Resilience Intervention Program Research Articles

Preventing and Mitigating Post-Traumatic Stress: A Scoping Review of Resilience Interventions for Military Personnel in Pre Deployment.

Resilience is considered as a protective factor that can assist individuals to reduce post-traumatic stress reactions. In recent years, armies in many countries have widely implemented resilience training programs before deployment to prevent or reduce post-deployment combat stress reactions. Therefore, this study aims to review what is known about resilience interventions for military personnel in pre deployment. Based on Arskey and O'Malley's framework, a scoping review was completed. This review was performed through searching databases including PubMed, Embase, Web of Science, Medline and the Cochrane Library, and screening literature to extract data, finally summarizing the findings. A total of 25 studies focusing on resilience interventions for military personnel in pre deployment were involved and analyzed using intervention approaches, outcome measures, intervention effects, and so on. Based on the existing evidence in this review, it is cautiously believed that the resilience intervention program for military personnel before deployment is effective. However, there is no single effective best method even the same type intervention can make different effects in different situations and populations. Therefore, the population differences and context should be fully considered in constructing and implementing program to build military personnel resilience.

Development of a theory-based family resilience intervention program for parents of children with chronic diseases: A Delphi study

BackgroundLong-term illness exposes children with chronic diseases to a high risk of deterioration of physical and mental health. Developing an effective family resilience intervention program is a critical concern. ObjectiveTo develop a theory-based family resilience intervention program for parents of children with chronic diseases and provide a reference for clinical intervention. MethodsA two-phased research design, guided by the Walsh family resilience process model, was employed to develop the intervention program. In phase 1, a scoping literature review was conducted to identify the possible elements of family resilience interventions. In phase 2, a three-round Delphi survey was conducted with experts (n = 14) using an online electronic survey to obtain their consensus on the intervention content. ResultsThree main components were identified: (1) strengthening family beliefs, (2) adjusting the family organization pattern, and (3) improving the family communication process. And 8 modules were developed: “introducing adversity and family resilience”, “finding and strengthening positive family beliefs, and building confidence to live with the disease”, “analyzing and adjusting family structure”, “assisting families to increase and utilizing internal and external resources”, “optimizing communication skills”, “strengthening collaborative problem-solving capacity”, “enhancing the family narrative ability”, and “enhancing emotional expression”. After 3-round Delphi, the findings indicated that the intervention program is applicable and feasible for parents of children with chronic diseases in China. ConclusionThe principal merit of this study lies in the development of a family resilience intervention program for parents of children with chronic diseases. The intervention's usability and efficacy should be investigated in future studies. Implications to practiceDeveloping a family resilience intervention program is a critical first step toward providing effective care for parents of children with chronic diseases, and evaluating the program's feasibility and suitability in the target population is warranted.

Developing a Choice Theory-based Family Resilience Intervention Program

Developing a Choice Theory-based Family Resilience Intervention Program

Resilience process in Bidikmisi students: understanding risk, protective and promotive factor, and resilient outcome

University students have to face academic and non-academic challenges. These challenges are especially crucial for Bidikmisi students that possibly face financial, social, and psychological risks, affecting their ability to flourish in the university. Therefore, they need to overcome different adversities than other students. This study aimed to examine the pathways to resilient educational outcomes by investigating protective factors buffering the Bidikmisi students’ risks. A collective case study approach was used which consisted of two phases. Online survey data were collected from 178 students that started university for Phase 1 in 2018. After that, we used in-depth interviews with 16 students who met the inclusion criteria for Phase 2 in 2020. Furthermore, the thematic analysis with Ungar’s socio-ecological resilience framework was used with a deductive and inductive approach. The results showed seven themes in the risk exposure component, such as culture shock. There were fourteen themes in the Protective and Promotive Factors Process (PPFP), including positive mindset and spirituality. The desired outcomes had four themes, including academic achievement. The socio-ecological resilience framework effectively characterizes the resilience process of students during education. Moreover, the findings assist in further research to design a resilience intervention program for students at risk.

A randomized controlled trial of a coping-focused family resilience intervention program for breast cancer patients: Study protocol.

