Intervention to Promote Survivor Resilience and Adjustment: Efficacy and Sustainability

The aims of the study are to: (1) evaluate the short and long-term efficacy of two structured outpatient intervention programs, Resilience and Adjustment Intervention (RAI) vs. RAI with follow up booster sessions (RAI+) on resilience; (2) evaluate the short and long-term impact of intervention on emotional well-being and postinjury adjustment with the RAI vs. the RAI+; (3) evaluate the short and long-term impact of the RAI and the RAI+ on abilities including problem solving, communication, and stress management; and (4) determine what variables can predict maintenance of gains. Participants are randomly assigned to either of the two treatment groups. All participants complete the 7-session treatment program over seven weeks. During the first session, participants receive an empty loose leaf binder to store and organize completed self-assessments, reading materials, and homework assignments from each session. They are asked to review materials and complete worksheets between sessions. The intervention is implemented by experienced, licensed therapists. The RAI+ group also completes 3 booster sessions, beginning 3 months after completion of the seventh treatment session. All participants must be at least 18 years of age or older, at least 3 months postinjury, and able to understand and provide consent.