Abstract

(1) Background: The push towards population health management and the need for new approaches in health services delivery focusing on the prevention and management of chronic diseases has helped in advocating for more person-centred care, and thus for integration of physical and mental health. Resilience plays a key role in supporting sustainable lifestyle changes and promoting health and wellbeing, but most assessment tools available today are too long for widespread use. The purpose of this paper is to describe the development of a new diagnostic tool to capture a person’s resilience and resources. (2) Methods: This paper outlines the interrelatedness of different theories of salutogenesis, social determinants of health and health promotion with resilience and establishes resilience as a key enabler to promote health and wellbeing. (3) Results: A new, short questionnaire is proposed based on the triade of evidence-based medicine, which should be easy to use and give a good assessment of a person’s resilience. (4) Conclusions: There are many reasons why the call for a short and easy-to-use assessment tool for resilience is warranted. In view of the international transition towards integrated, person-centred health systems, such a tool would find many usages. It would also support the strategies to tackle multi-morbidity, complex conditions and the social determinants of health in its focus on strengthening an individual’s ability to cope with adverse events, and actively engage in health promotion and community involvement programmes. The next step is to test the tool in practice and validate it.

Highlights

  • In the wake of a more holistic understanding of health and wellbeing and the growing recognition of the complex determinants of health [1–3], the attention has shifted towards understanding the interplay between physical and mental health better [4–6]

  • The push towards population health management and the need for new approaches focusing on the prevention and management of chronic diseases has helped in advocating for more person-centred care and for integration of physical and mental health [5,8–10]

  • Connor–Davidson originally developed this scale as a self-report measure of resilience for people with Post Traumatic Stress Disorder (PTSD) [35]

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Summary

Introduction

In the wake of a more holistic understanding of health and wellbeing and the growing recognition of the complex determinants of health [1–3], the attention has shifted towards understanding the interplay between physical and mental health better [4–6]. There is aall plethora of literature on the Basedand on various these reflections, purpose this is to suggestina clinical new brief concept, theories andthe models makeofuse of paper it, it is underutilised and diagnostic tool to capture a person’s resilience and resources It is based on existing resilience health promotive settings. It is intheseinreflections, the purpose thisprofessional, paper is to suggest new brief diagnostic who tendedBased to beon used all settings and by of any care ateam, or layperson tool to capture a person’s resilience and resources It is based on existing resilience queswants to adopt a person-centred approach and assess or self-assess the resilience of a pertionnaires but places brevity and ease of application at the centre.

Gratitude
Self-Efficacy
Empathy
Humour
The Social Determinants of Health and the Influence of Mental Health
Taking a Closer Look at Resilience—A Definition
A Review of Resilience Assessment Tools
Resilience Scale
Connor–Davidson Resilience Scale (CD-RISC)
Resilience Scale for Adults (RSA)
Brief Resilience Scale (BRS)
Proposing Four Domains to Assess Resilience
Developing a Simple=Assessment
Developing a Simple Assessment Tool to Measure Resilience
Next Steps of Development
Conclusions
Full Text
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