Facilitative Effectiveness of Elderly and Adolescent Volunteer Counselors in a Nursing Home Setting Page: 52
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52
education group tended to be superficial and activity
oriented, the skills group consistently honed in on client
affect and deeper emotional issues. In terms of general
clinical practice the former is considered the superior
accomplishment.
Several indicators emerged which suggest a direction to
follow in future research. The changes in depression score
occurred over a treatment period of five weeks. Perhaps a
longer trial period would have accentuated the results and a
three month follow-up could measure outcome stability. The
Zung SDS was used to screen eligible subjects and was the
dependent variable. Restricting the range of Zung SDS pretest
scores likely attenuated the difference scores at posttest.
This raises practical questions regarding the generalizability
of statistical depression score differences versus observable
clinical differences. Since factor loadings on the Zung
stress both emotional and somatic components (Freedman, Bucci,
S Elkowitz, 1982; Zung, 1967), it is likely that dysphoric
mood symptoms are more susceptible to counselor influences
than are vegetative symptoms. Comparison tests by factor
loading which are correlated with a behavior checklist would
yield results with the most clinical utility.
The Morale variable did not show an association with
the presence or absence of a volunteer. The morale
instrument was included to obtain a broader range of
affective response measures as supportive data and no hypo-
theses were generated. Apparently, morale or life satisfaction.
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Nagel, Joseph. Facilitative Effectiveness of Elderly and Adolescent Volunteer Counselors in a Nursing Home Setting, dissertation, December 1984; Denton, Texas. (https://digital.library.unt.edu/ark:/67531/metadc332101/m1/56/: accessed April 24, 2024), University of North Texas Libraries, UNT Digital Library, https://digital.library.unt.edu; .