Clinical Gerontologist最新文献

Harmonizing Cognitive and Psychosocial Needs in Cognitive Training: Lessons Learned from Piano Training in Persons Living with Mild Cognitive Impairment. 协调认知训练中的认知和社会心理需求：轻度认知障碍患者钢琴训练的经验教训。

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2025-07-01 Epub Date: 2025-01-09 DOI: 10.1080/07317115.2024.2447839

Rose Lin, Laura M Robinson, Jing Jing Su, Elinor Freer, Sally Norton, Benzi M Kluger, Kathi L Heffner

{"title":"Harmonizing Cognitive and Psychosocial Needs in Cognitive Training: Lessons Learned from Piano Training in Persons Living with Mild Cognitive Impairment.","authors":"Rose Lin, Laura M Robinson, Jing Jing Su, Elinor Freer, Sally Norton, Benzi M Kluger, Kathi L Heffner","doi":"10.1080/07317115.2024.2447839","DOIUrl":"10.1080/07317115.2024.2447839","url":null,"abstract":"Objectives: This qualitative study explored the potential of piano training as a holistic intervention to enhance both cognitive and emotional well-being. The study aims to detail the experiences of older adults living with mild cognitive impairment (MCI) in a piano training program and recommend strategies to boost engagement.Methods: Fourteen individuals (seven older adults with MCI and their family members) participated in individual semi-structured interviews before and after a 12-week group-based piano training program. These interviews were recorded, transcribed, open-coded, and analyzed by conventional content analysis.Results: Participants with MCI reported improvements in mood, cognitive function, and social interaction. The learning process elicited mixed emotions, with both enjoyment and frustration occurring during the learning phases. Skill mastery and positive social interactions were crucial for sustained engagement throughout the program, although group settings sometimes led to negative self-comparisons.Conclusions: Findings highlighted the need to address both cognitive and emotional needs in interventions for MCI. Neglecting these aspects can exacerbate feelings of low self-esteem and other negative emotions.Clinical implications: Recommendations for cognitive training programs include positive reinforcement, personalized support, mental preparation for challenges, and rapport building to enhance participant motivation and adherence.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"729-742"},"PeriodicalIF":2.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142945793","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effectiveness of Psychotherapy for Community-Dwelling Vulnerable Older Adults with Depression and Care Needs: Findings from the PSY-CARE Trial. 心理疗法对居住在社区、有抑郁症和护理需求的弱势老年人的疗效：PSY-CARE 试验结果。

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2025-07-01 Epub Date: 2024-05-21 DOI: 10.1080/07317115.2024.2353702

Paul Gellert, Sonia Lech, Felicia Hoppmann, Julie Lorraine O'Sullivan, Eva-Marie Kessler

{"title":"Effectiveness of Psychotherapy for Community-Dwelling Vulnerable Older Adults with Depression and Care Needs: Findings from the PSY-CARE Trial.","authors":"Paul Gellert, Sonia Lech, Felicia Hoppmann, Julie Lorraine O'Sullivan, Eva-Marie Kessler","doi":"10.1080/07317115.2024.2353702","DOIUrl":"10.1080/07317115.2024.2353702","url":null,"abstract":"Background: For older adults with care needs, evidence for the effectiveness of psychotherapy on depression is scarce.Methods: In PSY-CARE, a pragmatic randomized controlled trial, N = 197 home-living older adults with depression and care needs were randomized into outpatient psychotherapy or an active control condition. Residential psychotherapists offered age-sensitive cognitive-behavioral psychotherapy (at-home if needed). Control group participants received telephone counseling and a self-help guide. Outcomes were assessed at baseline (T1), after (T2), 3 months after (T3), and 12 months after the intervention (T4).Results: There was a significant decrease in depressive symptoms across both arms with Cohen's d T4-T1 = .52 in the psychotherapy and .55 in the control group. Mixed models revealed no statistically significant difference in primary and secondary outcomes between interventions. Posthoc, we found control group participants with greater ADL limitations experienced significantly increased depressive symptoms compared to those reporting lower limitations.Conclusions: Interventions were successful in reducing depressive symptoms, even though treatment fidelity was decreased due to the COVID-19 pandemic. We could not demonstrate superior effectiveness of psychotherapy for older adults with care needs.Clinical implications: Findings suggest that psychotherapy may be an important and superior treatment to circumvent aggravation of depression in older patients with high functional limitations.Trial registration: The trial was prospectively registered with the ISRCTN registry (Trial registration number: ISRCTN55646265, February 15, 2019).","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"618-632"},"PeriodicalIF":2.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141075727","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Effects of Mindfulness-Based Interventions in People with Parkinson's Disease: A Systematic Review and Meta-Analysis. 正念干预对帕金森病患者的影响：系统回顾与元分析》。

