Archives of physical medicine and rehabilitation · 2025
Real-Time Assessment of Resilience in Individuals With Spinal Cord Injury and Chronic Pain: A Feasibility, Reliability, and Validity Study.
СтатьяНаблюдательное исследованиеВалидационное исследованиеПоддержка исследования: вне правительства СШАНазвание и аннотация: Перевод пока не подготовлен
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Kuzu Duygu, Kratz Anna L
Аннотация
OBJECTIVE: This observational study examined the feasibility, between-person reliability, and convergent and discriminant validity of an ecological momentary assessment (EMA) measure of resilience in individuals with spinal cord injury (SCI) and chronic pain.
DESIGN: Participants completed self-report assessments of resilience twice a day for 7 days using a 6-item EMA measure adapted from the SCI Quality of Life (QOL) Resilience Item Bank. Data were collected via a smartphone.
SETTING: General community.
PARTICIPANTS: Individuals with SCI and chronic pain (N=53; 54.7% men and 45.3% women).
INTERVENTIONS: Not applicable.
MAIN OUTCOME MEASURES: Besides the 6-item EMA resilience measure, we included the full SCI-QOL Resilience Item Bank, the Connor-Davidson Resilience Scale, the Patient-Reported Outcomes Measurement Information System Depression Short Form, the SCI-QOL Anxiety Short Form, the National Institutes of Health Toolbox Perceived Stress Survey, the SCI-QOL Positive Affect and Well-Being Short Form, and the SCI-QOL Ability to Participate in Social Roles and Activities.
RESULTS: Our results showed that the resilience EMA measure revealed high feasibility, with an overall response rate of 88%, and strong between-person reliability (>0.90). The measure also demonstrated good convergent validity with related constructs, such as depression, anxiety, and social participation, and good discriminant validity with unrelated factors, like age and injury level.
CONCLUSIONS: Our findings suggest that the EMA resilience measure is a reliable and valid tool for capturing the dynamic nature of resilience in real-time. Our study highlights the importance of the application of a real-time assessment, given that understanding daily functioning contributes to more person-centered rehabilitation interventions for individuals with SCI and chronic pain.
DESIGN: Participants completed self-report assessments of resilience twice a day for 7 days using a 6-item EMA measure adapted from the SCI Quality of Life (QOL) Resilience Item Bank. Data were collected via a smartphone.
SETTING: General community.
PARTICIPANTS: Individuals with SCI and chronic pain (N=53; 54.7% men and 45.3% women).
INTERVENTIONS: Not applicable.
MAIN OUTCOME MEASURES: Besides the 6-item EMA resilience measure, we included the full SCI-QOL Resilience Item Bank, the Connor-Davidson Resilience Scale, the Patient-Reported Outcomes Measurement Information System Depression Short Form, the SCI-QOL Anxiety Short Form, the National Institutes of Health Toolbox Perceived Stress Survey, the SCI-QOL Positive Affect and Well-Being Short Form, and the SCI-QOL Ability to Participate in Social Roles and Activities.
RESULTS: Our results showed that the resilience EMA measure revealed high feasibility, with an overall response rate of 88%, and strong between-person reliability (>0.90). The measure also demonstrated good convergent validity with related constructs, such as depression, anxiety, and social participation, and good discriminant validity with unrelated factors, like age and injury level.
CONCLUSIONS: Our findings suggest that the EMA resilience measure is a reliable and valid tool for capturing the dynamic nature of resilience in real-time. Our study highlights the importance of the application of a real-time assessment, given that understanding daily functioning contributes to more person-centered rehabilitation interventions for individuals with SCI and chronic pain.