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Abstract
Two versions of a multicomponent mind–body wellness intervention were tested. One hundred seventy-eight physician-referred HMO patients (mean age = 64.5) were randomly assigned to a classroom intervention, a home study intervention, or a wait-list control group. Both interventions provided instruction on mind–body relationships, relaxation training, cognitive restructuring, problem solving, communication, behavioral treatment for insomnia, nutrition, and exercise. The home version was delivered by class videotapes and readings. Compared with the control condition, both interventions led to significant decreases in self-reports of pain, sleep difficulties, and symptoms of depression and anxiety. The home course also led to a significant decrease in self-reported frequency of medical symptoms, and the classroom program resulted in a significant decrease in “chance” health locus of control beliefs. No effects were obtained for health behaviors, life satisfaction, HMO satisfaction, and other health locus of control beliefs. A lower cost, more accessible home study version of a mind–body wellness program can be an effective alternative to classroom instruction.
Additional information
Notes on contributors
Bruce Rybarczyk
Dr Rybarczyk is an assistant professor in the Departments of Psychology and Physical Medicine and Rehabilitation at Rush University in Chicago, where Ms DeMarco is a research coordinator in the Department of Psychology. Dr DeLaCruz is an assistant professor in the Department of Family Medicine at Rush Medical College and Director of Behavioral Medicine at Rush-Prudential Health Plans, and Mr Lapidos is coordinator of the Geriatric Interdisciplinary Team Training Program at Rush–Presbyterian–St Luke's Medical Center in Chicago.
Gail DeMarco
Dr Rybarczyk is an assistant professor in the Departments of Psychology and Physical Medicine and Rehabilitation at Rush University in Chicago, where Ms DeMarco is a research coordinator in the Department of Psychology. Dr DeLaCruz is an assistant professor in the Department of Family Medicine at Rush Medical College and Director of Behavioral Medicine at Rush-Prudential Health Plans, and Mr Lapidos is coordinator of the Geriatric Interdisciplinary Team Training Program at Rush–Presbyterian–St Luke's Medical Center in Chicago.
Marco DeLaCruz
Dr Rybarczyk is an assistant professor in the Departments of Psychology and Physical Medicine and Rehabilitation at Rush University in Chicago, where Ms DeMarco is a research coordinator in the Department of Psychology. Dr DeLaCruz is an assistant professor in the Department of Family Medicine at Rush Medical College and Director of Behavioral Medicine at Rush-Prudential Health Plans, and Mr Lapidos is coordinator of the Geriatric Interdisciplinary Team Training Program at Rush–Presbyterian–St Luke's Medical Center in Chicago.
Stan Lapidos
Dr Rybarczyk is an assistant professor in the Departments of Psychology and Physical Medicine and Rehabilitation at Rush University in Chicago, where Ms DeMarco is a research coordinator in the Department of Psychology. Dr DeLaCruz is an assistant professor in the Department of Family Medicine at Rush Medical College and Director of Behavioral Medicine at Rush-Prudential Health Plans, and Mr Lapidos is coordinator of the Geriatric Interdisciplinary Team Training Program at Rush–Presbyterian–St Luke's Medical Center in Chicago.