Are self-perceptions of ageing modifiable? Examination of an exercise programme with vs. without a self-perceptions of ageing-intervention for older adults
Are self-perceptions of ageing modifiable? Examination of an exercise programme with vs. without a self-perceptions of ageing-intervention for older adults
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DOI：
10.1080/08870446.2018.1556273
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发表时间：
2019-06-03
影响因子：
3.3
通讯作者：
Wurm, Susanne
中科院分区：
文献类型：
--
作者：
Beyer, Ann-Kristin;Wolff, Julia K.;Wurm, Susanne
目的：纵向研究一致表明，积极的衰老自我认知（SPA）对健康有益。然而，SPA 的负面影响往往多于正面影响，尤其是对于老年人。因此，本研究测试了在老年人锻炼计划中促进更积极的 SPA 干预的有效性。设计：84 名社区居住的老年人（66-88 岁；M(SD)=76.8(5.29)）被随机分配到一个为期 12 周的以小组为基础的锻炼计划，其中有（n = 46）或没有（n = 38）心理干预来改变 SPA，该计划期间由四个干预单元组成。主要成果衡量标准：在基线、计划前半部分之后、计划结束后以及四个星期后的后续行动中评估 SPA 的增益和损失相关领域。结果：潜在变化评分模型显示，项目结束后，干预组参与者的 SPA 在两个 SPA 领域都有所改善，而对照组的 SPA 没有变化。两组的身体表现均有所改善，但只有 IG 组的心理健康状况有所改善。结论：实施 SPA 干预措施是老年人定期健康促进计划中一种很有前途的方法。
Objective: Longitudinal studies have consistently shown beneficial effects of positive self-perceptions of ageing (SPA) on health. However, SPA are more often negative than positive, particularly in older adults. For this reason, the present study tested the effectiveness of an intervention to promote more positive SPA in the context of an exercise programme for older adults. Design: Eighty-four community-dwelling older adults (66-88 years; M(SD)=76.8(5.29)) were randomly assigned to a group-based exercise programme over 12 weeks with (n = 46) or without (n = 38) a psychological intervention to change SPA, consisting of four intervention units over the programme period. Main Outcome Measures: A gain- and a loss-related domain of SPA were assessed at baseline, after the first half of the programme, directly after the programme and in a follow-up four weeks later. Results: Latent change score models showed an improvement of participants' SPA in the intervention group in both SPA domains after the programme, whereas SPA did not change in the control group. Both groups showed an improvement in physical performance, however, only the IG showed additional improvements in mental health. Conclusion: The implementation of an SPA intervention is a promising approach in regular health promotion programmes for older adults.