Department of Occupational & Recreational Therapies, University of Utah, Salt Lake City, USA.
Department of Health Outcomes & Behavior, Moffitt Cancer Center, Tampa, FL, USA.
Ann Behav Med. 2022 Mar 1;56(3):270-281. doi: 10.1093/abm/kaab053.
Resilience is dynamic and influenced by internal and external factors. In persons with chronic illness and/or disability, resilience is viewed as the ability to adapt to new life circumstances. Existing models of resilience typically focus on the absence of deficit and pathology in the individual, overlooking resources, well-being, and broader social impacts. Our proposed novel Relational, Intrapersonal, Social and Environmental (RISE) Model of resilience incorporates and describes the interconnection and influence of constructs that impact resilience and affect the quality of life.
The purpose of this study is to examine the fit of the RISE Model against original interview data obtained from persons with stroke and their partners.
This study is a secondary analysis of qualitative data collected from post-intervention interviews that were part of an intervention pilot study designed to promote resilience in couples coping with stroke. Interviews were coded to examine relationships between RISE Model constructs.
The study included 36 interviews from 18 cohabitating couples; mean participant age was 53.33 years (SD ±14.70). Examples of each construct within the RISE Model appeared in transcribed interviews and common patterns of co-occurring constructs were identified.
The constructs within the RISE Model were supported by the interviews. The impact of disability does not remain confined to a single individual and instead branches out into the broader social context, including close interpersonal relationships. A deeper understanding of resilience and its relationship with intrapersonal, interpersonal and socio-ecological constructs would add value to our understanding and fostering of resilience in persons with disabilities and/or chronic illness.
NCT03335358.
韧性是动态的，受到内部和外部因素的影响。在患有慢性疾病和/或残疾的人群中，韧性被视为适应新的生活环境的能力。现有的韧性模型通常侧重于个体中没有缺陷和病理学，而忽略了资源、幸福感和更广泛的社会影响。我们提出的新的韧性关系、人际、社会和环境（RISE）模型将影响韧性和生活质量的相关结构的相互联系和影响纳入并描述其中。
本研究旨在考察 RISE 模型与从中风患者及其伴侣获得的原始访谈数据的拟合程度。
这是一项对从干预后访谈中收集的定性数据进行的二次分析，这些访谈是一项旨在促进应对中风的夫妇韧性的干预试点研究的一部分。对访谈进行了编码，以检查 RISE 模型结构之间的关系。
该研究包括 18 对同居夫妇的 36 次访谈；参与者的平均年龄为 53.33 岁（标准差±14.70）。RISE 模型中的每个结构的例子都出现在转录访谈中，并确定了共同出现的结构的常见模式。
RISE 模型中的结构得到了访谈的支持。残疾的影响不会局限于单个个体，而是扩展到更广泛的社会背景，包括密切的人际关系。更深入地了解韧性及其与人际、人际关系和社会生态结构的关系，将有助于我们理解和培养残疾人和/或慢性病患者的韧性。
NCT03335358。