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2025-07-01 Epub Date: 2024-02-07 DOI: 10.1080/07317115.2024.2314192

Mo Yi, Wenmin Zhang, Baosheng Zhao, Zhiwen Wang

{"title":"The Effects of Mindfulness-Based Interventions in People with Parkinson's Disease: A Systematic Review and Meta-Analysis.","authors":"Mo Yi, Wenmin Zhang, Baosheng Zhao, Zhiwen Wang","doi":"10.1080/07317115.2024.2314192","DOIUrl":"10.1080/07317115.2024.2314192","url":null,"abstract":"Objectives: To examine the effectiveness of mindfulness-based interventions (MBIs) on psychological symptoms, motor symptoms, and quality of life in patients with Parkinson's disease (PD).Methods: Published studies in Chinese and English languages, conducted from inception to March 2023, were identified by searching PubMed, Web of Science, Cochrane Library, CINAHL, PsycINFO, and two Chinese electronic databases. The systematic review was performed according to the Preferred Reporting Items for Systematic Reviews and Meta Analyses guidelines.Results: Twelve studies were selected for quantitative syntheses. The impact of MBIs on reducing depression and anxiety, and improving mindfulness and quality of life in PD patients was statistically significant compared to the control group. However, no statistically significant effect on motor symptoms was observed. Subgroup analysis indicated that participants from Asia, those who received face-to-face sessions, and those whose sessions lasted 1.5 hours showed a more positive effect than other subgroups.Conclusions: Patients with PD may benefit from MBIs to improve psychological symptoms and quality of life. MBIs represent a pivotal non-pharmacological therapeutic approach in clinical practice.Clinical implications: MBIs confer positive improvements in psychological well-being and quality of life in PD patients. However, it remains challenging to conclusively determine their efficacy in addressing motor symptoms.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"570-588"},"PeriodicalIF":2.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139697067","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Feasibility and Acceptability of a Remote Group Intervention for Depression, Social Isolation, and Loneliness in Older Adults. 老年人抑郁、社会孤立和孤独的远程群体干预的可行性和可接受性。

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2025-07-01 Epub Date: 2024-12-13 DOI: 10.1080/07317115.2024.2440373

Jay Kayser, Chuxuan Zheng, Skyla Turner, Xiaoling Xiang

{"title":"Feasibility and Acceptability of a Remote Group Intervention for Depression, Social Isolation, and Loneliness in Older Adults.","authors":"Jay Kayser, Chuxuan Zheng, Skyla Turner, Xiaoling Xiang","doi":"10.1080/07317115.2024.2440373","DOIUrl":"10.1080/07317115.2024.2440373","url":null,"abstract":"Objectives: This mixed-methods study examines the acceptability, feasibility, and preliminary effect of a novel, remotely delivered group intervention (Empower@Home: Connected) targeting depression, social isolation, and loneliness in older adults (≥ 60).Methods: Acceptability was assessed via participant satisfaction, and feasibility was measured by attrition rates and session attendance. Participants completed pre- and posttest measures of depression, social isolation, and loneliness, with depression also assessed biweekly. Post-intervention, participants completed semi-structured qualitative interviews about their experiences.Results: 31 participants completed the intervention. The intervention had high acceptability and feasibility. Depressive symptoms significantly decreased. Reductions in loneliness and social isolation were observed but not statistically significance. Linear mixed modeling revealed a significant reduction in depressive symptoms during the intervention. Qualitative interviews highlighted participants' beliefs in the intervention's impact. They appreciated the convenience of remote delivery and valued shared experiences and emotional support from group interactions.Conclusions: This uncontrolled pilot intervention was acceptable, feasible, and reduced depressive symptomatology. Future research should refine social isolation and loneliness components and explore the intervention's long-term impact.Clinical implications: This pilot remote group-based interventions to address depression, social isolation, and loneliness in older adults was acceptable and feasible, making it a potentially valuable option for improving mental health care.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"757-771"},"PeriodicalIF":2.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142817273","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Telephone-Based Acceptance and Commitment Therapy for Caregivers of Persons with Dementia: Results of a Randomized Controlled Trial. 针对痴呆症患者照顾者的电话接受与承诺疗法：随机对照试验结果。

