Abstract
This study was an exploratory sequential mixed-methods design to develop a resilience scale for Thai elderly with chronic diseases and depression. The qualitative findings from the focus group discussion with 6 participants were used to develop a resilience scale, and the scale was then tested on 310 samples to check the reliability and validity of the scale. The qualitative results showed that resilience was defined in 3 themes: My Characteristics, My Abilities, and My Dependencies, which were composed of 9 different categories. The results of the quantitative examination showed that all 21 items of the resilience scale had a good corrected item-total correlation and the Cronbach's alpha coefficient of 0.85 indicated that the scale was internally consistent and highly reliable. The construct validity of the resilience scale was tested by confirmatory factor analysis and revealed that the resilience model was consistent with the empirical data based on the goodness-of-fit index (chi − square = 161.51, df = 186, p value = 0.90, RMSEA = 0.000). All the results show that the resilience scale has excellent and appropriate psychological properties. Health-care workers can use the resilience scale to assess the elderly and develop a resilience-promoting program specifically for the elderly with chronic diseases and depression to improve the well-being of the elderly.
Highlights
IntroductionThe rapid increase in the aging population worldwide has an impact on the economic and social situation of the country [1]
It has been found that many elderly people die from chronic diseases every year
The qualitative results of the focus group discussions (FGDs) showed that the attributes of resilience in elderly people with chronic diseases and depression were defined in 3 themes: (1) My Characteristics, (2) My Abilities, and (3) My Dependencies
Summary
The rapid increase in the aging population worldwide has an impact on the economic and social situation of the country [1]. The elderly is a large population group that needs to be given attention to in terms of the development and promotion of a good quality of life [2]. This is because the elderly has biological changes that affect mental functions and interpersonal relationships [1]. It has been found that many elderly people die from chronic diseases every year This is because chronic or noncommunicable diseases (NCDs) are a group of diseases that have a long duration of illness. It is important to promote and develop mental health in addition to physical health care for elderly people with chronic diseases and depression [2, 3]. The elderly had a better quality of life [9]
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