OTOtherJournal of rehabilitation medicine2025

Psychometric properties of the Danish version of the resilience scale for adults in individuals with acquired brain or spinal cord injury, and their family members.

Karoline Yde Andersen, Anne Norup, Mia Moth Wolffbrandt and 4 others

PMID 41158064

WHAT IT FOUND

In adults with acquired brain or spinal cord injury and their family members, the Danish Resilience Scale for Adults may be useful as five separate subscales.

Do not use the Structured style subscale or the total score.

Key findings

01Three subscales (Family cohesion, Planned future, Perception of self) showed good one-factor fit and reliability.

02The best total-scale model had 6 correlated factors, but it still did not meet the authors' fit standards.

03The Structured style subscale had inadequate fit and poor reliability.

STILL TO COME

How it was doneWhat they foundWhat it means for OTs

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What it does not show

Individuals with acquired brain injury, individuals with spinal cord injury, and family members were analysed together to get enough data for factor analysis, so the study cannot show whether the scale works differently in each group. The analysed sample was 140 participants, and the authors say the small sample size may increase uncertainty in model-fit estimates and reduce statistical power. The study used baseline data only, so it cannot show whether the scale gives stable results over time. The adjusted models for Social resources and Social competence may not generalise beyond this sample. The data are not openly accessible because of Danish health information rules, so outside researchers cannot check the analyses.

Declared interests

The authors declared no conflicts of interest. The research was funded by an unrestricted grant from the Council of Danish Victims Fund and Oestifterne.

The easy way to misread this

Do not treat the RSA total score as one validated resilience measure. The authors found evidence against a single overarching factor, and the Structured style subscale had inadequate fit and poor reliability.

Summarised by AI from the full paper, without a clinician reviewing it. Check it against the source before it changes what you do. Read it on PubMed →