An Investigation of a Theoretical Model of Health-Related Outcomes of Resilience in Middle Adolescents

Monday, 18 November 2013

Robert L. Scoloveno, RN, MS, PhD(c)
College of Nursing, Rutgers University, newark, NJ

Learning Objective 1: The learner will be able to describe the effects of adolescent resilience on hope, well-being, and health-promoting lifestyles.

Learning Objective 2: The learner will be able to identify the implications for nursing relative to the health outcomes of adolescent resilience

The purpose of this study was to develop and test a theory-based structural equation model to better understand resilience and its direct and indirect effects on theorized health outcomes in middle adolescents.  The study empirically tested the direct effects of resilience on a) hope, b) well-being, and c) health-promoting lifestyles, and the direct effects of hope on (a) well-being and (b) health promoting lifestyles.  The indirect effects of resilience on (a) well-being, and (b) health-promoting lifestyle through hope were also tested.

The final sample of 311 of middle-adolescents, aged 15 to 17, was obtained by recruiting students at a northern New Jersey public high school.  Participants completed the demographic data sheet and four instruments measuring the study variables during their regularly scheduled health classes.

The just-identified theoretical model was tested with the LISREL 8.80 software program.    Results indicated that resilience had a direct effect on hope (γ = .66, p < .001), well-being (γ = .44,  p < .001), and health-promoting lifestyles (γ = .56,  p < .001).  Hope also had a direct effect on well-being (β = .42,  p < .001), and health-promoting lifestyle (β =.26, p < .001). Finally, resilience had an indirect effect on both well-being and health-promoting lifestyle through hope.  The unhypothesized correlated error term between well-being and health promoting lifestyle, the two dependent variables, was statistically significant (Ψ = 0.13, p < .001).  

The study findings contribute to a more comprehensive knowledge base regarding health-outcomes of resilience in middle adolescents. Nursing implications focus on the strongest relationships found in the model, which were between resilience and hope and resilience and health promoting lifestyles.  Future research needs to test the theoretical model in early and late adolescents.