Resilience patterns and transitions in the Be Resilient To Breast Cancer trial: an exploratory latent profile transition analysis

Abstract

Objective Be Resilient to Breast Cancer (BRBC), a theoretically‐derived, resilience‐based, culturally‐tailored, supportive‐expressive group therapy (SEGT), has been developed to help promote patients' resilience in breast cancer. Data from patients receiving BRBC intervention was utilized to explore and define characteristics of resilience patterns and their transitions over time. Methods Resilience was used as a primary outcome and 391 patients completed Resilience Scale Specific to Cancer at enrollment (T0), 2 months (T1), 6 months(T2), and 12 months (T3) after intervention. latent profile transition analysis was performed to model the change in resilience and predict positive transitioning probabilities between resilience patterns (from one pattern to another pattern with a higher level) over time. Results One hundred and forty four resilience patterns were identified after BRBC intervention. 33.1%, 50.3%, and 40.5% of patients experienced positive resilience transitions from T0 to T1, T1 to T2, and T2 to T3, respectively. Patients with middle age, unmarried status, higher education level, and less advanced tumor stage were more likely to experience positive resilience transitions. Conclusion Different transitions of resilience patterns are observed after BRBC intervention. Age, marital status, education, and tumor stage may be four factors affecting the efficacy of SEGT intervention in breast cancer.

New Resilience Instrument for Family Caregivers in Cancer: A Multidimensional Item Response Theory Analysis

“…Participants and data collection Participants were recruited from our Be Resilient to Cancer Program (BRCP) between July 2016 and November 2017 and was approved by the Human Research Ethics Committee (No.2016KYTD08) [13][14][17][18]. The inclusion criteria were: (1) Family caregivers (FCs), (2) their relatives had a con rmed diagnosis of cancer, (3) aged > 18 years, (4) could communicate in Mandarin or Cantonese uently.…”

“…Recently, we developed a new Resilience Scale Speci c to Cancer (RS-SC) based on Shift-Persist theory and Resilience Model to Breast Cancer [9][10]. Then, a 10-item version (RS-SC-10) with high item functions was developed based on Item Response Theory (IRT) analysis [11][12], and validated in our Be Resilient to Breast Cancer (BRBC) program [13][14]. Thus, we have interests whether this powerful resilience instrument can also be applied to FCs, which will provide important information for resilience screening in clinical practice.…”

Editorial: Resilience in Chronic Disease

“…), describing resilience and its associations with other aspects of the psychological, social, and physical well-being of patients with chronic disease. Our specific aim was first, to recognize distinct resilience trajectories during diagnosis, treatment, and survivorship throughout the course of chronic disease, which was not achieved in the current collection (6,7). Second, articles about resilience theory and instrument development are limited, and more future research should be undertaken to develop new resilience theories and instruments for the cultural and developmental levels of measuring the psychological and social aspects of resilience, which can help address debates about resilience construction (8)(9)(10).…”

New resilience instrument for family caregivers in cancer: a multidimensional item response theory analysis

“…Participants were recruited from our Be Resilient to Cancer Program (BRCP) between July 2016 and November 2017 and was approved by the Human Research Ethics Committee (No.2016KYTD08) [13,14,17,18]. The inclusion criteria were: (1) Family caregivers (FCs), (2) their relatives had a confirmed diagnosis of cancer, (3) aged > 18 years, (4) could communicate in Mandarin or Cantonese fluently.…”

“…Recently, we developed a new Resilience Scale Specific to Cancer (RS-SC) based on Shift-Persist theory and Resilience Model to Breast Cancer [9,10]. Then, a 10-item version (RS-SC-10) with high item functions was developed based on Item Response Theory (IRT) analysis [11,12], and validated in our Be Resilient to Breast Cancer (BRBC) program [13,14]. Thus, we have interests whether this powerful resilience instrument can also be applied to FCs, which will provide important information for resilience screening in clinical practice.…”