Development of Resilience Assessment Scale for Children Admitted with Renal Disease

Adolescence is considered a difficult period, marked by conflicts in search of one's autonomy, which culminates with the redefinition of the individual towards adult life introduction. Besides being sick there are related factors such as changing health care team shifts, pain due to various rendering procedures, parental separation, peer detachment and loss of self-esteem during the course of hospitalization. The objective of the study was to develop a scale for assessing resilience among children with Renal diseases. Methodological research approach was used for development of an effective Resilience Assessment Scale for children admitted with renal diseases. Study was done on 75 children aged 10-18 years admitted with renal disease in MMIMS & R Hospital, Mullana, Government Civil Hospital at Ambala and Kalpana Chawla Government Hospital at Karnal. From related review of literature, experts guidance and investigator's personal experience, a list of factors/domains were identified and compared with standardized Resilience scales i. e. , Wagnild and Young Resilience assessment scale, Child and Youth Resiliency measure. Modified Delphi technique was used for Content validation of Resilience assessment scale with 9 experts Content validity was ascertained by expert's opinion and was found to be 0.79. The range of rating score was 31-155 with the assumption that higher the scores, the greater the resilience. At a cut-off point of -102, the best balance between the sensitivity and specificity was achieved. Cronbach's alpha and inter item correlation were used to measure internal consistency of the tool, coefficient alpha was 0.81. Pearson correlation between resilience assessment scale and Wagnild Young resilience scale was calculated in order to estimate concurrent validity and it came out to be 0.84. In order to estimate stability test re-test reliability was calculated and it came out to be 0.84. Resilience, Assessment scale, Children, Renal Disease