Journal of Psychiatry

The development and evaluation of Thai elderly resilience scale: TER scale

Annual Congress on Mental Health

July 09-11, 2018 | Paris, France

Sonthaya Maneerat

Boromrajonani College of Nursing,Thailand

Scientific Tracks Abstracts: J Psychiatry

Abstract:

Objective: The objective of the study is to develop and evaluate the instrument for assessing resilience in Thai elderly. Methodology: Two stages of scale development, i.e., scale development stage and psychometric evaluation stage were conducted. Literatures review and individual interviews and focus group of 14 representatives of resilient Thai elderly were integrated in the development stage. The 517 Thai elderly was conducted in evaluation stage. Result: The results revealed 18 components contributing as a conceptual structure of Thai elderly resilience. The item pool consisting of 50 items were generated and tested for its content validity. The high content validity index (CVI=0.97) were identified by six experts. Pre-testing was conducted for item analysis and internal consistency. Majority of items (40 items) were correlated (r=0.30-0.67) and the whole set of items gained high internal consistency (α=0.94). In addition, field testing was performed. The investigations found high internal consistency of the first draft TER scale (α=0.93). The results from Exploratory Factor Analysis (EFA) yielded the last version TER scale consisting of 24 items categorized into 5 factors, i.e., (1) be able to join with people; (2) be confident to live; (3) having social support; (4) living with spiritual security and (5) be able to de-stress and manage problems. Finally last construct validity and reliability testing was confirmed by final testing. The result revealed a strong positive correlations between resilience and mental health scores (r=0.84, p<0.01, n=30), known group comparison indicated the TER scale was able to differentiate members of one group from the other by yielding a significantly different (t=0.33, p<0.01) between the mean TER scores of two groups of the elderly, one living in shelter homes (n=30) and the other living with spouse and children (n=30). Both testing were confirmed construct validity of the scale. Furthermore, test-retest was evaluated for stability. The result demonstrated a high level correlation at 0.91. Moreover, final testing of internal consistency yielded the alpha coefficient of total TER scale at 0.91 that additionally reflected a high reliability. Conclusion: The TER scale newly developed would be a useful tool to assess resilience in Thai elderly. In addition, it is designed so that Thai researchers and practitioners, who are interested in developing further studies regarding Thai elderly, could apply the data or knowledge appropriately in Thai context.

Biography :

Sonthaya Maneerat has completed her PhD from the Faculty of Nursing at Prince of Songkla University, Songkla, Thailand. She was a Psychiatric Nurse at Suan Saranrom Psychiatric Hospital for 27 years. Now, she is a Nursing Instructor at Boromarajonani College of Nursing Nopparat Vajira, Bangkok. She is the Deputy Director of Research and Academic Service of Boromarajonani College of Nursing Nopparat Vajira, a head of the excellence center of older adults in urban community.

E-mail: sonthaya@bcnnv.ac.th