| Literature DB >> 36177483 |
Brooke Linden1, Amy Ecclestone1, Heather Stuart2.
Abstract
As mental health problems continue to increase among post-secondary populations, the need to develop effective initiatives designed to bolster students' resilience has increasingly been identified as a priority. Therefore, access to valid tools with which to measure the efficacy of these interventions is imperative. To date, a comprehensive assessment of existing instruments used to evaluate the construct of resilience among post-secondary student populations has not been conducted. The purpose of this study was to fill this gap by conducting a scoping review of literature detailing the use of resilience instruments and evaluating their quality based on suitability for use in the post-secondary setting and associated psychometric evidence. We identified a total of 78 records published between 2010 and 2022, extracting a total of 12 instruments. Using detailed criteria frameworks, each instrument was assessed in terms of suitability and quality of associated psychometric evidence for validity and reliability. The results of our study suggest that many of the instruments currently being used to assess resilience among post-secondary students may not be appropriate. The majority of the instruments included in our review were developed for use among general adult populations and not specifically designed for use in the post-secondary setting. Most instruments did not assess resilience in a comprehensive, holistic matter that addressed the ability to bounce back from adversity by drawing upon psychological, social, cultural, and environmental resources, as defined by recent research. Further, no instruments included in our review had published evidence in support of a complete psychometric analysis. The results of our evaluation suggest that the Connor-Davidson Resilience Scale (CD-RISC) is the most suitable instrument for measuring resilience among post-secondary populations due to its suitability, comprehensive assessment of the construct of resilience, and demonstrably strong psychometric properties for both the 25- and 10-item versions of the tool.Entities:
Keywords: Higher education; Measurement; Mental health; Post-secondary; Psychometrics; Resilience
Year: 2022 PMID: 36177483 PMCID: PMC9513163 DOI: 10.1016/j.ssmph.2022.101227
Source DB: PubMed Journal: SSM Popul Health ISSN: 2352-8273
Sample key word search strategy.
| Key Words: | (‘resilience’ OR ‘resiliency’) AND (‘post-secondary’ OR ‘postsecondary’ OR ‘university’ OR ‘college’ OR ‘higher education’ OR ‘student’) AND (‘tool’ OR ‘instrument’ OR ‘scale’ OR ‘index’) |
| Limits: | (Date range = August 2010–August 2022) AND (language = English) |
Fig. 1PRISMA flow diagram for recording screening and selection.
Instruments included in review (N = 12).
| Instrument | Author(s) | Sample | n | Country |
|---|---|---|---|---|
| Connor-Davidson Resilience Scale (CD-RISC) 10 item | Nursing students | 708 | Australia and Canada | |
| Medical students | 237; | South Korea | ||
| Nursing students | 348 | United States | ||
| Medical students | 579 | Japan | ||
| Nursing and Physical Therapy students | 245 | Spain | ||
| Nursing students | 152 | United States | ||
| Nursing students | 678 | China | ||
| Medical students | 117 | United States | ||
| Nursing students | 377 | China | ||
| Nursing students | 202 | China | ||
| Undergraduate students | 2230 | China | ||
| College students | 1400 | China | ||
| University students | 770 | Spain | ||
| Nursing students | 449 | Nigeria | ||
| Undergraduate students | 28 | United States | ||
| Students | 80 | Germany | ||
| College students | 696 | United States and Spain | ||
| Nursing students | 113 | Spain | ||
| Nursing students | 439 | Saudi Arabia | ||
| College students | 723 | Israel | ||
| University students | 681 | Spain | ||
| Connor-Davidson Resilience Scale (CD-RISC) 25 item | Medical students | 69 | New Zealand | |
| College students | 628 | USA, Taiwan and China | ||
| Nursing students | 102 | India | ||
| Medical students | 521 | China | ||
| Nursing students | 538 | Australia | ||
| Medical students | 113 | Mexico | ||
| First year college students | 252 | United States | ||
| Undergraduate students | 80 | Canada | ||
| Healthcare students | 184 | Israel | ||
| Medical students | 579 | China | ||
| University students | 1543 | United Kingdom | ||
| Undergraduate students | 327 | India | ||
| Medical students | 532 | Indonesia | ||
| Medical and psychology students | 560 | Australia | ||
| College students | 129 | United States | ||
| Medical students | 1988 | China | ||
| Undergraduate students | 605 | United States | ||
| University students | 240 | Iran | ||
| Connor-Davidson Resilience Scale 25 item (French) | Dental and medical students | 1210 | France | |
| Connor-Davidson Resilience Scale 25 item (Bahasa Indonesia) | Nursing students | 336 | Indonesia | |
| Resilience Scale 14 | Midwifery students | 150 | United Kingdom | |
| College students | 2195 | France | ||
| College students | 700 | China | ||
| Medical students | 2925 | China | ||
| College students | 674 | Malaysia | ||
| Nursing students | 119 | United States | ||
| College students | 164 | United States | ||
| Students | 313 | Portugal | ||
| Nursing Students | 490 | United States | ||
| Nursing students | 620 | India | ||
| Resilience Scale 14 (Chinese Version) | College students | 888 | China | |
| College students | 1010 | China | ||
| Ego Resilience 89 Scale | Undergraduate students | 300 | United States | |
| Medical Students | 140 | India | ||
| Undergraduate students | 415 | Turkey | ||
| Medical students | 666 | China | ||
| Brief Resilience Scale | Undergraduate students | 186 | Turkey | |
| Undergraduate medical interns | 15 | Mexico | ||
| Dental students | 272 | Saudi Arabia | ||
| University students | 506 | Turkey | ||
| Nursing students | 265 | Spain | ||
| Nursing students | 933 | United States | ||
| Medical students | 172 | United States | ||
| Higher education students | 173 | India | ||
| Brief Resilience Scale (Korean Version) | College students | 925 | Korea | |
| Brief Resilience Scale (Spanish Version) | University students | 1572; 1345 | Mexico; Chile | |
| Resilience Scale for Young Adults | University students | 186 | Italy | |
| Dental students | 151 | USA | ||
| University students | 617; 651 | Canada; China | ||
| Resilience Scale for Adolescents | University students | 371 | Italy | |
| Resilience Scale for Adults | Post-doctorate students | 608 | United States | |
| Midwife Students | 270 | Turkey | ||
| Dental students | 151 | United States | ||
| Resilience Appraisal Scale | College students | 113 | Korea | |
| Psychological Resilience Scale | College students | 881 | China | |
| Resilience at University Scale | Undergraduate students | 410 | Australia | |
| Academic Resilience Scale | Undergraduate students | 532 | United Kingdom |
Evaluation of instruments by psychometric and suitability evaluative criteria frameworks.
