ABSTRACT

Objectives

The Program to Enhance Adjustment to Residential Living (PEARL) is a five session intervention primarily designed to address high rates of depression in newly admitted residents. This study reports the efficacy of PEARL on secondary outcomes of resident adjustment, symptoms of anxiety, quality of life, and stress.

Methods

A cluster randomized controlled trial was conducted with 219 newly admitted nursing home residents (M age = 85.5 years) from 42 nursing homes. Outcomes were assessed at baseline, post-intervention, and at two and six month post-intervention follow-up, compared to a standard care condition.

Results

There was a significant overall condition by time interaction for adjustment (p = .027) and quality of life (p = .015), but not for stress (p = .309). While the overall condition by time interaction was not significant for anxiety (p = .221), there was a significant interaction contrast six-month post-intervention, indicating a greater decrease in anxiety scores in the intervention group relative to control (p = .039).

Conclusions

This study demonstrates the broad effects of PEARL on the wellbeing of newly admitted residents.

Clinical Implications

PEARL is a brief intervention that may be feasible for routine use in nursing homes to facilitate adjustment and improve residents’ quality of life.

中文翻译：

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加强住宅生活调整计划 (PEARL)：对调整、焦虑、生活质量和压力的影响

摘要

目标

加强住宅生活适应计划 (PEARL) 是一个五次干预，主要旨在解决新入院居民的高抑郁症发病率问题。本研究报告了 PEARL 对居民适应、焦虑症状、生活质量和压力等次要结果的疗效。

方法

对来自 42 个疗养院的 219 名新入院疗养院居民（M 年龄 = 85.5 岁）进行了整群随机对照试验。与标准护理条件相比，在基线、干预后以及干预后 2 个月和 6 个月的随访中评估结果。

结果

调整 ( p = .027) 和生活质量 ( p = .015)的时间交互作用显着总体状况，但压力 ( p = .309) 没有。虽然按时间交互的整体状况对焦虑没有显着影响（p = .221），但干预后六个月存在显着的交互对比，表明干预组的焦虑评分相对于对照组下降更大（ p = .221） 。 039)。

结论

这项研究证明了 PEARL 对新入住居民的福祉的广泛影响。

临床意义

PEARL 是一种简短的干预措施，可用于疗养院的常规使用，以促进调整和改善居民的生活质量。