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A pragmatic trial of a group intervention in senior housing communities to increase resilience
- Emily B. H. Treichler, Danielle Glorioso, Ellen E. Lee, Tsung-Chin Wu, Xin M. Tu, Rebecca Daly, Catherine O’Brien, Jennifer L. Smith, Dilip V. Jeste
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- Journal:
- International Psychogeriatrics / Volume 32 / Issue 2 / February 2020
- Published online by Cambridge University Press:
- 05 February 2020, pp. 173-182
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Background:
Aging is associated with numerous stressors that negatively impact older adults’ well-being. Resilience improves ability to cope with stressors and can be enhanced in older adults. Senior housing communities are promising settings to deliver positive psychiatry interventions due to rising resident populations and potential impact of delivering interventions directly in the community. However, few intervention studies have been conducted in these communities. We present a pragmatic stepped-wedge trial of a novel psychological group intervention intended to improve resilience among older adults in senior housing communities.
Design:A pragmatic modified stepped-wedge trial design.
Setting:Five senior housing communities in three states in the US.
Participants:Eighty-nine adults over age 60 years residing in independent living sector of senior housing communities.
Intervention:Raise Your Resilience, a manualized 1-month group intervention that incorporated savoring, gratitude, and engagement in value-based activities, administered by unlicensed residential staff trained by researchers. There was a 1-month control period and a 3-month post-intervention follow-up.
Measurements:Validated self-report measures of resilience, perceived stress, well-being, and wisdom collected at months 0 (baseline), 1 (pre-intervention), 2 (post-intervention), and 5 (follow-up).
Results:Treatment adherence and satisfaction were high. Compared to the control period, perceived stress and wisdom improved from pre-intervention to post-intervention, while resilience improved from pre-intervention to follow-up. Effect sizes were small in this sample, which had relatively high baseline resilience. Physical and mental well-being did not improve significantly, and no significant moderators of change in resilience were identified.
Conclusion:This study demonstrates feasibility of conducting pragmatic intervention trials in senior housing communities. The intervention resulted in significant improvement in several measures despite ceiling effects. The study included several features that suggest high potential for its implementation and dissemination across similar communities nationally. Future studies are warranted, particularly in samples with lower baseline resilience or in assisted living facilities.
“THE MOST BEAUTIFUL MURDER”: THE TRANSGRESSIVE AESTHETICS OF MURDER IN VICTORIAN STREET BALLADS
- Ellen L. O’Brien
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- Journal:
- Victorian Literature and Culture / Volume 28 / Issue 1 / March 2000
- Published online by Cambridge University Press:
- 05 October 2000, pp. 15-37
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To say that this common [criminal] fate was described in the popular press and commented on simply as a piece of police news is, indeed, to fall short of the facts. To say that it was sung and balladed would be more correct; it was expressed in a form quite other than that of the modern press, in a language which one could certainly describe as that of fiction rather than reality, once we have discovered that there is such a thing as a reality of fiction.
—Louis Chevalier, Laboring Classes and Dangerous Classes
SPEAKING OF NINETEENTH-CENTURY FRANCE, Louis Chevalier traces the bourgeoisie’s elision of the working classes with the criminal classes, in which crime becomes either the representation of working class “failure” or “revenge” (396). Chevalier argues that working- class texts “recorded” their acquiescence to and acceptance of “a genuine fraternity of [criminal] fate” when they “described and celebrated [it] in verse” (397). Though a community of fate might inspire collective resistance, popular poetry and ballads, he confirms, reproduced metonymic connections between criminal and worker when “their pity went out to embrace dangerous classes and laboring classes alike. . . . One might almost say [they proclaimed these characteristics] in an identical poetic strain, so strongly was this community of feeling brought out in the relationship between the favorite subjects of working-class songs and the criminal themes of the street ballads, in almost the same words, meters, and tunes” (396) Acquiescence to or reiteration of worker/criminal equations established itself in workers’ views of themselves as “a different, alien and hostile society” (398) in literature that served as an “involuntary and ‘passive’ recording and communication of them” (395). Though I am investigating Victorian England, not nineteenth-century France, and though I regard the street ballads as popular texts which record resistance, not acquiescence, Chevalier’s work usefully articulates the predicament of class-based ideologies about worker and criminal which functioned similarly in Victorian England. More importantly, Chevalier acknowledges the complexity of street ballads as cultural texts..