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New resilience instrument for patients with cancer

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Abstract

Objective

Resilience is an important concept in the cancer literature and is a salient indicator of cancer survivorship. The aim of this study is to develop and validate a new resilience instrument that is specific to patients with cancer diagnosis (RS-SC) in Mainland China.

Methods

First, a resilience framework was constructed for patients with cancer diagnosis. Second, items were formulated based on the framework to reflect different aspects of resilience. Third, two rounds of expert panel discussion were performed to select important and relevant items. Finally, two cross-sectional studies were conducted to evaluate the psychometric properties of this instrument.

Results

Fifty-one items were generated based on the resilience framework and the final 25-item RS-SC resulted in a five-factor solution including Generic Elements, Benefit Finding, Support and Coping, Hope for the Future and Meaning for Existence, accounting for 64.72% of the variance. The Cronbach’s α of the RS-SC was 0.825 and the test–retest reliability was 0.874.

Conclusion

The RS-SC is a brief and specific self-report resilience instrument for Chinese patients with cancer and shows sound psychometric properties in this study. The RS-SC has potential applications in both clinical practice and research with strength-based resiliency interventions.

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Acknowledgements

The authors acknowledge the valuable information and comments provided by 15 experts and the assistance of the patients who participated in this study.

Funding

This research was funded by grants from State Administration of Traditional Chinese Medicine (No: ZYZC20160901 and ZYZC20160902), Innovative Project of Guangzhou University of Chinese Medicine(No: 2016KYTD08).

Author information

Author notes

  1. Zeng Jie Ye, and Mu Zi Liang have contributed equally to this work and should be considered co-first authors.

Authors and Affiliations

  1. Guangzhou University of Chinese Medicine, Guangzhou, 510006, Guangdong Province, China

    Zeng Jie Ye, Mu Zi Liang, Peng Fei Li & Peng Chen

  2. Guangdong Academy of Population Development, Guangzhou, 510600, Guangdong Province, China

    Mu Zi Liang

  3. The First Affiliated Hospital, Guangzhou University of Chinese Medicine, Guangzhou, 510405, Guangdong Province, China

    Zhe Sun & Guang Yun Hu

  4. South China University of Technology, Guangzhou, 510641, Guangdong Province, China

    Yuan Liang Yu

  5. College of Economics and Management, Guangzhou University of Chinese Medicine, Guangzhou, 510006, Guangdong Province, China

    Shu Ni Wang & Hong Zhong Qiu

Authors
  1. Zeng Jie Ye
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  4. Zhe Sun
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  9. Hong Zhong Qiu
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Contributions

ZJY, MZL, HZQ: conceptualized and designed the study, carried out the initial analyses, supervised data collection, drafted the initial manuscript, and approved the final manuscript as submitted. PFL, ZS, PC, GYH, YLY, SNW: coordinated data collection at one of the four sites, critically reviewed the manuscript, drafted the initial manuscript, and approved the final manuscript as submitted.

Corresponding authors

Correspondence to Zeng Jie Ye or Hong Zhong Qiu.

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The authors have no conflicts of interest to disclose.

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The authors have no financial relationships relevant to this article to disclose.

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Ye, Z.J., Liang, M.Z., Li, P.F. et al. New resilience instrument for patients with cancer. Qual Life Res 27, 355–365 (2018). https://doi.org/10.1007/s11136-017-1736-9

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  • DOI: https://doi.org/10.1007/s11136-017-1736-9

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