Details

Autor(en) / Beteiligte

• Wister, Andrew V.
• Cosco, Theodore D
• Wister, Andrew V
• Cosco, Theodore D.

Titel

Multimorbidity Resilience: Conceptual, Theoretical, and Measurement Developments

Ist Teil von

• Resilience and Aging, 2021, p.81-105

Ort / Verlag

Switzerland: Springer International Publishing AG

Erscheinungsjahr

2021

Quelle

Alma/SFX Local Collection

Beschreibungen/Notizen

• This chapter describes the development and application of a theoretical model of multimorbidity resilience, and a measure-multimorbidity resilience index specifically aimed for use in population health surveys. The Lifecourse Model of Multimorbidity Resilience (LMMR) links resources embedded in multi-level domains and elaborates key processes that occur during disruption and reintegration along a life trajectory. It furthers our understanding of resilience processes underlying the outcomes of wellness, recovery, and growth/development among older persons facing multimorbidity. In addition, a multimorbidity resilience index comprising functional, social, and psychological domains capturing both adversity and adaptation is described. The results of criterion validation of the index based on health care utilization and health status outcomes is presented, and offers support for this measure. Further confirmatory research is needed for both the LMMR and the multimorbidity resilience index using other known population health data sets. This relevance of multimorbidity resilience has been increased during the COVID-19 pandemic and beyond. Research is also warranted using different populations and sub-populations as well as clinical settings.