TY  - JOUR
AU  - Wallace, Deshira D.
AU  - Karmali, Ruchir N.
AU  - Kim, Christine
AU  - White, Ann Marie
AU  - Stange, Kurt C.
AU  - Lich, Kristen Hassmiller
PY  - 2021
TI  - Identifying Patient Strengths Instruments and Examining Their Relevance for Chronic Disease Management: A Systematic Review
T2  - Preventing Chronic Disease
JO  - Prev Chronic Dis
SP  - E41
VL  - 18
CY  - Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA.
N2  - INTRODUCTION  Most health care focuses on patients' deficits to encourage behavior change. A strengths-based approach, which relies on identifying patient strengths, has great potential to facilitate behavior change for chronic disease management. Little is known about instruments used to assess patient strengths. We conducted a systematic review to identify validated instruments that assess personal strengths by using a theory elaboration approach. METHODS  We searched 8 databases including Web of Science, Cumulative Index of Nursing and Allied Health (CINAHL), and PsycINFO (through July 2019) to identify peer reviewed, English-language studies that described strength-based instruments. Thereafter, we evaluated the validity and reliability of the instruments according to 18 Scientific Advisory Committee of the Medical Outcome Trust (SACMOT) criteria, and used an inductive, iterative editing process to identify constructs measured by the instruments. RESULTS  We identified 26 instruments that met our inclusion criteria. The instruments were validated in various clinical and nonclinical populations. Only 4 instruments met most of the SACMOT criteria for validation. We extracted 91 unique constructs that fell into 3 domains: inner strengths (49), external strengths (13), and personality constructs (29). CONCLUSION  A limited number of reliable and valid instruments are available to assess strengths for the adult population, particularly for clinical populations. Internal strengths can be leveraged to improve patient health; however, the development and validation of additional instruments to capture personal strengths is necessary to examine the multilevel influence of external strengths on individual behaviors and well-being.
SN  - 1545-1151
UR  - https://doi.org/10.5888/pcd18.200323
DO  - 10.5888/pcd18.200323
ER  - 
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