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Effects of a biopsychosocial‐spiritual group therapy on quality of life among institutionalized older adults with disabilities: A randomized controlled trial.

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Title: Effects of a biopsychosocial‐spiritual group therapy on quality of life among institutionalized older adults with disabilities: A randomized controlled trial.
Authors: Chen, Yi‐Heng, Lin, Li‐Chan, Hsiung, Yvonne, Wu, Shiao‐Chi
Source: International Journal of Mental Health Nursing. Oct2023, Vol. 32 Issue 5, p1335-1345. 11p.
Subjects: Pilot projects, Experimental design, Biopsychosocial model, Research evaluation, Spiritual healing, Randomized controlled trials, Nursing care facilities, Life, T-test (Statistics), Comparative studies, Quality of life, Residential care, Blind experiment, Psychology of caregivers, Chi-squared test, Research funding, Descriptive statistics, People with disabilities, Statistical sampling, Statistical correlation, Barthel Index, Data analysis software, Group psychotherapy, Spiritual care (Medical care), Comorbidity, Longitudinal method, Old age
Geographic Terms: Taiwan
Abstract: The traditional biomedical care approach has been unsatisfactory to meet the complex needs of seniors with long‐term multimorbidity and irreversible disability, particularly for those living in residential LTC facilities. This study aimed to develop and evaluate the effectiveness of an 8‐week biopsychosocial‐spiritual (BPS‐S) group intervention with the attempt to enhance quality of life (QoL) and meaning in life among senior residents with disability. This single‐blind randomized controlled trail was conducted in eight residential LTC facilities. The primary outcome, 'participants' overall and subdomain QoL', and the secondary outcome, 'meaning in life', were repeatedly assessed, including four time points: before, mid‐ and post‐intervention, and at a 1‐month follow‐up. A generalized linear mixed model (GLMM) was used to assess between‐group differences over time. The post‐intervention differences indicated significant higher improvement on senior residents' overall and all 4 domains of QoL, as well as their meaning in life, between the baseline and both times of post‐intervention and 1‐month follow‐up. On the other hand, participants' family QoL have improved immediately in the midst of intervention. This study provides preliminary evidence to support the feasibility and effectiveness of an 8‐week BPS‐S group therapy. We recommend the BPS‐S be integrated into routine institutional care activities to help maximize senior residents' own capacity for self‐healing, achieve a state of harmonious balance between body, mind, social and spiritual relationships; and in turn, enhance holistic health of this group. [ABSTRACT FROM AUTHOR]
Copyright of International Journal of Mental Health Nursing is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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PubType: Academic Journal
PubTypeId: academicJournal
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  Label: Title
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  Data: Effects of a biopsychosocial‐spiritual group therapy on quality of life among institutionalized older adults with disabilities: A randomized controlled trial.
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  Data: <searchLink fieldCode="JN" term="%22International+Journal+of+Mental+Health+Nursing%22">International Journal of Mental Health Nursing</searchLink>. Oct2023, Vol. 32 Issue 5, p1335-1345. 11p.
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  Data: <searchLink fieldCode="DE" term="%22Pilot+projects%22">Pilot projects</searchLink><br /><searchLink fieldCode="DE" term="%22Experimental+design%22">Experimental design</searchLink><br /><searchLink fieldCode="DE" term="%22Biopsychosocial+model%22">Biopsychosocial model</searchLink><br /><searchLink fieldCode="DE" term="%22Research+evaluation%22">Research evaluation</searchLink><br /><searchLink fieldCode="DE" term="%22Spiritual+healing%22">Spiritual healing</searchLink><br /><searchLink fieldCode="DE" term="%22Randomized+controlled+trials%22">Randomized controlled trials</searchLink><br /><searchLink fieldCode="DE" term="%22Nursing+care+facilities%22">Nursing care facilities</searchLink><br /><searchLink fieldCode="DE" term="%22Life%22">Life</searchLink><br /><searchLink fieldCode="DE" term="%22T-test+%28Statistics%29%22">T-test (Statistics)</searchLink><br /><searchLink fieldCode="DE" term="%22Comparative+studies%22">Comparative studies</searchLink><br /><searchLink fieldCode="DE" term="%22Quality+of+life%22">Quality of life</searchLink><br /><searchLink fieldCode="DE" term="%22Residential+care%22">Residential care</searchLink><br /><searchLink fieldCode="DE" term="%22Blind+experiment%22">Blind experiment</searchLink><br /><searchLink fieldCode="DE" term="%22Psychology+of+caregivers%22">Psychology of caregivers</searchLink><br /><searchLink fieldCode="DE" term="%22Chi-squared+test%22">Chi-squared test</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22People+with+disabilities%22">People with disabilities</searchLink><br /><searchLink fieldCode="DE" term="%22Statistical+sampling%22">Statistical sampling</searchLink><br /><searchLink fieldCode="DE" term="%22Statistical+correlation%22">Statistical correlation</searchLink><br /><searchLink fieldCode="DE" term="%22Barthel+Index%22">Barthel Index</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis+software%22">Data analysis software</searchLink><br /><searchLink fieldCode="DE" term="%22Group+psychotherapy%22">Group psychotherapy</searchLink><br /><searchLink fieldCode="DE" term="%22Spiritual+care+%28Medical+care%29%22">Spiritual care (Medical care)</searchLink><br /><searchLink fieldCode="DE" term="%22Comorbidity%22">Comorbidity</searchLink><br /><searchLink fieldCode="DE" term="%22Longitudinal+method%22">Longitudinal method</searchLink><br /><searchLink fieldCode="DE" term="%22Old+age%22">Old age</searchLink>
