Clinical Gerontologist最新文献_第7页

Cognitive Stimulation Therapy in a Veteran Sample: A Program Evaluation Study. 认知刺激疗法在退伍军人样本：一个程序评估研究。

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2025-07-01 Epub Date: 2023-04-20 DOI: 10.1080/07317115.2023.2203139

Ashley M Peak, Janice C Marceaux, Kristy D Shoji, Julianna Valencia

{"title":"Cognitive Stimulation Therapy in a Veteran Sample: A Program Evaluation Study.","authors":"Ashley M Peak, Janice C Marceaux, Kristy D Shoji, Julianna Valencia","doi":"10.1080/07317115.2023.2203139","DOIUrl":"10.1080/07317115.2023.2203139","url":null,"abstract":"Objectives: Cognitive stimulation therapy (CST) is an evidence-based intervention for dementia. This program evaluation examined the outcomes of a modified CST program in a veteran sample.Methods: Twenty-five veterans who participated in a once-weekly, 7-week CST program and completed pre/post-group assessments were selected for inclusion in this chart review study. In this diverse sample (Mage = 74.40; 44% White, 44% Hispanic/Latinx, 8% Black, 4% multiracial), most had a suspected neurodegenerative etiology. Paired-samples t-test examined QoL and cognitive pre/post-intervention scores.Results: Statistically significant improvements were observed in RBANS total index scores (Cohen's d = 0.46). Although there was not a statistically significant change in MoCA scores or patient QoL-AD ratings, there were small effects in the predicted direction (Cohen's d = 0.29 and 0.30, respectively). There was no significant change or effect on caregiver QoL-AD ratings (Cohen's d = .09).Conclusions: A modified, once-weekly 7-week CST program for veterans was feasible and demonstrated positive outcomes. Improvements were observed in global cognition and there was a small, positive effect on patient-rated QoL. Given that dementia is often progressive, stability of cognition and QoL are suggestive of the protective effects of CST.Clinical implications: CST is feasible and beneficial as a once-weekly brief group intervention for veterans with cognitive impairment.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"779-791"},"PeriodicalIF":2.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9390459","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 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

A Novel Virtual Reality-Based Nature Meditation Program for Older Adults' Mental Health: Results from a Pilot Randomized Controlled Trial. 一种新颖的基于虚拟现实的老年人心理健康自然冥想程序：来自一项随机对照试验的结果。

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2025-07-01 Epub Date: 2025-03-28 DOI: 10.1080/07317115.2025.2482089

Isabel Sadowski, Marianne Meilleur-Bédard, Bassam Khoury

{"title":"A Novel Virtual Reality-Based Nature Meditation Program for Older Adults' Mental Health: Results from a Pilot Randomized Controlled Trial.","authors":"Isabel Sadowski, Marianne Meilleur-Bédard, Bassam Khoury","doi":"10.1080/07317115.2025.2482089","DOIUrl":"10.1080/07317115.2025.2482089","url":null,"abstract":"Objectives: The rapid aging of the global population necessitates innovative interventions to address older adults' mental health. This pilot study evaluated the feasibility, acceptability, and preliminary efficacy of a 4-week, 8-session nature-mindfulness-compassion program using immersive virtual reality (Embodied-and-Embedded-Mindfulness-Compassion-Framework - Virtual-Reality (EEMCF-VR)) for older adults' mental health.Methods: Following a mixed-methods, two-arm, open-label RCT design, 24 older adults (Mage = 75.1, SD = 6.58) were randomly assigned to EEMCF-VR (n = 12) or a psychoeducational pamphlet control group (n = 12). Participants completed self-report assessments of stress, positive and negative emotions, coping self-efficacy, psychosocial well-being, mindfulness, and nature connectedness at baseline (T1), midpoint (T2), post-intervention (T3), and 4-week follow-up (T4). Additionally, the EEMCF-VR group completed program feedback (T3) and simulator sickness (T1-T3) questionnaires.Results: EEMCF-VR met feasibility benchmarks (recruitment targets achieved, attrition < 15%) and was well-tolerated (minimal simulator sickness). Participant feedback indicated high acceptability. The EEMCF-VR group reported significantly lower stress and negative emotions at T2 and T4 compared to controls. Qualitative analysis highlighted perceived benefits and components to retain (e.g. video content) or refine (e.g. headset weight).Conclusions: EEMCF-VR demonstrated feasibility and acceptability, with promising effects on stress and mood, warranting investigation in larger trials.Clinical implications: EEMCF-VR shows potential as a scalable intervention to reduce older adults' emotional distress.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"663-683"},"PeriodicalIF":2.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143728782","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