BackgroundBreast cancer patients and their families are under various pressures in the process of disease diagnosis and treatment, which seriously threaten their physical and mental health. Findings from existing research suggest that good family resilience can help breast cancer families better adapt and cope with adversity and challenges. However, there are only a few intervention studies on family resilience and no intervention studies on resilience among the families of breast cancer patients. Therefore, this study aims to explore appropriate measures to improve the resilience level of breast cancer families and help them better cope with the disease.ObjectiveThe purpose of this study protocol is to demonstrate a coping-focused family resilience intervention to increase the level of resilience in the families of breast cancer patients and help them better cope with adversity.MethodsThe trial will recruit 80 breast cancer families and randomly assign them to experimental and control groups in a 1:1 ratio. The control group will receive routine care, and the intervention group will receive a 6-week one-on-one online family resilience intervention based on the control group. Two groups of subjects will be assessed at baseline and at 1 week, 1 month, and 3 months after the intervention. The primary outcome is family resilience, and the secondary outcomes are coping style, social support, family disease burden, and levels of anxiety and depression.Expected resultsWe hypothesized that after the intervention, the intervention group would have significantly higher levels of family resilience than the preintervention and control groups. In the intervention group, other aspects related to family resilience, such as family disease burden and anxiety and depression levels of patients and their families, were significantly alleviated, and disease coping and social support levels were improved accordingly.DiscussionIf the program works, it can help breast cancer families identify family strengths and resources to proactively address challenges so that families can successfully navigate the crisis and patient and family recovery can be facilitated. It can also provide a practical path for clinical workers to help breast cancer families adjust rationally.Clinical Trial RegistrationThis study has been registered in the Chinese Clinical Trials Registry (Registration Number: http://www.chictr.org.cn/ChiCTR2100052108).

An exploration and description of experiences of at-risk youth in a correctional center in Eswatini regarding a resilience intervention program.

Resilience-focused programs advocate nurturing positive adoptive traits to inform prevention and intervention efforts. Considering that no resilience intervention programs have been developed specifically for at-risk youth in correctional centers in Eswatini, the authors developed a program with this focus through a combination of literature review and earlier empirical research with correctional officers and youth in a correctional center in Eswatini. This study aimed to evaluate the program through exploration and description of experiences of at-risk youth in a correctional center in Eswatini regarding the program. A purposive sample of 16 youths in a correctional center in Eswatini participated in a World Café, and data were analyzed thematically. Three themes were identified: Positive outcomes of participation, challenges encountered in the program, and recommendations for the program.

Brief Resilience Interventions for Mental Health among College Students

Introduction: The resilience interventions have the potential to enhance the protective factors to prevent mental health problems in young adolescents. The present study evaluated the feasibility of brief resilience interventions in a sample of college students. Methods: The present randomized controlled study was conducted among 220 college students and the study protocol was registered in the Clinical Trials Registry of India (Ref. No. CTRI/2021/04/032716). The participants were randomly allocated to two groups: (i) A brief resilience intervention program group and (ii) a resilience self-help pamphlet group. The brief resilience intervention program is based on positive psychology and consists of two sessions, delivered on a 2-week interval period. The outcome measures were changes in the scores of the Brief Resilient Coping Scale (BRCS), Perceived Stress Scale, and Patient Health Questionnaire-4. Results: The mean age of the participants was 19.31 years (standard deviation – 1.17) and both the study groups were comparable during baseline (P > 0.05). At the 1-month follow-up, there was a slight increase in the mean BRCS scores of the brief resilience intervention group (15.57 vs. 15.87) as compared to the resilience self-help pamphlet group (16.15 vs. 15.79). There was no evidence that brief resilience intervention was superior to the self-help booklet in any of the outcome measures (P > 0.05). Conclusion: Brief resilience interventions have the potential to promote resilience and coping skills among college-going students in this setting. The integration of brief resilience interventions among college-based cohorts would appear to be an appropriate strategy for building protective factors to bolster resilience.

Does Cyberostracism Reduce Prosocial Behaviors? The Protective Role of Psychological Resilience.

