The effectiveness of a bibliotherapy in increasing the self-management ability of slightly to moderately frail older people
The effectiveness of a bibliotherapy in increasing the self-management ability of slightly to moderately frail older people
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DOI：
10.1016/j.pec.2005.03.011
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发表时间：
2006-05-01
影响因子：
3.5
通讯作者：
Slaets, JPJ
中科院分区：
文献类型：
--
作者：
Frieswijk, N;Steverink, N;Slaets, JPJ
目标：自我管理能力（SMA）是获得生产幸福所需资源的能力。随着年龄的增长，SMA变得越来越重要，如果一个人有各种各样的资源，由于衰老过程造成的身体和心理损失可以被替代或补偿。这项研究调查了SMA的增加是否会确保轻度至中度体弱的老年人的积极幸福感的可持续水平。方法：开发了一种阅读疗法，以增加轻度至中度虚弱的老年人的SMA，并帮助这些人维持一定水平的幸福。通过比较97名参加阅读疗法的老年人与96名处于延迟治疗对照条件下的老年人的SMA、掌握和主观幸福感来检验这种阅读疗法的有效性。结果：与延迟治疗对照组相比，阅读疗法使SMA和掌握水平显著提高，并且在干预6个月后，对于SMA，这种效果仍然存在。在接受阅读疗法的老年人中，SMA的增加正如预期的那样阻止了幸福感的下降，但只是在短期内。结论：目前的研究结果表明，即使只有轻微到中等程度的虚弱，也有可能抵消与年龄相关的幸福感下降。实践启示：廉价和容易获得的干预措施，如本文中描述的自我管理阅读疗法，可能为更传统的老年学干预提供有用的补充。2005爱思唯尔爱尔兰有限公司版权所有。
Objective: Self-management ability (SMA) is the ability to obtain those resources necessary for the production of well-being. With age, SMA becomes increasingly important, if one has a large variety of resources, physical and psychosocial losses due to the aging process can be substituted or compensated for. This study examined whether an increase in SMA would ensure sustainable levels of positive well-being among slightly to moderately frail older people.Methods: A bibliotherapy was developed to increase the SMA of slightly to moderaterly frail older people, and to help these persons to sustain a certain level of well-being. The effectiveness of this bibliotherapy was examined by comparing the SMA, mastery, and subjective well-being of 97 older people participating in the bibliotherapy to those of 96 older people in a delayed-treatment control condition.Results: The bibliotherapy resulted in a significant increase in SMA and mastery compared to the delayed-treatment control condition, and for SMA, this effect still existed 6 months after the intervention. The increase in SMA among older people who received the bibliotherapy prevented a decline in well-being as expected, but only in the short-term.Conclusion: The current findings show that it is possible to counteract an age-related decline in well-being, even with only slight to moderate levels of frailty. Practice implications: Cheap and easily accessible interventions, like the self-management bibliotherapy described in this article, may provide a useful addition to more traditional gerontological interventions. (c) 2005 Elsevier Ireland Ltd. All rights reserved.