A Pilot Intervention to Prevent Financial Exploitation. 防止金融剥削的试点干预。

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2025-07-01 Epub Date: 2025-01-23 DOI: 10.1080/07317115.2025.2454311

Peter A Lichtenberg, Latoya Hall

{"title":"A Pilot Intervention to Prevent Financial Exploitation.","authors":"Peter A Lichtenberg, Latoya Hall","doi":"10.1080/07317115.2025.2454311","DOIUrl":"10.1080/07317115.2025.2454311","url":null,"abstract":"Objectives: Based on previous empirical research on financial stressors and resources and using a prevention science framework, this pilot study examined the effect and acceptability of a three-session older adult financial exploitation prevention intervention.Methods: Forty-five older adults participated in the study. Each participant completed three 30- to 45-minute sessions. The sessions included financial exploitation vulnerability, financial literacy, techniques used by scammers, choosing a trusted advocate, and creating a financial inventory. At the end of each session, participants were asked how relevant and trustworthy the information presented was. Primary outcome measures were financial vulnerability and financial literacy. Secondary outcomes were other mental health and stress factors, as well as how many participants reported choosing a trusted advocate and creating a financial inventory.Results: Financial literacy and financial vulnerability scores after the prevention intervention differed significantly from baseline scores. Participants' ratings after each session, with respect to usefulness and trustworthiness, were extremely positive.Conclusions: The financial exploitation prevention intervention program demonstrated acceptability and a positive effect on reducing vulnerability to financial exploitation.Clinical implications: Proper assessment of an older client's financial history and of plans to safeguard their financial future is integral to the overall well-being and health of older clients.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"792-803"},"PeriodicalIF":2.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12213236/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143022161","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

Compassion Meditation for Distressed Older Veterans: A Feasibility Study. 为情绪低落的老年退伍军人进行慈悲冥想：可行性研究。

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2025-07-01 Epub Date: 2024-02-26 DOI: 10.1080/07317115.2024.2322056

Anne Malaktaris, Caitlin L McLean, Pollyanna Casmar, Julie Kangas, Hayley Myers, Gage Chu, Rachel C Phillips, Jeanne E Maglione, Barton W Palmer, Ariel J Lang

{"title":"Compassion Meditation for Distressed Older Veterans: A Feasibility Study.","authors":"Anne Malaktaris, Caitlin L McLean, Pollyanna Casmar, Julie Kangas, Hayley Myers, Gage Chu, Rachel C Phillips, Jeanne E Maglione, Barton W Palmer, Ariel J Lang","doi":"10.1080/07317115.2024.2322056","DOIUrl":"10.1080/07317115.2024.2322056","url":null,"abstract":"Objectives: Older Veterans are at elevated risk for psychological distress and may encounter barriers to accessing mental health services. Compassion Meditation (CM) promotes positive emotions and outcomes among distressed individuals; thus, we conducted a preliminary feasibility study of CM among distressed older Veterans.Methods: Participants included 25 Veterans aged 55+ (M = 69.0, SD = 10.6) with anxiety and/or depressive symptoms, recruited from primary care, mostly male (76.0%), and White (60.0%). CM consisted of 10 groups, which were transitioned from in-person to telehealth due to COVID-19. Feasibility indices included rates of intervention initiation and completion, and attendance. Participants completed measures of symptom severity and well-being pre- and post-intervention.Results: Of 25 enrolled participants, 88.0% (n = 22) attended at least one session, and 52% (n = 13) completed the intervention (attended six or more sessions). Among intervention completers, the average number of sessions attended was 9.46. Seven Veterans withdrew from intervention due to difficulties engaging via telehealth.Conclusions: These findings support the feasibility of CM training in older Veterans with psychological distress, though dropouts highlighted potential need for additional strategies to facilitate telehealth participation.Clinical implications: Older Veterans appear amenable to meditation-based practices, provided they are easy to access.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"816-827"},"PeriodicalIF":2.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139971204","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

Music Matters, but so Does the Outcome Measure: A Randomized Controlled Trial for an Individualized Music Intervention for People Living with Dementia. 音乐很重要，但结果测量也很重要：针对痴呆症患者的个性化音乐干预随机对照试验》。

