RESUMO
OBJECTIVE: To examine effects of a videoconferencing coach-guided expressive writing program on facilitating grief resolution in adults with spinal cord injury (SCI). DESIGN: One group pretest - posttest design with a 1-month follow-up. SETTING: Home-based videoconferencing. PARTICIPANTS: Twenty-four adults with SCI. INTERVENTIONS: 10 weekly 1-hour videoconferencing sessions in which participants engaged in expressive writing guided by writing coaches, either individually or in small groups. OUTCOME MEASURES: Self-report questionnaires on measures of grief, emotional distress, depression, stress, trouble falling asleep, meaning and purpose, self-efficacy for managing chronic conditions, ability to participate in social roles and activities, and satisfaction with social roles and activities. RESULTS: Immediately after completing the program, participants showed significant reductions in measures of severity of grief, trouble falling asleep, and trouble participating in social roles and activities and significant increases in self-efficacy for managing chronic conditions and satisfaction with social roles and activities. Participants maintained benefits at 1-month follow-up, showing significant reductions in measures of severity of grief, trouble falling asleep, and distress related to different difficulties and significant increases in feelings of meaning and purpose in life compared to their scores at pre-program. Post-hoc analysis showed that participants whose injury was sustained within 5 years of study enrollment had significant reductions in change scores of distress and trouble participating in social roles and activities compared to those whose injuries were sustained more than 5 years before the study began. CONCLUSION: The videoconferencing coach-guided expressive writing program helps adults with SCI reduce grief intensity and trouble falling asleep and produces a sustained effect. People who sustained a more recent injury seemed to gain more benefits from the program than those whose injuries occurred less recently.Trial Registration: NCT04721717.
RESUMO
While storytelling or expressive writing has been studied in prisoners, little is known about the impact of these art interventions on ex-offenders. This study aims to evaluate a 6-week expressive writing and storytelling program in a group of nine ex-offenders who attend a peer support group. Quantitative data, including psychological recovery, well-being, hope, social support, and loneliness, was collected at baseline and post-program. Individual interviews were conducted at post-program. Results revealed a significant increase in participants' psychological recovery as measured by the Recovery Assessment Scale-revised at post-program with an effect size of 0.56. Three themes about participation in the program emerged: safe space for processing and expressing inner feelings, relating to and connecting with peers, and adjusting the way of thinking. Findings showed this program has the potential to improve ex-offenders' psychological recovery, and provide them with skills to desist from crime and be better serve as peer support workers.