To reduce the negative consequences of cyberostracism on prosocial behaviors, we developed a coping strategy based on psychological resilience, and revealed its effectiveness in combating the adverse effects of cyberostracism on prosocial behavior through two studies. Study 1 demonstrated that psychological resilience could mitigate the negative impact of cyberostracism on prosocial behaviors through experimental manipulation. By targeting continuously ostracized people with low resilience for an online self-help resilience intervention program, Study 2 confirmed that psychological resilience was effective in alleviating the detrimental effects of cyberostracism. These studies not only help us to recognize the negative effects of cyberostracism, but also extend Williams’ temporal need–threat model of ostracism in the context of online ostracism. As emerging technologies represent a promising new approach to intervention delivery, the most valuable contribution of this study is that we developed an online self-help psychological resilience intervention program that showed encouraging therapeutic effects and advantages for assisting in caring for a larger population of people who are at elevated risk for being cyberostracized.

Resilience-based multifactorial model of depression among people who lost an only-child in China.

There are almost one million families who lost their only child in China, and 65.6% of them had severe and long lasting depression and needed timely psycho-intervention. This study aims to explore the relationship among resilience and its influential factors, and to compare their effect on depression. A total of 212 only-child loss person in 9 administrative regions in Changsha were assessed by using Connor-Davidson Resilience Scale, Zung Self-rating Depression Scale, Simplified Coping Style Questionnaire, Simplified Eysenck Personality Questionnaire, Social Support Rating Scale, and General Self-efficacy Scale. A hypothetical model was tested based on Kumpfer resilience framework and stress-coping theory. The influential factors of resilience were: positive coping (the total effect value was 0.480), support utilization (the total effect value was 0.359), neuroticism (the total effect value was -0.326), negative coping (the total effect value was 0.279), extraversion (the total effect value was 0.219), and objective support (the total effect value was 0.077). The process of individual-environment interaction showed a greater impact on resilience, which had a direct effect on depression (the total effect value was -0.344, 67.1%), and also indirect effect through self-efficacy (the total effect value was -0.169). The total effect of resilience accounted for 20.1% of the total effect of all variables. Resilience mainly impacts depression directly, and can negatively predict depression in only-child loss parents. Resilience, located before self-efficacy, is a significant stress mediating variables. Personality traits and support utilization indirectly impact resilience via negative and positive coping. The key to promote the reorganization of resilience is the process of individual-environmental interaction, involving support utilization, positive coping, and some sorts of negative coping strategies, which plays an important role in developing a resilience intervention program and can improve the depression of the only-child loss person.

Effects of a community resilience intervention program on victims of forced displacement: A case study.

This article describes the effects of an intervention program that uses community resilience and the psychological, social, and subjective well-being of victims of forced displacement as a reference framework. Following a multiple instrumental case study methodology with pre-post-intervention measurements, the cases of eight people were analyzed, six women and two men between the ages of 30 and 65, low socioeconomic and educational level, all of whom had been victims of forced displacement and currently reside in Ibagué where the intervention program was performed. The reliable change index was applied to estimate the effects of the program. In each case, participation in the program significantly improved the results of certain variables, but there were differences between the cases concerning the improvement levels and intensity. Therefore, the development of programs that reinforce community resilience can have positive effects on the perceptions of the participants regarding their well-being and social relationships.

Resilience Intervention to Strengthen Self-Regulation in Adolescent Students with Hearing Loss

Background: The importance of strong self-regulation (SR) abilities for academic and social success is known, yet relatively few studies examine students’ SR and how it can be promoted especially in adolescents with special needs, such as those students with hearing loss. The purpose of this study was to determine whether a resilience intervention program enhances SR in adolescents with hearing loss. Methods: This study was experimental with a pre-test, post-test, follow up and control group design. Participants included 122 students with hearing loss in mainstream settings randomly assigned to intervention and control groups (61 students in each group). The interventional group had training for six weeks (two times per week for 75 min). The Adolescent Self-Regulatory Inventory was used to measure the self-regulation of students. Results: The results indicated a significant difference between the control and interventional groups in SR, short SR, and Long SR after the intervention, at both the 6-week and 14-week measurements (p < 0.001). Conclusion: This study’s findings indicate that implementing resilience intervention programs can promote the self-regulation skills in adolescent students with hearing loss.

