MORE Resiliency in the Rehabilitation of Active Duty Service Members
Abstract
The purpose of our study was to develop and test a resiliency instrument that is relevant to Service Members with lower-extremity injury. The proposed project leveraged the infrastructure of the Maximizing Outpatient Rehabilitation Effectiveness (MORE) study that was conducted at Brooke Army Medical Center. The first year of the project focused on creating a 44-item MORE resiliency instrument that was based on three well-established resiliency instruments that have been validated in civilian populations. Items were reviewed by military Service Members through semi-structured interviews (N=12) and focus groups (N=16). Qualitative analyses reduced the MORE resiliency instrument to 26-items, with minor changes made to the instructions as well as wording of six of the items. A pre-test of the 26-item MORE resiliency instrument was conducted in Service Members with lower-extremity injury (N=60) to refine and reduce the instrument. Six items with variance < 0.45 were removed and a prospective cohort study was then conducted to assess reliability and validity of the 20-item MORE resiliency instrument. Test-retest reliability and internal consistency, using intraclass correlation coefficients and Cronbachs alpha, were 0.89 (N=52) and 0.88 (N=160), respectively. Strong correlations were reported between the MORE instrument and other resiliency measures as well as self-efficacy (r > 0.60) and moderate correlations between measures of depression, anxiety, and PTSD (r > 0.30; N=160). The 20-item MORE resiliency instrument was found to be reliable and valid through cross-sectional testing in Service Members with lower-extremity injury.
Document Details
- Document Type
- Technical Report
- Publication Date
- Jan 01, 2022
- Accession Number
- AD1174926
Entities
People
- Kristin R. Archer
Organizations
- Vanderbilt University Medical Center