RNOtherCancer nursing2017

The Resilience in Illness Model Part 2: Confirmatory Evaluation in Adolescents and Young Adults With Cancer.

Joan E Haase, Eileen K Kintner, Sheri L Robb and 5 others

PMID 27984241

WHAT IT FOUND

A resilience model for adolescents and young adults entering stem cell transplant fit reasonably well.

It suggested high symptom distress and uncertainty may reduce coping and the ability to rise above illness, but tested no treatment.

Key findings

01The confirmatory measurement model fit the baseline data reasonably well.

02The full structural model also fit reasonably well and accounted for 72% of variation in resilience resolution and 62% of variation in self-transcendence.

03The model accounted for large shares of variation in protective factors, especially courageous coping, hope-derived meaning and social integration.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

The study used cross-sectional baseline data, so it cannot show that any factor causes another or that resilience changes over time. All information came from self-report questionnaires, which can be affected by recall, lack of objectivity and social desirability. The sample was limited to adolescents and young adults admitted for stem cell transplant who could read and speak English, were not married or have children, and did not have cognitive impairment, so it may not apply to other cancer patients or other treatment stages. The supplied text does not state the total number of participants analysed. Researchers explored eleven modified versions of the measurement model before choosing the final model.

The easy way to misread this

Do not read this as proof that assessing or fostering resilience improves outcomes for adolescents and young adults with cancer. The paper tested a model with cross-sectional self-report data and did not evaluate any treatment or patient outcome change.

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