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2025-07-01 Epub Date: 2024-08-21 DOI: 10.1080/07317115.2024.2393307

Anne Katrin Risch, Franziska Lechner-Meichsner, Gabriele Wilz

{"title":"Telephone-Based Acceptance and Commitment Therapy for Caregivers of Persons with Dementia: Results of a Randomized Controlled Trial.","authors":"Anne Katrin Risch, Franziska Lechner-Meichsner, Gabriele Wilz","doi":"10.1080/07317115.2024.2393307","DOIUrl":"10.1080/07317115.2024.2393307","url":null,"abstract":"Objectives: Family caregivers of persons with dementia (PwD) experience high levels of distress. We used a randomized-controlled trial to investigate the effects of telephone-based acceptance and commitment therapy (tbACT) for family caregivers.Methods: Caregivers were randomly allocated to an intervention group (tbACT, n = 41) or an untreated control group (CG, n = 40). The intervention consisted of eight weekly sessions of tbACT. Depression and anxiety (primary outcomes), physical symptoms, pre-death grief, care-related thoughts, acceptance (secondary outcomes), quality of life, coping and well-being (well-being/coping outcomes) were assessed pre- and post-assessment. A 6-month follow-up was conducted.Results: Compared to CG participants, tbACT participants had at post-assessment significantly lower depressive symptoms; fewer physical symptoms (rheumatic pain); better physical health; more resource utilization (coping with daily hassles, social support); better coping with the care situation and better emotional well-being. During the six-month follow-up, tbACT participants showed less pre-death grief, fewer physical symptoms, and more utilization of resources related to coping with daily hassles.Conclusions: tbACT is a feasible and promising psychotherapeutic intervention for family caregivers of PwD. Because of small sample size our results are preliminary.Clinical implications: Most of the effects of tbACT were not maintained 6 months after the intervention, suggesting that booster sessions may be helpful.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"644-662"},"PeriodicalIF":2.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142016506","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Online Acceptance and Commitment Therapy for Chronic Pain in an Older Adult: A Telehealth Approach Amid COVID-19. 老年人慢性疼痛的在线接受和承诺治疗：COVID-19期间的远程医疗方法

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2025-07-01 Epub Date: 2025-04-14 DOI: 10.1080/07317115.2025.2487008

Rebecca Campbell, Sai Durga Vara Prasada Rao Podugu, Mary Morris

{"title":"Online Acceptance and Commitment Therapy for Chronic Pain in an Older Adult: A Telehealth Approach Amid COVID-19.","authors":"Rebecca Campbell, Sai Durga Vara Prasada Rao Podugu, Mary Morris","doi":"10.1080/07317115.2025.2487008","DOIUrl":"10.1080/07317115.2025.2487008","url":null,"abstract":"Objectives: This case study evaluates the effectiveness of online Acceptance and Commitment Therapy (ACT) for chronic pain management in an older adult, expanding on prior research (Campbell, Podugu, and Morris, 2021) by assessing its adaptation for telehealth during COVID-19.Methods: A 78-year-old woman with chronic pain completed a structured, eight-session ACT program delivered via telehealth. Quality of life (QoL), depression, physical activity, and ACT-specific measures were assessed at baseline, post-treatment, and across multiple phases.Results: Online ACT was associated with improvements in chronic pain and overall functioning. The participant demonstrated excellent therapy adherence, achieved clinically significant gains in physical activity, and improvement in pain. Positive outcomes were observed across key variables.Conclusions: Online ACT is a feasible and effective approach for chronic pain management in older adults. Telehealth adaptations can enhance accessibility and treatment outcomes, addressing barriers such as mobility limitations and geographical constraints. These findings align with existing evidence supporting ACT for chronic pain in older adults.Clinical implications: Findings support the role of online ACT in chronic pain management for older adults, and its potential in telehealth-based interventions. Further research is needed to evaluate its long-term effectiveness and generalizability across diverse populations.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"844-854"},"PeriodicalIF":2.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143981142","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Systematic Review of Dyadic Interventions for Ambulatory Care Sensitive Conditions: Current Evidence and Key Gaps. 对门诊护理敏感条件的二元干预的系统评价:当前的证据和关键差距。

