The Impact of the mAgeing Mobile Program on Loneliness, Depression, and Resilience in Older Adults

IF 1.3 Q4 GERIATRICS & GERONTOLOGY
N. Alizadeh, S. Pourhadi, H. Matlabi, S. Sum, A. Delbari, Z. Geraili
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Abstract

Background and Objectives: Loneliness and depression are major public health issues among the elderly. Self-management and self-care interventions can enhance resilience and promote well-being. The World Health Organization’s (WHO) mobile-Ageing (mAgeing) program, which delivers daily health messages to older adults, aims to promote healthy aging and strengthen intrinsic capacity and functional ability. This study evaluated the effects of the WHO mAgeing smartphone-based program on loneliness, depression, and resilience among retired education professionals. Methods: This one-group pretest–posttest quasi-experimental study included 210 older adults aged over 60, recruited through convenience sampling. Participants received daily mAgeing messages and activity instructions via WhatsApp for eight weeks. Loneliness, depressive symptoms, and resilience were measured at baseline, week 8, and week 12 using the UCLA Loneliness Scale, Geriatric Depression Scale-5 (GDS-5), and the Connor-Davidson Resilience Scale (CD-RISC) questionnaires. Results: Among participants, 109 (54.8%) were women and 90 (45.2%) were men, with a mean age of 64.68 ± 3.23 years. After the intervention, the mean loneliness score decreased from 46.21 to 41.56, and the mean depression score declined from 1.25 to 0.89. The mean resilience score increased from 43.83 to 47.84. Statistical analyses showed significant reductions in depression and loneliness (p < 0.001) and a significant improvement in resilience and its five components (p < 0.001). Older age, male gender, being widowed or divorced, and a history of illness were negative demographic predictors of loneliness. Older age and male gender also predicted higher depression and lower resilience, whereas higher educational level and time progression positively predicted all three outcomes. Conclusion: The mAgeing program is feasible for use among older adults and can effectively reduce loneliness and depressive symptoms while improving resilience after an eight-week intervention. We emphasize that, given the single-group design, results indicate associations rather than causal effects.

移动管理项目对老年人孤独、抑郁和心理弹性的影响
背景和目的:孤独和抑郁是老年人的主要公共卫生问题。自我管理和自我保健干预措施可以增强复原力,促进福祉。世界卫生组织(WHO)的移动老龄化(maging)项目每天向老年人传递健康信息,旨在促进健康老龄化,加强内在能力和功能能力。本研究评估了世卫组织基于智能手机的管理项目对退休教育专业人员孤独感、抑郁症和恢复力的影响。方法:采用方便抽样法,对210名60岁以上老年人进行一组前测后测准实验研究。在八周的时间里,参与者每天都会收到通过WhatsApp发送的信息和活动指导。分别在基线、第8周和第12周使用UCLA孤独量表、老年抑郁量表-5 (GDS-5)和Connor-Davidson弹性量表(CD-RISC)进行孤独感、抑郁症状和心理弹性的测量。结果:女性109例(54.8%),男性90例(45.2%),平均年龄64.68±3.23岁。干预后,孤独平均分由46.21分下降至41.56分,抑郁平均分由1.25分下降至0.89分。心理韧性平均得分由43.83上升至47.84。统计分析显示抑郁和孤独显著减少(p < 0.001),恢复力及其五个组成部分显著改善(p < 0.001)。年龄较大、男性、丧偶或离婚以及疾病史是孤独的负向人口预测因子。年龄越大和男性性别也预示着抑郁程度越高和恢复力越低,而教育程度越高和工作时间越长对这三种结果都有积极的预测作用。结论:magingingprogram在老年人中使用是可行的,经过8周的干预,可以有效地减少孤独感和抑郁症状,同时提高适应能力。我们强调,考虑到单组设计,结果表明关联而不是因果关系。
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来源期刊
Advances in Gerontology
Advances in Gerontology GERIATRICS & GERONTOLOGY-
CiteScore
0.80
自引率
16.70%
发文量
45
期刊介绍: Advances in Gerontology focuses on biomedical aspects of aging. The journal also publishes original articles and reviews on progress in the following research areas: demography of aging; molecular and physiological mechanisms of aging, clinical gerontology and geriatrics, prevention of premature aging, medicosocial aspects of gerontology, and behavior and psychology of the elderly.
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