智慧增强叙事疗法和以同情心为重点的干预措施对老年人4周内孤独的影响:随机对照试验
Da Jiang1, Vivien Foong Yee Tang2, Maninder Kahlon3
1Department of Special Education and Counselling, The Education University of Hong Kong (DJ), Taipo, Hong Kong, China.
概括
一个通过电话传递的智慧增强叙事治疗计划显著减少了老年人的孤独感. 这项为期四周的干预措施显示出,在减少社会隔离方面,可扩展的实施是有希望的.
科学领域:
- 老年学是指老年学的学科.
- 心理治疗 心理治疗
- 公共卫生 公共卫生
背景情况:
- 孤独是老年人关注的一个重要问题,影响整体幸福感.
- 通过电话进行的干预为这一群体提供了可访问的解决方案.
研究的目的:
- 评估通过电话传递的智慧增强叙事疗法 (Tele-NT) 干预措施在减少老年人孤独感方面的有效性.
- 将Tele-NT和电话交付的以同情心为中心的干预 (Tele-EP) 与积极对照组 (ACG) 进行比较.
主要方法:
- 一个三臂随机临床试验,涉及287名老年人 (65-90岁) 在香港.
- 参与者被随机分配到Tele-NT,Tele-EP或ACG组中.
- 在基线和4周后期使用De Jong Gierveld Scale和UCLA孤独度量表来评估孤独度.
主要成果:
- 与ACG相比,Tele-NT组的孤独感显著减少 (平均差异 = -0.51,p = 0.019).
- 与ACG相比,Tele-EP组没有显著减少孤独感 (MD = -0.34,p = 0.179).
- 两种干预都没有显著改善睡眠质量或抑郁症状等次要结果.
结论:
- 一个为期4周的Tele-NT计划有效地减少了老年人的孤独感.
- 这种以电话为基础的,非专业治疗师提供的干预是解决孤独问题的可扩展和有希望的方法.
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