
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| Main Authors: | , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2021-03-01
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| Series: | Global Advances in Health and Medicine |
| Online Access: | https://doi.org/10.1177/21649561211000306 |
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| author | Elyse R Park PhD Christina M Luberto PhD Emma Chad-Friedman Lara Traeger Daniel L Hall PhD Giselle K Perez PhD Brett Goshe PhD Ana-Maria Vranceanu PhD Margaret Baim MS, ANP-BC John W Denninger MD, PhD Gregory Fricchione MD Herbert Benson MD Suzanne C Lechner PhD |
| author_facet | Elyse R Park PhD Christina M Luberto PhD Emma Chad-Friedman Lara Traeger Daniel L Hall PhD Giselle K Perez PhD Brett Goshe PhD Ana-Maria Vranceanu PhD Margaret Baim MS, ANP-BC John W Denninger MD, PhD Gregory Fricchione MD Herbert Benson MD Suzanne C Lechner PhD |
| author_sort | Elyse R Park PhD |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-0fb878b3ddde405ea7d29b2360cd735c |
| institution | DOAJ |
| issn | 2164-9561 |
| language | English |
| publishDate | 2021-03-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Global Advances in Health and Medicine |
| spelling | doaj-art-0fb878b3ddde405ea7d29b2360cd735c2025-08-20T03:09:51ZengSAGE PublishingGlobal Advances in Health and Medicine2164-95612021-03-011010.1177/21649561211000306A Comprehensive Resiliency Framework: Theoretical Model, Treatment, and EvaluationElyse R Park PhDChristina M Luberto PhDEmma Chad-FriedmanLara TraegerDaniel L Hall PhDGiselle K Perez PhDBrett Goshe PhDAna-Maria Vranceanu PhDMargaret Baim MS, ANP-BCJohn W Denninger MD, PhDGregory Fricchione MDHerbert Benson MDSuzanne C Lechner PhDBackground 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.https://doi.org/10.1177/21649561211000306 |
| spellingShingle | Elyse R Park PhD Christina M Luberto PhD Emma Chad-Friedman Lara Traeger Daniel L Hall PhD Giselle K Perez PhD Brett Goshe PhD Ana-Maria Vranceanu PhD Margaret Baim MS, ANP-BC John W Denninger MD, PhD Gregory Fricchione MD Herbert Benson MD Suzanne C Lechner PhD A Comprehensive Resiliency Framework: Theoretical Model, Treatment, and Evaluation Global Advances in Health and Medicine |
| title | A Comprehensive Resiliency Framework: Theoretical Model, Treatment, and Evaluation |
| title_full | A Comprehensive Resiliency Framework: Theoretical Model, Treatment, and Evaluation |
| title_fullStr | A Comprehensive Resiliency Framework: Theoretical Model, Treatment, and Evaluation |
| title_full_unstemmed | A Comprehensive Resiliency Framework: Theoretical Model, Treatment, and Evaluation |
| title_short | A Comprehensive Resiliency Framework: Theoretical Model, Treatment, and Evaluation |
| title_sort | comprehensive resiliency framework theoretical model treatment and evaluation |
| url | https://doi.org/10.1177/21649561211000306 |
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