BOX 7-1

Themes from Individual Speakers on Performance Measures

  • Role of evidence and performance measurement in developing and improving interventions
  • Variety of measures available to assess resilience and different aspects of the employees’ experience of work
  • Participant engagement is a component of effective assessments
  • Performance measurement is possible at multiple levels, including individual, group/team, and agency/organization
  • Performance measurement is an effective aspect of program design when it is:
    • Driven by the leadership
    • Focused on key issues of interest
    • Provides real benefits to all participants
    • Actively used to improve processes


Dr. Arnetz’s research was partially supported by the National Institute of Mental Health (NIMH) and the National Institutes of Health (NIH).1

Stress and the Resilience Model

Arnetz and his colleagues have developed a four-level model to look at the different aspects of stress and resilience: (1) the individual, (2) the group or team, (3) the agency or organization, and (4) the society. Using this model as a base, the next key question was to consider how best to measure resilience at each of these levels. Additionally, what are the benefits of resilience within each of these components, and how do they relate to each other?

At the individual level, it is important to understand that everyone faces challenges in their lives and that not all stress is bad. Challenges


1The content of Arnetz’s presentation is solely his responsibility and does not necessarily represent the official views of the NIMH or the NIH. Furthermore, Dr. Arnetz’s research was, in part, supported by a research award from the Swedish Royal Foundation (Kungafonden), which exclusively focuses on research and services aimed at enhancing health and well-being among first responders.

The National Academies | 500 Fifth St. N.W. | Washington, D.C. 20001
Copyright © National Academy of Sciences. All rights reserved.
Terms of Use and Privacy Statement