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2025-07-01 Epub Date: 2024-11-24 DOI: 10.1080/07317115.2024.2429590

Mareike C Hillebrand, Lisette Weise, Marlena L Itz, Elisabeth Jakob, Gabriele Wilz

{"title":"Music Matters, but so Does the Outcome Measure: A Randomized Controlled Trial for an Individualized Music Intervention for People Living with Dementia.","authors":"Mareike C Hillebrand, Lisette Weise, Marlena L Itz, Elisabeth Jakob, Gabriele Wilz","doi":"10.1080/07317115.2024.2429590","DOIUrl":"10.1080/07317115.2024.2429590","url":null,"abstract":"Objectives: This study aims to evaluate differential effects of an individualized music listening intervention for people living with dementia in institutional care.Methods: Data from 118 people living with dementia, with a mean age of 84.05 years (SD = 7.00 years, 76.3% were female), was used to investigate effects of 6 weeks of listening to individualized music. Participants were randomly assigned to an intervention group, listening to individualized playlists for 20 min every other day, and a control group, receiving standard care. Effects of the intervention were analyzed by proxy ratings using Goal Attainment Scaling. Different aspects of quality of life were also assessed and analyzed using standardized questionnaires at four assessment points.Results: Attainment of individual goals following 6 weeks of individualized music listening was more frequently reported from the nursing staff in the intervention group, compared to the control group (d = .57). There were no effects of listening to individualized music regularly considering questionnaire data on different aspects of quality of life.Conclusions: Using a personalized measure may help to understand the potential of individualized music listening more adequately.Clinical implications: The results indicate that listening to music can lead to positive but individually different effects.Registration: German Clinical Trials Register (DRKS00013793); ISRCTN registry (ISRCTN59052178).","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"716-728"},"PeriodicalIF":2.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142709766","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

Telehealth Cognitive Behavior Therapy to Reduce Anxiety in People Living with Cognitive Impairment: A Randomized Feasibility Pilot Study. 远程保健认知行为疗法减轻认知障碍患者的焦虑：随机可行性试点研究。

IF 2.4 3区医学

Clinical Gerontologist Pub Date : 2025-07-01 Epub Date: 2024-03-29 DOI: 10.1080/07317115.2024.2336187

Gabriela Pacas Fronza, Leander K Mitchell, Nancy A Pachana, Gerard J Byrne, Jacki Liddle, Jihyun Yang, Deborah Brooks, Tiffany Au, Dana Pourzinal, Peter Worthy, Tracy Comans, Elizabeth Beattie, Sally Bennett, Trevor Russell, Nadeeka N Dissanayaka

{"title":"Telehealth Cognitive Behavior Therapy to Reduce Anxiety in People Living with Cognitive Impairment: A Randomized Feasibility Pilot Study.","authors":"Gabriela Pacas Fronza, Leander K Mitchell, Nancy A Pachana, Gerard J Byrne, Jacki Liddle, Jihyun Yang, Deborah Brooks, Tiffany Au, Dana Pourzinal, Peter Worthy, Tracy Comans, Elizabeth Beattie, Sally Bennett, Trevor Russell, Nadeeka N Dissanayaka","doi":"10.1080/07317115.2024.2336187","DOIUrl":"10.1080/07317115.2024.2336187","url":null,"abstract":"Objectives: To evaluate the feasibility of telehealth-based cognitive behavior therapy for people living with cognitive impairment experiencing anxiety (Tele-CBT), and to assess whether this leads to improvements in anxiety, depression, and quality of life post-intervention.Methods: This was a single-blind randomized feasibility pilot trial of the Tele-CBT versus usual care. People living with mild cognitive impairment or dementia experiencing anxiety were recruited and randomized to receive Tele-CBT (n = 5) or continue usual care (n = 5). Feasibility data comprised recruitment uptake and retention, adherence, and ease of use. Outcomes of anxiety (primary outcome - Rating Anxiety in Dementia; RAID), depression, stress, and quality of life were measured pre- and post-intervention.Results: Intervention feasibility was demonstrated through minimal attrition, acceptability, and ease of use via videoconferencing. Both groups showed a decrease of anxiety symptoms (RAID) from baseline to post-assessment.Conclusions: The Tele-CBT program was acceptable to use via videoconferencing. Reduced anxiety symptoms were observed in both groups at post-. An RCT with a larger sample is required to determine the efficacy and implementation of the intervention.Clinical implications: This study indicates the feasibility of videoconference CBT to address anxiety experienced by people living with cognitive impairment with minimal assistance from support persons.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"684-698"},"PeriodicalIF":2.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140326477","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

