J Korean Acad Nurs.  2010 Apr;40(2):236-246. 10.4040/jkan.2010.40.2.236.

Development of a Questionnaire to Measure Resilience in Children with Chronic Diseases

Affiliations
  • 1Sungshin Women's University College of Nursing, Seoul, Korea.
  • 2Yonsei University College of Nursing, Seoul, Korea. iyoo@yuhs.ac

Abstract

PURPOSE
The purpose of this study was to develop and evaluate a Korean questionnaire to measure resilience in children with chronic illness.
METHODS
Item construction was drawn from an extensive review of the literature, existing questionnaires and interviews with parents. Content validity was tested by experts. To further refine the questionnaire and test its reliability and validity, data were collected from the 202 children with asthma, diabetes mellitus or nephrotic syndrome. Corrected items were used to total correlation coefficient and test-retest reliability. Questionnaire testing was conducted using factor analysis, Cronbach's alpha, and correlation coefficients. Validity of the questionnaire was tested using internal consistency, construct validity, and criterion-related validity.
RESULTS
Components of the questionnaire were in three domains; interpersonal characteristics, characteristics of coping, and intrapersonal characteristics. Factor analysis is showed five factors; positive self-understanding, self-reliance, resourcefulness, perception of positive family relationships, and intimacy. The questionnaire showed a high internal consistency. A significant positive correlation with the Numerical Rating Score and negative correlation with the Child Depression Inventory support the validity of the questionnaire.
CONCLUSION
This instrument demonstrated high reliability and validity. Therefore, this instrument can contribute to the evaluation of resilience of chronically ill children and to any subsequent intervention as well as to develop a theory for resilience.

Keyword

Child; Chronic disease; Resilience; Questionnaire

MeSH Terms

Adolescent
Adult
Asthma/*psychology
Child
Chronic Disease
Depression/psychology
Diabetes Mellitus/*psychology
Humans
Interviews as Topic
Middle Aged
Nephrotic Syndrome/*psychology
Parents/psychology
Program Evaluation
*Questionnaires
*Resilience, Psychological
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