Development and validation of a multidimensional, culturally and socially inclusive Child Resilience Questionnaire (parent/caregiver report) to measure factors that support resilience: a community-based participatory research and psychometric testing study in Australia

Objective Develop a comprehensive socially inclusive measure to assess child resilience factors.Design A socioecological model of resilience, community-based participatory research methods and two rounds of psychometric testing created the Child Resilience Questionnaire (parent/caregiver report, chi...

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Main Authors: Deirdre Gartland, Elisha Riggs, Rebecca Giallo, Stephanie Janne Brown, Karen Glover, Kelsey Hegarty, Amanda Mitchell, Jane Yelland, Josef Szwarc, Sue Casey, Donna Weetra, Mardi Stowe, Sharon Mongta, Helen Herman, Selena White, Tanya Koolmatrie, Georgie Paxton
Format: Article
Language:English
Published: BMJ Publishing Group 2022-06-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/12/6/e061129.full
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author Deirdre Gartland
Elisha Riggs
Rebecca Giallo
Stephanie Janne Brown
Karen Glover
Kelsey Hegarty
Amanda Mitchell
Jane Yelland
Josef Szwarc
Sue Casey
Donna Weetra
Mardi Stowe
Sharon Mongta
Helen Herman
Selena White
Tanya Koolmatrie
Georgie Paxton
author_facet Deirdre Gartland
Elisha Riggs
Rebecca Giallo
Stephanie Janne Brown
Karen Glover
Kelsey Hegarty
Amanda Mitchell
Jane Yelland
Josef Szwarc
Sue Casey
Donna Weetra
Mardi Stowe
Sharon Mongta
Helen Herman
Selena White
Tanya Koolmatrie
Georgie Paxton
collection DOAJ
description Objective Develop a comprehensive socially inclusive measure to assess child resilience factors.Design A socioecological model of resilience, community-based participatory research methods and two rounds of psychometric testing created the Child Resilience Questionnaire (parent/caregiver report, child report, school report). The parent/caregiver report (CRQ-P/C) is the focus of this paper.Setting Australia.Participants Culturally and socially diverse parents/caregivers of children aged 5–12 years completed the CRQ-P/C in the pilot (n=489) and validation study (n=1114). Recruitment via a large tertiary hospital’s outpatient clinics, Aboriginal and refugee background communities (Aboriginal and bicultural researchers networks) and nested follow-up of mothers in a pregnancy cohort and a cohort of Aboriginal families.Analysis Exploratory and confirmatory factor analyses conducted to assess the structure and construct validity of CRQ-P/C subscales. Cronbach’s alpha used to assess internal consistency of subscales. Criterion validity assessed with the Strengths and Difficulties Questionnaire (SDQ) parent report.Results Conceptually developed CRQ comprised 169 items in 19 subscales across five socioecological domains (self, family, friends, school and community). Two rounds of psychometric revision and community consultations created a CRQ-P/C with 43 items in 11 scales: self (positive self, positive future, managing emotions), family (connectedness, guidance, basic needs), school (teacher support, engagement, friends) and culture (connectedness, language). Excellent scale reliability (α=0.7–0.9), except basic needs scale (α=0.61) (where a highly endorsed item was retained for conceptual integrity). Criterion validity was supported: scales had low to moderate negative correlations with SDQ total difficulty score (Rs= -0.2/–0.5. p<0.001); children with emotion/behavioural difficulties had lower CRQ-P/C scores (β=−14.5, 95% CI −17.5 to −11.6, adjusted for gender).Conclusion The CRQ-P/C is a new multidomain measure of factors supporting resilience in children. It has good psychometric properties and will have broad applications in clinical, educational and research settings. The tool also adds to the few culturally competent measures relevant to Aboriginal and refugee background communities.
