University of Minnesota School of Nursing, 5-140 Weaver-Densford Hall, 308 Harvard Street SE, Minneapolis, MN 55455, USA.
University of Minnesota School of Nursing, 5-140 Weaver-Densford Hall, 308 Harvard Street SE, Minneapolis, MN 55455, USA.
J Pediatr Nurs. 2022 Nov-Dec;67:64-74. doi: 10.1016/j.pedn.2022.07.025. Epub 2022 Aug 11.
The purpose of this study was to explore youth perceptions of resilience through participant-generated timelines as a potential new strategy for nursing research and practice.
We used a concurrent triangulation design to collect and analyze qualitative and quantitative data from a statewide, community-based sample of 448 youth ages 8 to 17 years. We collected three sources of data during two waves of data collection in 2019 and 2021: a participant-generated timeline, a brief structured interview, and a PROMIS pediatric global health measure.
The timeline activity was easy to administer and well accepted by youth in a community setting. Youth reporting an adverse experience or mental health challenge in the previous year had unique patterns of variability in the timelines, and more frequently reported certain resilience factors, including family support and regulatory, interpersonal, and meaning-making assets. Pandemic-related differences were noted between the two cohorts.
The timeline drawing activity reflects and extends findings from a standard measure of global health. This activity benefits both the participant and the clinician or researcher by helping youth to communicate how they make sense of the world, honoring different ways of knowing and prompting recollection of coping appraisals and resilience factors.
Participant-generated timelines are a developmentally appropriate and interactive strategy for assessing youth perceptions of their internal strengths. In conjunction with traditional assessments, this strategy may support the identification of malleable targets for intervention in practice with youth who have experienced adversity or mental health challenges.
本研究旨在通过参与者生成的时间线探索青年对韧性的看法，这可能是护理研究和实践的一种新策略。
我们采用同时性三角设计，从 2019 年和 2021 年的两轮数据收集，从全州范围的社区样本中收集了 448 名 8 至 17 岁青年的定性和定量数据。我们收集了三种来源的数据：参与者生成的时间线、简短的结构化访谈和 PROMIS 儿科全球健康测量。
时间线活动易于在社区环境中进行管理，并深受青年欢迎。在过去一年中报告有不良经历或心理健康挑战的青年，其时间线的变化模式独特，更频繁地报告某些韧性因素，包括家庭支持和监管、人际关系和意义构建资产。两个队列之间注意到了与大流行相关的差异。
时间线绘图活动反映并扩展了全球健康标准测量的发现。该活动通过帮助青年理解他们如何理解世界，尊重不同的认知方式并提示回忆应对评估和韧性因素，使参与者和临床医生或研究人员受益。
参与者生成的时间线是评估青年对内部优势看法的一种适合发展和互动的策略。与传统评估相结合，该策略可能支持在实践中识别经历逆境或心理健康挑战的青年的可改变干预目标。
