The Effects of Reframing: Interventional Resilience Training on Inpatient Physical Therapy

Poster Title: The Effects of Reframing: Interventional Resilience Training on Inpatient Physical Therapy

Student: Davis Temple, Class of 2024

Faculty Mentor and Department: Dr. David Popoli, Orthopaedics and Rehab, pediatrics

Funding Source: Department of Student Affairs, Wake Forest School of Medicine 

ABSTRACT

Background: Resiliency is the capacity to cope effectively with a difficult situation and maintain a healthy disposition in the face of disaster, pain, or adversity. Previous research on the topic has indicated that resilience is not explicitly an inherent quality, but it also can be learned. In respect to patient care, previous work in resilience has ascertained a correlation between this inherent, preexisting resilience and patient psychological wellbeing or health outcomes. Additional studies that have been conducted specifically to study resilience interventions and have found a positive correlation with improved health outcomes measured by improved quality of life, decreased anxiety, and decreased perceived stress. These interventional studies are heavily concentrated in outpatient settings and in the fields of adult and pediatric oncology. 

Hypothesis: The hypothesis for this project is that the implementation of interventional resilience training during an inpatient stay will improve resilience (measured by the Brief Resilience Scale and Brief Resilient Coping Score), mental health (measured by General Anxiety Disorder-7, Perceived Stress Scale, and Patient Health Questionnaire-9), and rehabilitation outcomes (measured by Activity Measure for Post-Acute Care, Basic Mobility (AM-PAC BM) and Daily Activity (AM-PAC DA)) in patients undergoing inpatient physical rehabilitation.

Methods: To assess the effectiveness of the resilience course, the project will use a two-study design: a before-and-after study to examine the effects of training on mental health, and a case control study to examine the impact of the course on physical rehabilitation. Patients who choose to participate in the study will have their rehabilitation metrics compared to other patients with a similar injury.

Results: Data collection is ongoing. 

Conclusions: Data collection is ongoing. 

Source of mentor’s funding or other support that funded this research: Department of Orthopaedics and Rehabilitation