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2025-07-01 Epub Date: 2022-06-17 DOI: 10.1080/07317115.2022.2086089

Jennalee S Wooldridge, Fernanda S Rossi, Coral Anderson, Natalie M Yarish, Ambri Pukhraj, Ranak B Trivedi

{"title":"Systematic Review of Dyadic Interventions for Ambulatory Care Sensitive Conditions: Current Evidence and Key Gaps.","authors":"Jennalee S Wooldridge, Fernanda S Rossi, Coral Anderson, Natalie M Yarish, Ambri Pukhraj, Ranak B Trivedi","doi":"10.1080/07317115.2022.2086089","DOIUrl":"10.1080/07317115.2022.2086089","url":null,"abstract":"Objectives: Identify non-pharmacological interventions to support patient/caregiver dyads with ACSCs; review the effects of dyadic interventions on health services outcomes; and review the effectiveness of dyadic interventions on patient and caregiver biopsychosocial outcomes.Methods: A systematic review of randomized controlled trials (RCTs).Results: Twenty-six manuscripts representing 20 unique RCTs (Mean N = 154 patients, 140 caregivers) were eligible. Eleven RCTs examined caregiving in patients with HF, seven with T2DM, one with COPD, and one with mixed ACSCs. Dyadic interventions for ACSCs were diverse in terms of length and content, with most including an educational component. Only 4/26 included studies had a low risk of bias. Interventions were most successful at improving quality of life, clinical health outcomes, health behaviors, and health services outcomes, with fewer improvements in patient mental health outcomes, psychosocial outcomes, relationship outcomes, and caregiver outcomes in general. The largest effect sizes were reported from trials focused on T2DM.Conclusions: High-quality research with consistent measuring instruments is needed to understand which interventions are associated with improved patient and caregiver outcomes.Clinical implications: There may be clinically relevant benefits to including caregivers in interventions for patients with ACSCs, and clinicians should consider this when devising treatment plans.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":"1 1","pages":"589-617"},"PeriodicalIF":2.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42069802","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Online Chair Yoga and Digital Learning for Rural Underserved Older Adults at Risk for Alzheimer's Disease and Related Dementias. 为有阿尔茨海默病和相关痴呆风险的农村服务不足的老年人提供在线椅子瑜伽和数字学习。

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2025-07-01 Epub Date: 2023-11-08 DOI: 10.1080/07317115.2023.2277333

Juyoung Park, Lisa Ann Kirk Wiese, Janet Holt

{"title":"Online Chair Yoga and Digital Learning for Rural Underserved Older Adults at Risk for Alzheimer's Disease and Related Dementias.","authors":"Juyoung Park, Lisa Ann Kirk Wiese, Janet Holt","doi":"10.1080/07317115.2023.2277333","DOIUrl":"10.1080/07317115.2023.2277333","url":null,"abstract":"Objectives: We evaluated the feasibility and preliminary efficacy of a home-based online chair yoga (OCY) program for racially and ethnically diverse rural community-dwelling older adults.Methods: We randomly assigned participants to OCY or a computer brain game (CBG). After a computer literacy training led by high school students, participants engaged in remotely supervised OCY or CBG in twice-weekly 45-minute sessions for 12 weeks. Outcome data (pain interference, cognitive function, mobility, computer skills) were collected at baseline, post-intervention, and 3-month follow-up.Results: A total of 32 eligible residents with mean age of 71 years participated in this intervention study. The interventions were feasible (100% recruitment rate, 96.8% retention rate, 100% safety rate). There were significant improvements in pain interference, cognitive function, mobility, and computer skills from baseline to follow-up among participants in both OCY and CBG but no significant differences in outcomes between groups.Conclusions: Preliminary results indicated that the CBG was as effective as online OCY in clinical outcomes in these participants. However, this should be confirmed in future studies.Clinical implications: This telehealth-based intervention is feasible for older adults in rural and digitally underserved communities and could provide a strategy for delivering health-promoting interventions for home-bound older adults at risk for Alzheimer's disease and related dementias (ADRD) and connect caregivers to online resources.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"699-715"},"PeriodicalIF":2.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11076416/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71520689","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Feasibility and Acceptability of a Videoconferencing CBT Intervention for Anxiety in People with Parkinson's Disease. 针对帕金森病患者焦虑症的视频会议 CBT 干预疗法的可行性和可接受性。

