Browsing by Subject "resilience"
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Item Building resilience with heart rate variability biofeedback (HRVB): a randomized controlled trial of HRVB to reduce emotional exhaustion/burnout in emergency department and intensive care unit providers(2020-05) Cortez-Neavel, Geordi R.; Jones, Harlan P.; Mathew, Stephen O.; Gatch, Michael B.; Powers, Mark B.; Warren, Ann MarieCortez-Neavel, Geordi, Building Resilience with Heart Rate Variability Biofeedback (HRVB): A Randomized Controlled Trial of HRVB to Reduce Emotional Exhaustion/Burnout in Emergency Department and Intensive Care Unit Providers. Master of Science in Clinical Research Management, November, 2019, 89 pp., 12 figures, 14 tables, journal entries, references, # titles. PURPOSE: The purpose of this study was to compare perceived emotional exhaustion (assessed through MBI, CD-RISC, PSS, and PHQ-2) between two subject cohorts who received interventions designed to reduce emotional exhaustion through utilization of a Heart rate Variability Biofeedback device, its partner app, and paired technique. We sought to evaluate the effectiveness of HRVB as a means to reduce emotional exhaustion as experienced by emergency and trauma care providers in a single-site, hospital setting (ED and ICU). HYPOTHESIS: The daily use of the HeartMath® HRVB device, Inner Balance application, and Quick Coherence technique over a 4-week period decreases emotional exhaustion in emergency and critical care providers. DESIGN: Providers (RN, PA, NP, MD/DO) working in Baylor University Medical Center's emergency department and intensive-care units participated in a 10-week study, consisting of a 4-week randomized control trial followed by a transition week and additional 5-week study "crossover" extension. RESULTS and CONCLUSIONS: Without the sample size to achieve the desired power of this study, no statistically significant conclusions can be drawn at this time. As of the writing of this thesis, the study is still ongoing, and, thus, new participant data may be included as a result of their completion of the RCT portion.Item Psychometric Properties of Scales Measuring Resilience in U.S. Latinx Populations: A Systematic Review(Mary Ann Liebert, Inc., 2023-03-11) Cockroft, Joshua D.; Rabin, Julia; Yockey, R. Andrew; Toledo, Isabella; Fain, Susan; Jacquez, Farrah; Vaughn, Lisa M.; Stryker, Shanna D.OBJECTIVES: Instruments used to measure resilience have typically been developed in European or Anglosphere countries and emphasize personal factors of resilience. In addition to being a quickly growing ethnic minority group in the United States, Latinx individuals face unique stressors and protective factors that may contribute to resilience. This review sought to determine the extent to which instruments measuring resilience have been validated in U.S. Latinx populations and what domains of resilience those scales capture. METHODS: A systematic literature review was conducted using Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) standards and included studies describing psychometric properties of resilience scales for Latinx individuals living in the United States. Articles were assessed for quality of psychometric validation; scales used in the final studies were assessed for representation of domains of the social ecological resilience model. RESULTS: Nine studies were included in the final review examining eight separate resilience measures. The populations of these studies were heterogeneous geographically and demographically; more than half the studies only included Latinx populations as a subgroup. The breadth and quality of psychometric validation were variable across studies. The domains represented by the scales in the review most heavily assessed individual domains of resilience. CONCLUSION: The literature to date on psychometric validation of resilience measures in Latinx populations in the United States is limited and does not robustly capture aspects of resilience that may be particularly meaningful for Latinx populations, such as community or cultural factors. Instruments that are developed with and for Latinx populations are necessary to better understand and measure resilience in this population.