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Effects of an Intervention to Enhance Resilience in Physical Therapy Students

Not Applicable
Completed
Conditions
Psychological Stress
Interventions
Other: Resilience Curriculum
Registration Number
NCT02541240
Lead Sponsor
University of Indianapolis
Brief Summary

Health professional students experience high levels of psychological stress. Individuals with higher levels of resilience are better equipped to handle stress. The purpose of this study is to evaluate the effects of an 8-hour resilience curriculum on stress levels, resilience, coping, protective factors, and symptomatology on students enrolled in a doctor of physical therapy (DPT) program.

Hypothesis: The curriculum will decrease stress levels, increase resilience, coping flexibility, protective factors (optimism, positive affect, and social support), and reduce symptomatology (negative affect, illness). Research on stress and its consequences experienced by physical therapy students in particular is limited. If the results of this study support this hypothesis, it may establish the benefit of adding a resilience component to the curriculum for students of physical therapy.

Detailed Description

The study involves curriculum development and evaluation by randomized controlled trial. Participants will be randomized to the intervention group to receive a Resilience Curriculum or to a wait-list control group to receive a condensed version of the curriculum following the post-intervention assessments.

Pre- and post-intervention assessments will be administered to both groups, with baseline assessments administered in the first two weeks of the semester. The assessments will include measures of stress levels, levels of resilience, coping flexibility, optimism, positive and negative emotions, social support, and symptoms of illness. The intervention, the presentation of a resilience curriculum, will be delivered to the intervention group during the week following the baseline assessments and it will last for four weeks.

The resilience curriculum will provide education for participants about methods to increase protective factors against stress, the use of effective coping strategies, and the importance of accessing social support, with the goal of better managing stress and enhancing resilience. The intervention will include a didactic component, skills-building training, and homework exercises to encourage the application of the skills. The curriculum will be delivered in four 2-hour modules, with one module delivered each week. The follow-up assessments will occur after midterm examinations are concluded. An abbreviated curriculum which will last approximately two hours will be delivered to the wait-list control group.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
43
Inclusion Criteria
  • Current enrollment in Doctor of Physical Therapy program at either Indiana University or the University of Indianapolis
Exclusion Criteria
  • None

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Resilience CurriculumResilience CurriculumThe intervention is exposure to an 8-hour Resilience Curriculum. It will provide education for participants about methods to increase protective factors against stress, the use of effective coping strategies, and the importance of accessing social support, with the goal of better managing stress and enhancing resilience. The curriculum will include a didactic component, skills-building training, and homework exercises to encourage the application of the skills.
Primary Outcome Measures
NameTimeMethod
Change from baseline in psychological resilience at 8 weeksBaseline and 8 weeks

The 25-item Connor-Davidson Resilience Scale measures a variety of constructs of resilience including hardiness, personal competence, social bonds, patience, and spiritual influences.

Secondary Outcome Measures
NameTimeMethod
Change from baseline in perceived psychological stress at 8 weeksBaseline and 8 weeks

The 10-item Perceived Stress Scale was created to assess the perception of stress in the previous month,

Change from baseline in coping flexibility at 8 weeksBaseline and 8 weeks

The Coping Flexibility Scale is a 10-item tool to measure the ability of an individual to effectively modify coping behavior.

Change from baseline in optimism at 8 weeksBaseline and 8 weeks

The Revised Life Orientation Test is a 10-item scale designed to measure optimism in an individual.

Change from baseline in positive and negative emotions at 8 weeksBaseline and 8 weeks

The 20-item Modified Differential Emotion Scale, an adaptation of the original Differential Emotion Scale, measures positive and negative emotions that an individual has experienced in the previous 2 weeks.

Change from baseline in social support at 8 weeksBaseline and 8 weeks

The Social Provisions Scale is a 24-item assessment of six areas of social relationships (guidance, reliable alliance, attachment, social integration, reassurance of worth, and opportunity for nurturance) used to measure perceived social support.

Trial Locations

Locations (2)

University of Indianapolis

🇺🇸

Indianapolis, Indiana, United States

Indiana University Purdue University Indianapolis

🇺🇸

Indianapolis, Indiana, United States

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