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Original Article
Development of a Questionnaire to Measure Resilience in Children with Chronic Diseases
Dong Hee Kim, Il Young Yoo
Journal of Korean Academy of Nursing 2010;40(2):236-246.
DOI: https://doi.org/10.4040/jkan.2010.40.2.236
Published online: April 30, 2010

1Assistant Professor, Sungshin Women's University College of Nursing, Seoul, Korea.

2Professor, Yonsei University College of Nursing, Seoul, Korea.

Address reprint requests to: Yoo, Il Young. Yonsei University College of Nursing, 34 Sinchon-dong, Seodaemun-gu, Seoul 120-752, Korea. Tel: 82-2-2228-3273, Fax: 82-2-392-5440, iyoo@yuhs.ac
• Received: December 17, 2009   • Revised: December 23, 2009   • Accepted: March 24, 2010

Copyright © 2010 Korean Society of Nursing Science

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  • 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 α, 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.
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Figure 1
Initial and final instrument components.
jkan-40-236-g001.jpg
Table 1
Demographic Characteristics of Participants (N=202)
jkan-40-236-i001.jpg
Table 2
Factor analysis
jkan-40-236-i002.jpg
Table 3
Correlation of Resilience Score and Numerical Rating Score (N=185)
jkan-40-236-i003.jpg

NRS=numerical rating score.

Table 4
Correlation of Resilience Score and Child Depression Index Score (N=201)
jkan-40-236-i004.jpg

CDI=child depression index.

Figure & Data

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      Development of a Questionnaire to Measure Resilience in Children with Chronic Diseases
      Image
      Figure 1 Initial and final instrument components.
      Development of a Questionnaire to Measure Resilience in Children with Chronic Diseases

      Demographic Characteristics of Participants (N=202)

      Factor analysis

      Correlation of Resilience Score and Numerical Rating Score (N=185)

      NRS=numerical rating score.

      Correlation of Resilience Score and Child Depression Index Score (N=201)

      CDI=child depression index.

      Table 1 Demographic Characteristics of Participants (N=202)

      Table 2 Factor analysis

      Table 3 Correlation of Resilience Score and Numerical Rating Score (N=185)

      NRS=numerical rating score.

      Table 4 Correlation of Resilience Score and Child Depression Index Score (N=201)

      CDI=child depression index.


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