title: A classroom mind/body wellness intervention for older adults with chronic illness: comparing immediate and 1-year benefits.
abstract: The authors tested the efficacy of a mind/body wellness intervention for older adults with chronic illness. They randomly assigned 243 physician-referred patients from an urban HMO to a classroom intervention or a wait-list control group. The intervention provided instruction on mind/body relationships; relaxation training; cognitive restructuring; problem-solving; communication; and behavioral treatment for insomnia, nutrition, and exercise. At posttreatment, the intervention group had significant decreases in self-reported sleep difficulties, pain, anxiety, and depression symptoms compared with controls. The intervention also led to a significant decrease in "chance" and "powerful others" health locus of control beliefs. At 1-year follow-up, the intervention group maintained benefits in sleep and health locus of control and also reported a significant increase in health behaviors compared with controls. Pain, anxiety, and depression benefits were not maintained. This type of classroom intervention appears to have some lasting effects on health behaviors and beliefs.
authors.affiliation: Department of Psychology and Physical Medicine and Rehabilitation, Rush University, Chicago, USA. brybarcz@rush.edu
authors.forename: B
authors.initials: B
authors.lastname: Rybarczyk
authors.forename: G
authors.initials: G
authors.lastname: DeMarco
authors.forename: M
authors.initials: M
authors.lastname: DeLaCruz
authors.forename: S
authors.initials: S
authors.lastname: Lapidos
authors.forename: B
authors.initials: B
authors.lastname: Fortner
mesh_terms: D000368:Aged; D002908:Chronic Disease / Q000523:psychology / Q000534:rehabilitation*; D003131:Combined Modality Therapy; D005260:Female; D015438:Health Behavior; D006279:Health Maintenance Organizations; D006801:Humans; D007389:Internal-External Control; D008297:Male; D008875:Middle Aged; D019222:Mind-Body Relations, Metaphysical; D010353:Patient Education as Topic; D011615:Psychotherapy, Group; D011788:Quality of Life; D012648:Self Care / Q000523:psychology; D012803:Sick Role