Date Approved


Graduate Degree Type


Degree Name

Nursing (M.S.N.)

Degree Program

College of Nursing

First Advisor

Louette Lutjens

Second Advisor

Patricia Underwood

Third Advisor

Frederick Greaves


The Roy Adaptation Model guided this pretest-posttest quasi-experimental study to test an intervention addressing loss associated with chronic illness. Differences in adaptation and well-being were evaluated between control (n = 20) and experimental groups (n = 20) 30 days after intervention. Adaptation was measured by PAIS-SR scores and analyzed using ANCOVA to adjust for pretest differences. T-test and Mann-Whitney U was used to evaluate well-being as measured by the Global Well-being Scale. Changes in adaptation were not significantly different between groups, but well-being improved 12.8% in the experimental group as compared with 1.4% in the control group. Inconsistency of results with RAM concepts raised questions regarding the accuracy of the PAIS-SR as a measurement of adaptation. Results of the study lend support to the application of nursing theory to nursing practice as a means of improving health outcomes.


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