| Instrument | Evidence for Validity | Evidence for Reliability | Suitability | |||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Content | Response Processes | Internal Structure | Relations to other Variables | Internal Consistency | Test-retest | Population | Scope | Applicability | Accessibility | |
| Connor-Davidson Resilience Scale – 10-item | ± | ☓ | ✓ | ✓ | ✓ | ✓ | ± | ✓ | ✓ | ✓ |
| Connor-Davidson Resilience Scale – 25-item | ± | ☓ | ✓ | ✓ | ✓ | ✓ | ± | ✓ | ✓ | ✓ |
| Connor-Davidson Resilience Scale – 25-item (FR) | ± | ☓ | ✓ | ✓ | ✓ | ✓ | ± | ✓ | ✓ | ± |
| Resilience Scale - 14 | ✓ | ☓ | ✓ | ✓ | ✓ | ☓ | ± | * | * | ☓ |
| Resilience Scale – 14 (CH) | ✓ | ☓ | ✓ | ✓ | ✓ | ✓ | ± | * | * | ☓ |
| Ego Resilience 89 Scale | ✓ | ☓ | ± | ✓ | ± | ✓ | ± | ± | ✓ | ± |
| Brief Resilience Scale | ± | ☓ | ± | ✓ | ✓ | ☓ | ± | ☓ | ✓ | ✓ |
| Resilience Scale for Young Adults | ± | ☓ | ✓ | ✓ | ✓ | ✓ | ✓ | ± | ✓ | ± |
| Resilience Scale for Adolescents | ± | ± | ± | ✓ | ± | ☓ | ± | ✓ | ✓ | ± |
| Resilience Scale for Adults | ☓ | ☓ | ✓ | ☓ | ± | ✓ | ✓ | ✓ | ✓ | ± |
| Resilience Appraisal Scale | ☓ | ☓ | ✓ | ☓ | ± | ✓ | ± | ± | ✓ | ± |
| Resilience at University Scale | ± | ☓ | ✓ | ☓ | ✓ | ☓ | ✓ | ✓ | ✓ | ± |
| Academic Resilience Scale | ± | ☓ | ± | ☓ | ✓ | ☓ | ✓ | ± | ✓ | ✓ |
Notes: ✓ Indicates the scale met all evaluation criteria, ± indicates criteria were partially met, ☓ indicates these criteria were not met, and * indicates unable to assess.
| Evaluation Criteria | Good (✓) | Adequate (±) | Inadequate (☓) |
|---|---|---|---|
| Evidence for Validity | |||
| Content | Strong evidence of thoughtful item construction incorporating feedback from user group, literature, and expert input | Evidence of efforts made to incorporate feedback from some combination of user group, literature, and/or expert input during item development | Items developed based solely on literature OR item development process not described |
| Response Processes | Analysis of thorough response processes testing during item refinement | Analysis of response processes testing weakly reported | Response processes testing not reported |
| Internal Structure | EFA conducted using appropriate sample size (>300) | EFA conducted using inappropriate sample size (<300) OR demonstrates weak results | EFA conducted using inappropriate sample size (<300) OR is not reported |
| Relations to other | Results of comparisons to other like constructs align with directional hypotheses | Comparisons to other like constructs provided are weakly aligned with directional hypotheses | Not provided OR results not aligned with directional hypotheses |
| Internal Consistency | Coefficient ≥0.8 | Coefficient | Coefficient <0.7 |
| Test-retest Reliability | Coefficient ≥0.8 | Coefficient | Coefficient <0.6 |
| Evaluation Criteria | Good (✓) | Adequate (±) | Inadequate (☓) |
|---|---|---|---|
| Population | Tool created specifically for students and/or youth, young adults, or emerging adults | Tool created for general use among a variety of populations, including youth, young adults, or emerging adults | Tool designed for a specific population (i.e., clinical) and was not intended for use among youth, young adults, or emerging adults |
| Scope | Tool creators' definition of resilience aligns well with that of | Tool creators' definition of resilience somewhat aligns with that of | Tool creators' definition of resilience does not align with that of |
| Applicability | Items on the instrument are relevant for modern day use | Items on the instrument are somewhat relevant for modern day use | Items on the instrument are irrelevant for modern day use |
| Accessibility | Instrument is easily and freely accessible | Instrument is freely accessible upon author request | Instrument is difficult to access (i.e., high cost) OR inaccessible |