Trial reportInternational psychogeriatrics2020
A pragmatic trial of a group intervention in senior housing communities to increase resilience.
Trial report in International psychogeriatrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
36 citing papers in PubMed, 2 syntheses or guidelines pooled it, 65 citations in OpenAlex.
- Development of loneliness and social isolation after spousal loss: A systematic review of longitudinal studies on widowhood.Journal of the American Geriatrics Society · 2025Pooled it
- Outcomes of Randomized Clinical Trials of Interventions to Enhance Social, Emotional, and Spiritual Components of Wisdom: A Systematic Review and Meta-analysis.JAMA psychiatry · 2020Pooled it
- Navigating Adversity in Older Age: An Integrative Review of Contemporary Resilience Concepts and Measurement Challenges.Geriatrics (Basel, Switzerland) · 2026Review
- Resilience and Social Support as Predictors of Life Satisfaction in Healthy Older Adults: A Moderation Analysis.Actas espanolas de psiquiatria · 2026Article
- The current status and implications of aging research from a health perspective.Frontiers in psychology · 2026Review
- A three-arm randomized controlled trial protocol: Effects of telephone-based, layperson-delivered wisdom-enhancement narrative therapy and empathy-focused interventions on loneliness, social, and mental health in older adults.Contemporary clinical trials communications · 2025Article
- Latent profiles of mental health in older adults living in nursing homes: the challenge of suicide prevention.Frontiers in psychology · 2025Article
- A cross-sectional network analysis of successful aging in a resilience-based framework.PloS one · 2025Article
- Psychological Resilience and Frailty Progression in Older Adults.JAMA network open · 2024Article
- Mitigating the Harmful Impact of Ageism among Older Individuals: The Buffering Role of Resilience Factors.Geriatrics (Basel, Switzerland) · 2023Article
- Comprehensive evaluation of community human settlement resilience and spatial characteristics based on the supply-demand mismatch between health activities and environment: a case study of downtown Shanghai, China.Globalization and health · 2023Article
- Remotely Administered Resilience- and Wisdom-Focused Intervention to Reduce Perceived Stress and Loneliness: Pilot Controlled Clinical Trial in Older Adults.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2023Article
- Mental health care for older adults: recent advances and new directions in clinical practice and research.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2022Article
- A Proactive Behavioral Activities Program (EWA) and the Influence of COVID-19 among Seniors in Congregate Living Communities.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2022Article
- Abbreviated San Diego Wisdom Scale (SD-WISE-7) and Jeste-Thomas Wisdom Index (JTWI).International psychogeriatrics · 2022Article
- The Relationship Between Loneliness and Positive Affect in Older Adults.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2022Article
- Wisdom and fluid intelligence are dissociable in healthy older adults.International psychogeriatrics · 2022Article
- Association between resilience and frailty among Chinese older adults.Frontiers in psychiatry · 2022Article
- Study of loneliness and wisdom in 482 middle-aged and oldest-old adults: a comparison between people in Cilento, Italy and San Diego, USA.Aging & mental health · 2021Article
- Two-Step Resilience-Oriented Intervention for Veterans with Traumatic Brain Injury: A Pilot Randomized Controlled Trial.Clinical neuropsychiatry · 2021Article
Corrections and comments
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Authors and funding
9 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundAging 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.
designA pragmatic modified stepped-wedge trial design.
settingFive senior housing communities in three states in the US.
participantsEighty-nine adults over age 60 years residing in independent living sector of senior housing communities.
interventionRaise 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).
resultsTreatment 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.
conclusionThis 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.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.