机构：[1]Guangdong Academy of Population Development, Guangzhou 510600, Guangdong Province, China.[2]Institute of Tumor, Guangzhou University of Chinese Medicine, Guangzhou 510006, China.[3]Basic Medical School, Guizhou University of Traditional Chinese Medicine, Guiyang 550025, China.[4]Guangdong Provincial Key Laboratory of New Drug Development and Research of Chinese Medicine, Mathematical Engineering Academy of Chinese Medicine, Guangzhou University of Chinese Medicine, Guangzhou 510006, China.深圳市中医院深圳医学信息中心[5]The First Affiliated Hospital, Guangzhou University of Chinese Medicine, Guangzhou 510405, Guangdong Province, China.深圳市中医院深圳医学信息中心[6]Army Medical University, Chongqing Municipality 400038, China.[7]South China University of Technology, Guangzhou 510641, Guangdong Province, China.[8]Guangzhou University of Chinese Medicine, Guangzhou 510006, Guangdong Province, China.
Objective Resilience instruments specific to family caregivers (FCs) in cancer are limited. This study was designed to validate the 10-item Resilience Scale Specific to Cancer (RS-SC-10) in FCs using multidimensional item response theory (MIRT) analysis. Methods 382 FCs were enrolled from Be Resilient to Cancer Program (BRCP) and administered with RS-SC-10 and 36-item Short Form Health Survey (SF-36). MIRT was performed to evaluate item parameters while Generalized Additive Model (GAM) and Latent Profile Analysis (LPA) were performed to test the non-linear relationship between resilience (RS-SC-10) and Quality of Life (QoL, SF-36). Results RS-SC-10 retained 10 items with high multidimensional discrimination, monotonous thresholds and its original two-factor structure (Generic and Shift-Persist). Four latent resilience subgroups were identified and a non-linear dose-response pattern between resilience and QoL was confirmed (per-SD increase OR = 1.62, 95% CI 1.16-2.13, p = 0.0019). Conclusion RS-SC-10 is a brief and suitable resilience instrument for FCs in cancer. The resilience screening of patients and FCs can be performed simultaneously in clinical practice.
基金：
This research was funded by grants from National Natural Science Foundation
of China (No. 71904033), Humanity and Social Science Youth Foundation
of Ministry of Education of China (No. 19YJCZH227), Humanity and Social
Science Foundation of Department of Education of Guangdong Province (No.
2020WTSCX009), Humanity and Social Science Foundation of Guangzhou (No.
2021GZGJ57), and Humanity and Social Science Foundation of Guangzhou
University of Chinese Medicine (Nos. 2020SKXK01, 2021SKYB07).
语种：
外文
WOS：
PubmedID：
中科院(CAS)分区：
出版当年[2020]版：
大类|4 区医学
小类|3 区卫生保健与服务
最新[2025]版：
大类|2 区医学
小类|2 区卫生保健与服务2 区卫生政策与服务
JCR分区：
出版当年[2019]版：
Q2HEALTH CARE SCIENCES & SERVICESQ2HEALTH POLICY & SERVICES
最新[2023]版：
Q1HEALTH CARE SCIENCES & SERVICESQ1HEALTH POLICY & SERVICES
第一作者机构：[1]Guangdong Academy of Population Development, Guangzhou 510600, Guangdong Province, China.
共同第一作者：
通讯作者：
推荐引用方式(GB/T 7714)：
Mu Zi Liang,Ying Tang,Peng Chen,et al.New resilience instrument for family caregivers in cancer: a multidimensional item response theory analysis[J].HEALTH AND QUALITY OF LIFE OUTCOMES.2021,19(1):doi:10.1186/s12955-021-01893-8.
APA：
Mu Zi Liang,Ying Tang,Peng Chen,Jian Liang,Zhe Sun...&Zeng Jie Ye.(2021).New resilience instrument for family caregivers in cancer: a multidimensional item response theory analysis.HEALTH AND QUALITY OF LIFE OUTCOMES,19,(1)
MLA：
Mu Zi Liang,et al."New resilience instrument for family caregivers in cancer: a multidimensional item response theory analysis".HEALTH AND QUALITY OF LIFE OUTCOMES 19..1(2021)