Reimagine Aging: A Process-Based Intervention to Decrease Internalized Ageism. 重新想象老龄化：基于过程的干预，减少内化的老龄歧视。

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2025-07-01 Epub Date: 2024-05-22 DOI: 10.1080/07317115.2024.2355539

Dallas J Murphy, Corey S Mackenzie, Michelle M Porter, Judith G Chipperfield

{"title":"Reimagine Aging: A Process-Based Intervention to Decrease Internalized Ageism.","authors":"Dallas J Murphy, Corey S Mackenzie, Michelle M Porter, Judith G Chipperfield","doi":"10.1080/07317115.2024.2355539","DOIUrl":"10.1080/07317115.2024.2355539","url":null,"abstract":"Objectives: Exposure to ageism may be internalized in older adults, and this can have severe consequences. However, little research has addressed reducing internalized ageism. Thus, Reimagine Aging, a 6-week process-based intervention to reduce internalized ageism, was designed and implemented, using education, acceptance and commitment therapy, and attributional retraining to target theoretically based mechanisms of change.Methods: Seventy-two older adults (M = 70.4 years, SD = 6.4 years) participated in Reimagine Aging, consented to participate in this robust single-sample pilot study, and provided valid data. Participants completed questionnaires prior to, immediately following, and 2 months after the intervention.Results: Participants' self-perceptions of aging (<math><msubsup><mi>η</mi><mi>p</mi><mn>2</mn></msubsup></math>=0.37, p < .001) and perceptions of older adults (<math><msubsup><mi>η</mi><mi>p</mi><mn>2</mn></msubsup></math>=0.27, p < .001) became significantly more positive, associated with large effect sizes. Furthermore, these positive gains were mediated by increases in psychological flexibility, mindfulness, and perceived control.Discussion: This study provides initial support for this process-based intervention targeting a reduction of internalized ageism.Clinical implications: This program has the potential to reduce the negative impact internalized ageism has on the health of older adults. Furthermore, it provides novel insights into intervention targets and tools that may be useful in achieving this reduction.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"743-756"},"PeriodicalIF":2.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141080808","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

Third-Wave CBT Online Intervention for Older Adults Inspired by ACT Principles: An Evaluation of Feasibility and Preliminary Effectiveness in Adults Age 75 and Older. 受ACT原则启发的老年人第三波CBT在线干预：对75岁及以上成年人可行性和初步有效性的评估。

IF 2.4 3区医学

Clinical Gerontologist Pub Date : 2025-07-01 Epub Date: 2024-12-25 DOI: 10.1080/07317115.2024.2446460

Amit Adler, Dana Sinai, Daniel Hamiel

{"title":"Third-Wave CBT Online Intervention for Older Adults Inspired by ACT Principles: An Evaluation of Feasibility and Preliminary Effectiveness in Adults Age 75 and Older.","authors":"Amit Adler, Dana Sinai, Daniel Hamiel","doi":"10.1080/07317115.2024.2446460","DOIUrl":"10.1080/07317115.2024.2446460","url":null,"abstract":"Objectives: This study assessed the feasibility and efficacy of \"Online Resilience,\" a three-lesson online intervention based on third-wave cognitive behavioral therapy (CBT) principles, inspired by acceptance and commitment therapy (ACT), designed for emotionally healthy adults aged 75 and older.Methods: A randomized controlled study with 62 participants (mean age = 81) divided into Experimental and Control groups. Outcomes included resilience, well-being, mood, and sleep quality, measured pre-, post-, and at one-month follow-up.Results: The intervention showed feasibility among emotionally healthy older adults with higher baseline resilience and well-being, with attrition rates comparable to similar programs. Resilience improvements were significant post-intervention but diminished by follow-up. Sleep quality improved significantly at follow-up, though control group data was unavailable for comparison. Mood stability was maintained in the intervention group while declining in controls.Conclusion: \"Online Resilience\" shows promise for promoting resilience, mood stability, and sleep quality in older adults, though limited long-term effects and high attrition warrant program refinements.Clinical implications: Brief, self-guided online interventions like this can enhance access to mental health support for older adults, serving as cost-effective preventive tools. However, future programs should address attrition and target individuals with varying baseline psychological resources.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"633-643"},"PeriodicalIF":2.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142885243","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