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2025-07-01 Epub Date: 2024-01-26 DOI: 10.1080/07317115.2024.2306861

Amy Roper, Deborah Brooks, Leander K Mitchell, Nancy A Pachana, Tiffany R Au, Gerard J Byrne, John D O'Sullivan, Nadeeka N Dissanayaka

{"title":"Feasibility and Acceptability of a Videoconferencing CBT Intervention for Anxiety in People with Parkinson's Disease.","authors":"Amy Roper, Deborah Brooks, Leander K Mitchell, Nancy A Pachana, Tiffany R Au, Gerard J Byrne, John D O'Sullivan, Nadeeka N Dissanayaka","doi":"10.1080/07317115.2024.2306861","DOIUrl":"10.1080/07317115.2024.2306861","url":null,"abstract":"Objectives: In people with Parkinson's disease (PwPD), non-motor symptoms such as anxiety are common and have negative impacts on their quality of life. There are currently few interventions that address anxiety in PwPD, and access to diagnosis and treatment is often limited for those living in rural areas. The aim of this study was to evaluate the feasibility and acceptability of a telehealth videoconferencing CBT intervention for anxiety in PwPD.Methods: A pre- and post-test feasibility study (N = 10) was conducted and evaluated utilizing the RE-AIM framework (Reach, Effectiveness, Adoption, Implementation, and Maintenance).Results: Lack of access to the internet and videoconferencing technology were identified as barriers to participation. Physical health issues also impacted recruitment and retention. Non-completers were significantly older and less likely to have a carer involved in the intervention. Clinician adoption of the intervention was low while participant acceptability of videoconferencing technology varied and required carer support.Conclusions: Providing access to technology and support to overcome technological issues, as well as telehealth training for clinicians, are recommended in future studies to improve recruitment, retention, and implementation.Clinical implications: Identification of barriers and facilitators provides future studies with the knowledge to tailorize their program to better suit PwPD.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"828-843"},"PeriodicalIF":2.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139563493","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Feasibility of a Telephone-Delivered Group Meditation Intervention for Chronically Ill Socially Isolated Older Adults. 为患有慢性病、与社会隔离的老年人提供电话小组冥想干预的可行性。

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2025-07-01 Epub Date: 2024-05-13 DOI: 10.1080/07317115.2024.2351494

Lydia Wailing Li, Rita Xiaochen Hu, Mariko Foulk

{"title":"Feasibility of a Telephone-Delivered Group Meditation Intervention for Chronically Ill Socially Isolated Older Adults.","authors":"Lydia Wailing Li, Rita Xiaochen Hu, Mariko Foulk","doi":"10.1080/07317115.2024.2351494","DOIUrl":"10.1080/07317115.2024.2351494","url":null,"abstract":"Objectives: This pilot study assessed the feasibility of a group-based telephone-delivered meditation intervention to reduce social isolation in older adults. It included weekly training sessions and daily practices of loving-kindness meditation in small groups via telephone conferences for six weeks and an extended group meditation practice for another six weeks.Methods: Community-living older adults (age 60+) with multiple chronic conditions and experiencing social isolation were recruited. Each participant was assessed at the pretest, posttest, and follow-up (6 and 12 weeks after pretest). Outcome measures included social interaction, loneliness, and depressive symptoms. Open-ended questions were asked in the posttest and follow-up.Results: Sixteen individuals enrolled, and fourteen completed the program (87.5% retention). Completers showed high levels of adherence (95% attendance to training) and acceptability and a statistically significant increase in social interaction at follow-up. Qualitative data suggest that participants experienced changes in emotion regulation, motivation and confidence, and sense of belonging.Conclusions: A group-based telephone-delivered meditation intervention targeting chronically ill older adults who experience social isolation is technically feasible, very acceptable, and potentially beneficial to them.Clinical implications: Older adults enjoy learning meditation. Telephone conferencing is a low-cost tool for engaging socially isolated older adults in social interactions and group meditation.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"804-815"},"PeriodicalIF":2.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140911639","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0