Resilience in Older Adults: What It Is and How to Strengthen It

Resnick, Barbara

doi:10.1007/978-3-030-57089-7_2

Cited by 4 publications

(8 citation statements)

References 40 publications

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“…Although this is a critically important aspect of resilience, it was similarly noted to be a challenging item when completed by older adults themselves (Resnick, et al, 2011). Given the value of this item in terms of comprehensively addressing physical resilience (Resnick, 2020), it is recommended that the item remain in the measure for further testing of physical resilience for older adults living with dementia.…”

Section: Discussionmentioning

confidence: 99%

“…Given the known challenges related to measuring outcomes in individuals living with moderate to severe dementia, proxy reporting is an important option and research is needed to continue to evaluate the best ways to assess these individuals and optimize their health and clinical outcomes. Measuring physical resilience can help identify those with low resilience and utilize resources to focus on strengthening physical resilience among these individuals (Resnick, 2020).…”

Section: Discussionmentioning

confidence: 99%

“…As noted in mapping of the items, 29% of individuals were so low in physical resilience that they could not be differentiated and 14% that were so high in physical resilience that they could not be differentiated. Although there was a good spread of the items across the full concept of physical resilience and matching of item difficulty to ability of the participants, it might be helpful to add easier items such as he/she maintained a positive attitude; he/she maintained hope of physical recovery; and he/she took care of him/herself physically (Resnick, 2020) to better differentiate those low in physical resilience.…”

Section: Discussionmentioning

confidence: 99%

“…reporting is an important option and research is needed to continue to evaluate the best ways to assess these individuals and optimize their health and clinical outcomes. Measuring physical resilience can help identify those with low resilience and utilize resources to focus on strengthening physical resilience among these individuals (Resnick, 2020). The mean score on the Physical Resilience Scale was lower when evaluated by legally authorized representatives than when cognitively intact older adults completed the measure independently (Resnick, et al, 2011;Resnick, et al, 2013).…”

Section: Discussionmentioning

confidence: 99%

“…Physical resilience is defined as the ability to recover or optimize function in the face of physical challenges such as degenerative joint disease, a hip fracture, or an acute medical event such as pneumonia (Resnick et al, 2011). Physical resilience is different from other types of resilience including psychological resilience, economic resilience, biological/ physiological resilience, or emotional resilience (Resnick, 2020). Physical resilience implies that the individual is willing to engage in physical activity as much as he or she is capable when encountering a physical challenge.…”

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confidence: 99%

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Psychometrics of the Physical Resilience Scale in Older Adults Living with Dementia: Proxy Responses

et al. 2022

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Objectives: The purpose of this study was to determine if proxies can complete the Physical Resilience Scale for older adults living with dementia. Methods: This was a descriptive study using Rasch analysis and baseline data from the Function Focused Care for Acute Care Using the Evidence Integration Triangle trial. The first 240 patients living with dementia were included in this analysis. Results: There was evidence of reliability based on person and item separation index. There was no evidence of Differential Item Functioning (DIF) between genders and a DIF by race on Item 7. Validity was supported based on items fitting the model with the exception of one item, and a significant relationship between physical resilience and pain and function. Discussion: There is some evidence that the Physical Resilience Scale is reliable and valid when completed by proxy reports. Future use should remove one of the items due to redundancy.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Psychometrics of the Physical Resilience Scale in Older Adults Living with Dementia: Proxy Responses

et al. 2022

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Psychological resilience in older adults with type 2 diabetes from the Look AHEAD Trial

Olson

Howard

McCaffery

et al. 2022

J American Geriatrics Society

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Background There is growing interest in identifying factors associated with healthy aging. This cross‐sectional study evaluated associations of psychological resilience with factors associated with aging in older adults with type 2 diabetes mellitus (T2DM). Methods Participants were 3199 adults (72.2 ± 6.2 years of age, 61% female, 61% White, body mass index [BMI] = 34.2 ± 8.2 kg/m2) with T2DM enrolled in Look AHEAD (a multi‐site randomized clinical trial comparing an intensive lifestyle intervention for weight loss to diabetes education and support). Participants were followed observationally after the 10‐year intervention was discontinued. The following items were assessed approximately 14.4 years post‐randomization in a cross‐sectional analysis: Brief Resilience Scale; overnight hospitalizations in past year; physical functioning measured objectively (gait speed, grip strength) and via self‐report (Pepper Assessment Tool for Disability; physical quality of life [QOL; SF‐36]); a measure of phenotypic frailty based on having ≥3 of unintentional weight loss, low energy, slow gait, reduced grip strength, and physical inactivity. Depressive symptoms (PHQ‐9) and mental QOL (SF‐36) were also measured. Logistic/linear/multinomial regression was used to evaluate the association of variables with resilience adjusted for age, race/ethnicity, and gender. Results Greater psychological resilience was associated with lower BMI, fewer hospitalizations, better physical functioning (i.e., lower self‐reported disability, better physical QOL, faster gait speed, greater grip strength, lower likelihood of frailty), fewer depressive symptoms, and greater mental QOL (all p < 0.05). Psychological resilience moderated the relationship of number of hospitalizations in the past year with self‐reported disability and grip strength. Conclusions Psychological resilience is associated with better physical function and QOL among older adults. Results should be interpreted cautiously given cross‐sectional nature of analyses. Exploring the clinical benefits of resilience is consistent with efforts to shift the narrative on aging beyond “loss and decline” to highlight opportunities to facilitate healthy aging.

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Caregiver Resilience and Dance/Movement Therapy: A Theoretical Review and Conceptual Model

Champagne

2023

J Appl Gerontol

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With the population aging, more people are living with neurodegenerative conditions, leading to an influx of informal family caregivers, who often experience negative health outcomes. Few caregiver interventions have successfully adopted a holistic, strengths-based approach to fostering resilience. This article examines existing literature on caregiver resilience factors, which include self-efficacy, flexibility, cultivating positive emotions, and drawing on spiritual and social supports. Despite how dance/movement therapy (DMT) has been shown to foster psychological and physiological benefits, it remains underexplored for caregivers. Therapeutic mechanisms of DMT are expounded for their innate correspondence to resilience factors, and a new comprehensive model of DMT for caregiver resilience is presented, with implications for future intervention design and measurement.

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Resilience in Older Adults: What It Is and How to Strengthen It

Cited by 4 publications

References 40 publications

Psychometrics of the Physical Resilience Scale in Older Adults Living with Dementia: Proxy Responses

Psychometrics of the Physical Resilience Scale in Older Adults Living with Dementia: Proxy Responses

Psychological resilience in older adults with type 2 diabetes from the Look AHEAD Trial

Caregiver Resilience and Dance/Movement Therapy: A Theoretical Review and Conceptual Model

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