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language English
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publisher BMJ Publishing Group
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series BMJ Open
spelling doaj-art-c2d5203f101d4f25b88785cba040bbb72025-01-28T08:05:09ZengBMJ Publishing GroupBMJ Open2044-60552022-06-0112610.1136/bmjopen-2022-061129Development and validation of a multidimensional, culturally and socially inclusive Child Resilience Questionnaire (parent/caregiver report) to measure factors that support resilience: a community-based participatory research and psychometric testing study in Australia 0Deirdre Gartland1Elisha Riggs2Rebecca Giallo3Stephanie Janne Brown4Karen Glover5Kelsey Hegarty6Amanda Mitchell7Jane Yelland8Josef Szwarc9Sue CaseyDonna Weetra10Mardi Stowe11Sharon Mongta12Helen HermanSelena WhiteTanya KoolmatrieGeorgie PaxtonUK Heat Illness Advisory Group, London, UKIntergenerational Health, Murdoch Childrens Research Institute, Parkville, Victoria, AustraliaIntergenerational Health, Murdoch Childrens Research Institute, Parkville, Melbourne, AustraliaDepartment of Paediatrics, The University of Melbourne, Melbourne, Victoria, AustraliaSAHMRI Women and Kids, South Australian Health and Medical Research Institute, Adelaide, South Australia, AustraliaSAHMRI Women and Kids, South Australian Health and Medical Research Institute, Adelaide, South Australia, Australia2 Centre for Family Violence Prevention, The Royal Women’s Hospital, Parkville, Victoria, Australia1 Occupational Therapy, Derbyshire Healthcare NHS Foundation Trust, Derby, UKMurdoch Childrens Research Institute, Melbourne, Victoria, AustraliaVictorian Foundation for Survivors of Torture, Melbourne, Victoria, AustraliaWomen and Kids Theme, South Australian Health and Medical Research Institute Limited, Adelaide, South Australia, AustraliaVictorian Foundation for Survivors of Torture, Melbourne, Victoria, AustraliaWadja Aboriginal Family Place, The Royal Children`s Hospital Melbourne, Parkville, Melbourne, AustraliaObjective Develop a comprehensive socially inclusive measure to assess child resilience factors.Design A socioecological model of resilience, community-based participatory research methods and two rounds of psychometric testing created the Child Resilience Questionnaire (parent/caregiver report, child report, school report). The parent/caregiver report (CRQ-P/C) is the focus of this paper.Setting Australia.Participants Culturally and socially diverse parents/caregivers of children aged 5–12 years completed the CRQ-P/C in the pilot (n=489) and validation study (n=1114). Recruitment via a large tertiary hospital’s outpatient clinics, Aboriginal and refugee background communities (Aboriginal and bicultural researchers networks) and nested follow-up of mothers in a pregnancy cohort and a cohort of Aboriginal families.Analysis Exploratory and confirmatory factor analyses conducted to assess the structure and construct validity of CRQ-P/C subscales. Cronbach’s alpha used to assess internal consistency of subscales. Criterion validity assessed with the Strengths and Difficulties Questionnaire (SDQ) parent report.Results Conceptually developed CRQ comprised 169 items in 19 subscales across five socioecological domains (self, family, friends, school and community). Two rounds of psychometric revision and community consultations created a CRQ-P/C with 43 items in 11 scales: self (positive self, positive future, managing emotions), family (connectedness, guidance, basic needs), school (teacher support, engagement, friends) and culture (connectedness, language). Excellent scale reliability (α=0.7–0.9), except basic needs scale (α=0.61) (where a highly endorsed item was retained for conceptual integrity). Criterion validity was supported: scales had low to moderate negative correlations with SDQ total difficulty score (Rs= -0.2/–0.5. p<0.001); children with emotion/behavioural difficulties had lower CRQ-P/C scores (β=−14.5, 95% CI −17.5 to −11.6, adjusted for gender).Conclusion The CRQ-P/C is a new multidomain measure of factors supporting resilience in children. It has good psychometric properties and will have broad applications in clinical, educational and research settings. The tool also adds to the few culturally competent measures relevant to Aboriginal and refugee background communities.https://bmjopen.bmj.com/content/12/6/e061129.full
spellingShingle Deirdre Gartland
Elisha Riggs
Rebecca Giallo
Stephanie Janne Brown
Karen Glover
Kelsey Hegarty
Amanda Mitchell
Jane Yelland
Josef Szwarc
Sue Casey
Donna Weetra
Mardi Stowe
Sharon Mongta
Helen Herman
Selena White
Tanya Koolmatrie
Georgie Paxton
Development and validation of a multidimensional, culturally and socially inclusive Child Resilience Questionnaire (parent/caregiver report) to measure factors that support resilience: a community-based participatory research and psychometric testing study in Australia
BMJ Open
title Development and validation of a multidimensional, culturally and socially inclusive Child Resilience Questionnaire (parent/caregiver report) to measure factors that support resilience: a community-based participatory research and psychometric testing study in Australia
title_full Development and validation of a multidimensional, culturally and socially inclusive Child Resilience Questionnaire (parent/caregiver report) to measure factors that support resilience: a community-based participatory research and psychometric testing study in Australia
title_fullStr Development and validation of a multidimensional, culturally and socially inclusive Child Resilience Questionnaire (parent/caregiver report) to measure factors that support resilience: a community-based participatory research and psychometric testing study in Australia
title_full_unstemmed Development and validation of a multidimensional, culturally and socially inclusive Child Resilience Questionnaire (parent/caregiver report) to measure factors that support resilience: a community-based participatory research and psychometric testing study in Australia
title_short Development and validation of a multidimensional, culturally and socially inclusive Child Resilience Questionnaire (parent/caregiver report) to measure factors that support resilience: a community-based participatory research and psychometric testing study in Australia
title_sort development and validation of a multidimensional culturally and socially inclusive child resilience questionnaire parent caregiver report to measure factors that support resilience a community based participatory research and psychometric testing study in australia
url https://bmjopen.bmj.com/content/12/6/e061129.full
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