Jongen Crystal, Langham Erika, Bainbridge Roxanne, McCalman Janya
School of Health, Medicine and Applied Sciences, Central Queensland University, Rockhampton, QLD, Australia.
Front Public Health. 2019 Jul 16;7:194. doi: 10.3389/fpubh.2019.00194. eCollection 2019.
Resilience is enabled by internal, individual assets as well as the resources available in a person's environment to support healthy development. For Indigenous people, these resources and assets can include those which enhance cultural resilience. Measurement instruments which capture these core resilience constructs are needed, yet there is a lack of evidence about which instruments are most appropriate and valid for use with Indigenous adolescents. The current study reviews instruments which have been used to measure the resilience of Indigenous adolescents in Canada, Australia, New Zealand, and the United States (the CANZUS nations). The aim is to provide guidance for the future use of instruments to measure resilience among Indigenous adolescents and provide recommendations for research to strengthen evidence in this area. Instruments were identified through a systematic search of resilience intervention and indicator studies targeting Indigenous youth from CANZUS nations. The studies were analyzed for information on the constructs of resilience measured in the instruments, their use with the targeted groups, and their psychometric properties. A second search was conducted to fill in any gaps in information. Instruments were included if they measured at least one construct of resilience reflecting individual assets, environmental resources, and/or cultural resilience. A total of 20 instruments were identified that measured constructs of resilience and had been administered to Indigenous adolescents in the CANZUS nations. Instruments which measured both individual assets and environmental resources ( = 7), or only environmental resources ( = 6) were most common. Several instruments ( = 5) also measured constructs of cultural resilience, and two instruments included items addressing all three constructs of individual assets, environmental resources, and cultural resilience. The majority of the reviewed studies tested the reliability (75%) and content or face validity (80%) of instruments with the target population. There are several validated instruments available to appropriately measure constructs of resilience with Indigenous adolescents from CANZUS nations. Further work is needed on developing a consistent framework of resilience constructs to guide research efforts. Future instrument development and testing ought to focus on measures which include elements of all three core constructs critical to Indigenous adolescent resilience.
复原力由个体内部资产以及个人环境中可用于支持健康发展的资源促成。对于原住民而言,这些资源和资产可包括增强文化复原力的资源和资产。我们需要能够捕捉这些核心复原力构成要素的测量工具,但对于哪些工具最适合并有效用于原住民青少年,却缺乏相关证据。本研究回顾了在加拿大、澳大利亚、新西兰和美国(CANZUS国家)用于测量原住民青少年复原力的工具。目的是为未来使用测量原住民青少年复原力的工具提供指导,并为加强该领域证据的研究提供建议。通过系统检索针对CANZUS国家原住民青年的复原力干预和指标研究来确定工具。对这些研究进行分析,以获取有关工具中测量的复原力构成要素、其在目标群体中的使用情况以及其心理测量特性的信息。进行了第二次检索以填补信息空白。如果工具测量了至少一个反映个体资产、环境资源和/或文化复原力的复原力构成要素,则将其纳入。总共确定了20种测量复原力构成要素并已应用于CANZUS国家原住民青少年的工具。测量个体资产和环境资源两者的工具(n = 7)或仅测量环境资源的工具(n = 6)最为常见。有几种工具(n = 5)还测量了文化复原力构成要素,还有两种工具包含了涉及个体资产、环境资源和文化复原力所有三个构成要素的项目。大多数被审查的研究测试了工具在目标人群中的信度(75%)和内容效度或表面效度(8)%)。有几种经过验证的工具可用于适当测量CANZUS国家原住民青少年的复原力构成要素。需要进一步开展工作来制定一个一致的复原力构成要素框架,以指导研究工作。未来的工具开发和测试应侧重于包含对原住民青少年复原力至关重要的所有三个核心构成要素的测量方法。