The Effectiveness of a Resilience Intervention Program on Emotional Intelligence of Adolescent Students with Hearing Loss.

Adolescents with hearing loss have been shown to have some emotional difficulties. This study investigated the effectiveness of a resilience training program on the emotional intelligence of mainstreamed adolescent students with hearing loss. In this experimental study, a pre-test, post-test, follow up and control group design was implemented. After receiving informed consents, 122 students with hearing loss in mainstreaming settings were randomly assigned to intervention and control groups (61 students in interventional group and 61 in control). The interventional group received training in groups of 3 to 5, for 6 weeks (two times per week for 75 min). The intervention focused on feelings, thinking (positive, negative) and outcomes of negative thinking, coping strategies, strengths and weakness, problem solving, communication skills, social skills, negotiation, despising and ridiculing, intra- and interpersonal skills. The Connor-Davidson resilience scale (CD-RISC) and the Schutte Emotional Intelligence Scale were used to measure the resilience and the emotional intelligence (EI) of participants respectively just before intervention, as well as at the 6- and 14-week marks. The Friedman Test was used to compare changes in emotional intelligence between interventional and control groups. The intervention increased the resilience scores by 20 points. Although the EI of both groups were similar at the beginning of the research, there was a significant difference between the control and interventional groups in emotional intelligence and its aspects after intervention, at the 6-week and 14-week measurements (p < 0.001). The effect size was 1.5 for the EI total score. The 6-week resilience training program was very effective at improving emotional intelligence and could be readily used to help students with hearing loss improve their emotional abilities.

Impact of Resilience Intervention Program on achievement in Science of Elementary School Students

Impact of Resilience Intervention Program on achievement in Science of Elementary School Students

Implementación del programa de intervención psicológica en resiliencia para cuidadores informales de pacientes con demencia tipo Alzheimer PIRCA

Los programas de intervención psicológica de enfoque cognitivo conductual para cuidadores informales de pacientes con Alzheimer han sido hasta el momento los más utilizados por la efectividad de sus resultados. El objetivo de este estudio es la implementación del programa PIRCA (Programa de Intervención en Resiliencia para Cuidadores Informales de pacientes con Alzheimer) para observar los cambios presentados en los sujetos después de haber participado en el programa. Participaron 10 cuidadores informales, que no recibían remuneración, sin capacitación y convivían con el paciente. Se diseñó un estudio experimental transversal descriptivo comparativo, tipo pre-test/post-test. Los resultados indicaron que los puntajes de las variables con mayor variabilidad fueron depresión estado, eutimia estado, sobrecarga, y estrategias de afrontamiento como búsqueda de apoyo social y religión. Con lo que se concluye que intervenir la resiliencia responde a una necesidad básica de los cuidadores ya que está presente en las características de personalidad del cuidador

Status and enlightenment of psychological resilience intervention: a review

This article introduced the concept and research progress of resilience, reviewed the status of research and application of psychological resilience intervention, and also proposed some suggestions on the cultivation of psychological resilience of nurses in China, in order to provide reference for the development of psychological resilience intervention program for nurses in China. Key words: Nurses; Psychological resilience; Cultivation; Review

Effects of individual resilience intervention on indigenous people who experienced Typhoon Morkot in Taiwan

In 2009, Typhoon Morakot struck Taiwan and caused serious harm to the indigenous peoples living in the southern mountainous regions. The objective of this study is to examine the effects of and the factors involved in individual resilience intervention of typhoon victims. Quantitative research was performed from October 2009 through September 2010. Purposive sampling yielded 77 indigenous persons who were willing to serve as participants in this study. These participants all maintained legal or actual residence in the areas of Kaohsiung that were affected by the typhoon. An individual resilience intervention program was implemented. The findings show the following: (1) after completing the individual resilience intervention program, the participants had higher individual resilience scores than before participating in the intervention program; and (2) individual resilience scores were significantly affected by residency after the typhoon. These findings suggest that an individual resilience intervention program is a useful approach that can be used to enhance the individual resilience of a victim and that professionals should pay more attention to victims who have to leave their hometowns after disasters.