Retrospective development of a novel resilience indicator using existing cohort data: The adolescent to adult health resilience instrument.
Journal
PloS one
ISSN: 1932-6203
Titre abrégé: PLoS One
Pays: United States
ID NLM: 101285081
Informations de publication
Date de publication:
2020
2020
Historique:
received:
18
05
2020
accepted:
23
11
2020
entrez:
10
12
2020
pubmed:
11
12
2020
medline:
9
2
2021
Statut:
epublish
Résumé
Cohort studies represent rich sources of data that can be used to link components of resilience to a variety of health-related outcomes. The Adolescent to Adult Health (Add Health) cohort study represents one of the largest data sets of the health and social context of adolescents transitioning into adulthood. It did not however use validated resilience scales in its data collection process. This study aimed to retrospectively create and validate a resilience indicator using existing data from the cohort to better understand the resilience of its participants. Questions asked of participants during one Add Health data collection time period (N = 15,701) were matched to items on a well-known and widely validated resilience scale called the Connor Davidson Resilience Scale. Factor analysis and psychometric analyses were used to refine and validate this novel Adolescent to Adult Health Resilience Instrument. Construct validity utilized participants' answers to the 10 item Center for Epidemiologic Studies Depression Scale, which has been used to validate other resilience scales. Factor analysis yielded an instrument with 13 items that showed appropriate internal consistency statistics. Resilience scores in our study were normally distributed with no ceiling or floor effects. Our instrument had appropriate construct validity, negatively correlating to answers on the depression scale (r = -0.64, p<0.001). We also found demographic differences in mean resilience scores: lower resilience scores were seen among women and those who reported lower levels of education and household income. It is possible to retrospectively construct a resilience indicator from existing cohort data and achieve good psychometric properties. The Adolescent to Adult Health Resilience Instrument can be used to better understand the relationship between resilience, social determinants of health and health outcomes among young adults using existing data, much of which is publicly available.
Sections du résumé
BACKGROUND
Cohort studies represent rich sources of data that can be used to link components of resilience to a variety of health-related outcomes. The Adolescent to Adult Health (Add Health) cohort study represents one of the largest data sets of the health and social context of adolescents transitioning into adulthood. It did not however use validated resilience scales in its data collection process. This study aimed to retrospectively create and validate a resilience indicator using existing data from the cohort to better understand the resilience of its participants.
METHODS
Questions asked of participants during one Add Health data collection time period (N = 15,701) were matched to items on a well-known and widely validated resilience scale called the Connor Davidson Resilience Scale. Factor analysis and psychometric analyses were used to refine and validate this novel Adolescent to Adult Health Resilience Instrument. Construct validity utilized participants' answers to the 10 item Center for Epidemiologic Studies Depression Scale, which has been used to validate other resilience scales.
RESULTS
Factor analysis yielded an instrument with 13 items that showed appropriate internal consistency statistics. Resilience scores in our study were normally distributed with no ceiling or floor effects. Our instrument had appropriate construct validity, negatively correlating to answers on the depression scale (r = -0.64, p<0.001). We also found demographic differences in mean resilience scores: lower resilience scores were seen among women and those who reported lower levels of education and household income.
CONCLUSIONS
It is possible to retrospectively construct a resilience indicator from existing cohort data and achieve good psychometric properties. The Adolescent to Adult Health Resilience Instrument can be used to better understand the relationship between resilience, social determinants of health and health outcomes among young adults using existing data, much of which is publicly available.
Identifiants
pubmed: 33301500
doi: 10.1371/journal.pone.0243564
pii: PONE-D-20-14860
pmc: PMC7728188
doi:
Substances chimiques
Biomarkers
0
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
e0243564Subventions
Organisme : NICHD NIH HHS
ID : P01 HD031921
Pays : United States
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
Références
J Consult Clin Psychol. 2005 Feb;73(1):47-58
pubmed: 15709831
Disaster Med Public Health Prep. 2018 Apr;12(2):241-248
pubmed: 28851469
Int J Behav Med. 2008;15(3):194-200
pubmed: 18696313
J Affect Disord. 2014 Feb;155:149-53
pubmed: 24215898
Int J Soc Psychiatry. 2018 Sep;64(6):570-577
pubmed: 30024292
Early Interv Psychiatry. 2019 Aug;13(4):725-732
pubmed: 30126047
J Clin Epidemiol. 2007 Jan;60(1):34-42
pubmed: 17161752
Psychol Assess. 2016 May;28(5):e101-e110
pubmed: 26502199
Depress Anxiety. 2003;18(2):76-82
pubmed: 12964174
Ecol Soc. 2013;18(2):16
pubmed: 25170339
Am J Prev Med. 1994 Mar-Apr;10(2):77-84
pubmed: 8037935
Assessment. 2014 Aug;21(4):443-51
pubmed: 24586090
Sao Paulo Med J. 2016 May 13;:
pubmed: 27191249
Pediatrics. 2016 Dec;138(6):
pubmed: 27940681
J Am Heart Assoc. 2019 Jun 18;8(12):e011633
pubmed: 31203713
Cancer. 2018 Oct 1;124(19):3909-3917
pubmed: 30230531
Health Qual Life Outcomes. 2011 Feb 04;9:8
pubmed: 21294858
Glob Health Promot. 2013 Jun;20(2):30-8
pubmed: 23797938
Geriatr Nurs. 2016 Jul-Aug;37(4):266-72
pubmed: 27055911
J Am Acad Child Adolesc Psychiatry. 1991 Jan;30(1):58-66
pubmed: 2005065
Arch Gen Psychiatry. 2009 Feb;66(2):181-8
pubmed: 19188540
J Affect Disord. 2018 Jan 1;225:153-159
pubmed: 28837948
Front Psychiatry. 2018 Aug 21;9:378
pubmed: 30186189
BMJ Open. 2019 Jun 1;9(5):e025602
pubmed: 31154302
Aging Ment Health. 2019 Feb;23(2):183-188
pubmed: 29116825
J Youth Adolesc. 2014 Sep;43(9):1563-75
pubmed: 24907892
Acad Pediatr. 2019 Apr;19(3):342-350
pubmed: 29935252
J Trauma Stress. 2007 Dec;20(6):1019-28
pubmed: 18157881
Am J Epidemiol. 2016 Feb 15;183(4):269-76
pubmed: 26838597
J Appl Gerontol. 2020 Mar;39(3):269-276
pubmed: 31375054
Compr Psychiatry. 2015 Jan;56:103-11
pubmed: 25248467
J Subst Abuse Treat. 2019 Jun;101:18-24
pubmed: 31174710
J Youth Adolesc. 2014 Jul;43(7):1080-95
pubmed: 24585391
Health Qual Life Outcomes. 2011 Aug 05;9:63
pubmed: 21819555
Fam Syst Health. 2015 Dec;33(4):349-55
pubmed: 26237055