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Table 1 Content of the PEARL intervention

From: A cluster randomised trial of the program to enhance adjustment to residential living (PEARL): a novel psychological intervention to reduce depression in newly admitted aged care residents

Session 1Validation, orientation and social relationsResident
• Introduction to PEARL
• Validating and normalising the resident’s experience of relocating to the facility
• Orientation to the facility and broader community
• Relationships with family and friends
• Forming relationships with other residents
Session 2Increasing meaningful activity and enhancing competenceResident
• Understanding the resident’s previous activities, occupation, skills, and interests
• Assessing preferences for day to day activities, using a structured tool to determine those that enhance competence
• Developing an implementation plan to increase meaningful activity
Session 3Enhancing autonomyResident
• Assessing preferences for level of choice, independence and autonomy in their environment and day to day activities, including care tasks, using a structured tool
• Developing a plan to increase autonomy
Booster 1Review and problem-solvingResident and staff member
• Introducing the role of the staff member in supporting the resident in meeting their goals
• Reviewing the program, individual strategies selected for implementation, and the resident’s progress in meeting goals
• Reinforcing successes and problem-solve solutions to address barriers, using a problem-solving approach and refining strategies if required
Booster 2Review and problem-solving, and future planningResident and staff member
• Reviewing the program, reinforcing resident’s successes and achievements.
• Providing assistance in problem-solving any difficulties reported by resident.
• Preparing for the future: How to apply the PEARL approach to deal with future issues that emerge.