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  Label: Geographic Terms
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  Data: <searchLink fieldCode="DE" term="%22Taiwan%22">Taiwan</searchLink>
– Name: Abstract
  Label: Abstract
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  Data: The traditional biomedical care approach has been unsatisfactory to meet the complex needs of seniors with long‐term multimorbidity and irreversible disability, particularly for those living in residential LTC facilities. This study aimed to develop and evaluate the effectiveness of an 8‐week biopsychosocial‐spiritual (BPS‐S) group intervention with the attempt to enhance quality of life (QoL) and meaning in life among senior residents with disability. This single‐blind randomized controlled trail was conducted in eight residential LTC facilities. The primary outcome, 'participants' overall and subdomain QoL', and the secondary outcome, 'meaning in life', were repeatedly assessed, including four time points: before, mid‐ and post‐intervention, and at a 1‐month follow‐up. A generalized linear mixed model (GLMM) was used to assess between‐group differences over time. The post‐intervention differences indicated significant higher improvement on senior residents' overall and all 4 domains of QoL, as well as their meaning in life, between the baseline and both times of post‐intervention and 1‐month follow‐up. On the other hand, participants' family QoL have improved immediately in the midst of intervention. This study provides preliminary evidence to support the feasibility and effectiveness of an 8‐week BPS‐S group therapy. We recommend the BPS‐S be integrated into routine institutional care activities to help maximize senior residents' own capacity for self‐healing, achieve a state of harmonious balance between body, mind, social and spiritual relationships; and in turn, enhance holistic health of this group. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
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  Data: <i>Copyright of International Journal of Mental Health Nursing is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=171370696
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1111/inm.13172
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 11
        StartPage: 1335
    Subjects:
      – SubjectFull: Pilot projects
        Type: general
      – SubjectFull: Experimental design
        Type: general
      – SubjectFull: Biopsychosocial model
        Type: general
      – SubjectFull: Research evaluation
        Type: general
      – SubjectFull: Spiritual healing
        Type: general
      – SubjectFull: Randomized controlled trials
        Type: general
      – SubjectFull: Nursing care facilities
        Type: general
      – SubjectFull: Life
        Type: general
      – SubjectFull: T-test (Statistics)
        Type: general
      – SubjectFull: Comparative studies
        Type: general
      – SubjectFull: Quality of life
        Type: general
      – SubjectFull: Residential care
        Type: general
      – SubjectFull: Blind experiment
        Type: general
      – SubjectFull: Psychology of caregivers
        Type: general
      – SubjectFull: Chi-squared test
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: People with disabilities
        Type: general
      – SubjectFull: Statistical sampling
        Type: general
      – SubjectFull: Statistical correlation
        Type: general
      – SubjectFull: Barthel Index
        Type: general
      – SubjectFull: Data analysis software
        Type: general
      – SubjectFull: Group psychotherapy
        Type: general
      – SubjectFull: Spiritual care (Medical care)
        Type: general
      – SubjectFull: Comorbidity
        Type: general
      – SubjectFull: Longitudinal method
        Type: general
      – SubjectFull: Old age
        Type: general
      – SubjectFull: Taiwan
        Type: general
    Titles:
      – TitleFull: Effects of a biopsychosocial‐spiritual group therapy on quality of life among institutionalized older adults with disabilities: A randomized controlled trial.
        Type: main
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      – PersonEntity:
          Name:
            NameFull: Chen, Yi‐Heng
      – PersonEntity:
          Name:
            NameFull: Lin, Li‐Chan
      – PersonEntity:
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            NameFull: Hsiung, Yvonne
      – PersonEntity:
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            NameFull: Wu, Shiao‐Chi
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          Dates:
            – D: 01
              M: 10
              Text: Oct2023
              Type: published
              Y: 2023
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            – Type: issn-print
              Value: 14458330
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              Value: 32
            – Type: issue
              Value: 5
          Titles:
            – TitleFull: International Journal of Mental Health Nursing
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