Methodological Study for RAS Development for Chronic Pediatric Population
Keywords:Resilience, Assessment scale, Children, Renal Disease
Adolescence is considered as a difficult period filled with conflicts in search of self-autonomy, which
culminates the rediscovery of an individual towards adult life introduction. In addition to being sick there
are many other factors i.e. health care staff rotation, away from parents, experiencing pain during the
procedures, peer detachment and loss of self-esteem during hospitalization. The objective of the study was
to develop a scale for assessing resilience among children with Renal diseases. Methodological research
approach was used for development of an effective Resilience Assessment Scale for children admitted with
renal diseases. Study was done on 75 children aged 10-18 years admitted with renal disease in MMIMS&R
Hospital, Mullana, Government Civil Hospital at Ambala and Kalpana Chawla Government Hospital at
Karnal. The related review of literature ,experts guidance and investigator’s personal experience, a list of
factors/domains were identified and compared with standardized Resilience scales i.e., Wagnild and Young
Resilience assessment scale, Child and Youth Resiliency measure. Modified Delphi technique was used for
Content validation of Resilience assessment scale with 9 experts Content validity was ascertained by expert’s
opinion and was found to be 0.79.The range of rating score was 31-155 with the assumption that higher
the scores, the greater the resilience. At a cut-off point of ?102, the best balance between the sensitivity
and specificity was achieved. Cronbach’s alpha and inter item correlation were used to measure internal
consistency of the tool, coefficient alpha was 0.81. Pearson correlation between resilience assessment
scale and Wagnild Young resilience scale was 0.84. In order to estimate stability test re-test reliability was
calculated and it came out to be 0.84.
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