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. 2021 Mar 24:10:21649561211000306.
doi: 10.1177/21649561211000306. eCollection 2021.

A Comprehensive Resiliency Framework: Theoretical Model, Treatment, and Evaluation

Elyse R Park  1   2   3 , Christina M Luberto  1   2 , Emma Chad-Friedman  4 , Lara Traeger  1   2 , Daniel L Hall  1   2 , Giselle K Perez  1   2 , Brett Goshe  1   2 , Ana-Maria Vranceanu  1   2 , Margaret Baim  1   2 , John W Denninger Md PhD  1   2 , Gregory Fricchione Md  1   2 , Herbert Benson Md  1   3 , Suzanne C Lechner  5
Affiliations

A Comprehensive Resiliency Framework: Theoretical Model, Treatment, and Evaluation

Elyse R Park et al. Glob Adv Health Med. .

Abstract

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.

Keywords: health; measurement; resiliency; stress; theory.

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Conflict of interest statement

Declaration of Conflicting Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

None
Figure 1: Resiliency treatment model.
See this image and copyright information in PMC

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