title: Effects of teaching resourcefulness and acceptance on affect, behavior, and cognition of chronically ill elders.
abstract: This clinical trial examined changes in affect, behavior, and cognition in 176 chronically ill elders who were randomly assigned to Resourcefulness Training (RT), Acceptance Training (AT), or Diversional Activities (DA). The RT group improved on affect (t(1,42) = 4.91; p < .001) and cognition (t(1,42) = 2.03; p < .05) and these effects lasted 12 weeks. The AT group improved on affect (t(1,36) = 3.08; p < .01), but this improvement did not persist. The RT and AT groups both showed positive behavior changes after six weeks. There were no changes in the DA group. The findings suggest that teaching elders resourcefulness and acceptance of chronic conditions may promote healthy functioning and improve their quality of life.
authors.affiliation: Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, OH 44106-4904, USA. jaz@case.edu
authors.forename: Jaclene A
authors.initials: JA
authors.lastname: Zauszniewski
authors.forename: Abir K
authors.initials: AK
authors.lastname: Bekhet
authors.forename: Chien-Yu
authors.initials: CY
authors.lastname: Lai
authors.forename: Patricia E
authors.initials: PE
authors.lastname: McDonald
authors.forename: Carol M
authors.initials: CM
authors.lastname: Musil
mesh_terms: D000223:Adaptation, Psychological; D000339:Affect; D000368:Aged; D000369:Aged, 80 and over; D000704:Analysis of Variance; D040561:Assisted Living Facilities; D001294:Attitude to Health; D002908:Chronic Disease / Q000517:prevention & control / Q000523:psychology; D003071:Cognition; D003863:Depression / Q000517:prevention & control / Q000523:psychology; D005260:Female; D005500:Follow-Up Studies; D015577:Geriatric Assessment; D015438:Health Behavior; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion; D006801:Humans; D008297:Male; D009820:Ohio; D010353:Patient Education as Topic / Q000458:organization & administration*; D011788:Quality of Life; D012648:Self Care / Q000379:methods* / Q000523:psychology