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. Author manuscript; available in PMC: 2015 Feb 1.
Published in final edited form as: Semin Oncol Nurs. 2013 Dec 19;30(1):17–25. doi: 10.1016/j.soncn.2013.12.004

Table 3.

Organizing framework factors originally derived from the Resilience in Illness Model with definition and potential variables for study

Factor Definition Variables Examples of Potential Additional Variables
Illness-related Distress (Risk) The degree of perceived illness-related uncertainty and disease and symptom-related distress

  • Uncertainty in Illness--Ambiguity and Complexity;

  • Symptom Distress

 Unmet information needs
Patient reported outcomes measurement information system PROMIS) measures
Depression/anxiety
Social Integration (Protective) The degree to which the patient/family perceives a sense of connectedness with and support from friends and health care providers in the midst of having cancer.
  • Perceived Social Support
    • ◦
      -Friends
    • ◦
      -Healthcare Providers
 Patient/provider connectedness
Patient/parent involvement in treatment decision making
Trust in provider
Family Environment (Protective) The degree to which the patient/family member perceives the family as adaptable, cohesive, effectively communicating, and having family strengths.
  • Family
    • ◦
      Adaptability
    • ◦
      Cohesion
    • ◦
      Communication
    • ◦
      Perceived Strengths
 Psychosocial
Assessment Tool risk category
Use of standardized family demographics for all COG studies
Defensive Coping (Risk) The degree to which the patient/family member uses evasive and emotive coping strategies to deal with the cancer experience.
  • Coping Strategy Use/Effectiveness
    • ◦
      Avoidant
    • ◦
      Emotive
    • ◦
      Fatalistic
Courageous Coping (Protective) The degree to which the patient/family member uses confrontive, optimistic, and supportant coping strategies to deal with the cancer experience.
  • Coping Strategy Use/Effectiveness
    • ◦
      Confrontive
    • ◦
      Optimistic
    • ◦
      Supportive
 Activity during treatment
Derived Meaning (Protective) The degree to which the patient/family member uses hope and spiritual perspective to derive meaning from the cancer experience.

  • Hope

  • Spiritual Perspectives
    • ◦
      Beliefs
    • ◦
      Practices
Well-being The process of identifying or developing resources and strengths to flexibly manage stressors to gain a positive outcome, a sense of confidence/mastery, self-transcendence, and self-esteem.

  • Resilience Resolution

  • Self-transcendence

  • Sense of Well-being

 Health related quality of life