团体回忆疗法对改善机构养老老年人幸福感的有效性：一项随机对照试验的研究方案
Effectiveness of group reminiscence for improving wellbeing of institutionalized elderly adults: study protocol for a randomized controlled trial.
作者信息
Gaggioli Andrea, Scaratti Chiara, Morganti Luca, Stramba-Badiale Marco, Agostoni Monica, Spatola Chiara A M, Molinari Enrico, Cipresso Pietro, Riva Giuseppe
机构信息
Applied Technology for Neuro-Psychology Laboratory, Institute for Treatment and Research (I,R,C,C,S,) Istituto Auxologico Italiano, Via Magnasco 2, 20149 Milan, Italy.
出版信息
Trials. 2014 Oct 25;15:408. doi: 10.1186/1745-6215-15-408.
BACKGROUND
Group reminiscence therapy is a brief and structured intervention in which participants share personal past events with peers. This approach has been shown to be promising for improving wellbeing and reducing depressive symptoms among institutionalized older adults. However, despite the considerable interest in reminiscence group therapy, controlled studies to determine its specific benefits as compared to generic social interactions with peers (group conversations about everyday subjects) are still lacking.
METHODS/DESIGN: We have designed a randomized controlled trial aimed at comparing the effects of group reminiscence therapy with those of group recreational activity on the psychological wellbeing of an institutionalized sample of older adults. The study includes two groups of 20 hospitalized elderly participants: the experimental group and the control group. Participants included in the experimental group will receive six sessions of group reminiscence therapy, while the control group will participate in a recreational group discussion. A repeated-measures design will be used post-intervention and three months post-intervention to evaluate changes in self-reported outcome measures of depressive symptoms, self-esteem, life satisfaction, and quality of life from baseline.
DISCUSSION
The protocol of a study aimed at examining the specific effects of group reminiscence therapy on psychological wellbeing, depression, and quality of life among institutionalized elderly people is described. It is expected that the outcomes of this trial will contribute to our knowledge about the process of group reminiscence, evaluate its effectiveness in improving psychological wellbeing of institutionalized individuals, and identify the best conditions for optimizing this approach.
TRIAL REGISTRATION
This trial was registered with ClinicalTrials.gov (registration number: NCT02077153) on 31 January 2014.
背景
团体回忆疗法是一种简短且结构化的干预措施，参与者与同龄人分享个人过去的经历。这种方法已被证明有望改善机构养老的老年人的幸福感并减轻抑郁症状。然而，尽管对回忆团体疗法有相当大的兴趣，但与同龄人进行一般性社交互动（关于日常话题的团体对话）相比，确定其具体益处的对照研究仍然缺乏。
方法/设计：我们设计了一项随机对照试验，旨在比较团体回忆疗法与团体娱乐活动对机构养老的老年样本心理健康的影响。该研究包括两组，每组20名住院老年参与者：实验组和对照组。实验组的参与者将接受六次团体回忆疗法，而对照组将参加娱乐性团体讨论。干预后和干预后三个月将采用重复测量设计，以评估自我报告的抑郁症状、自尊、生活满意度和生活质量结果指标相对于基线的变化。
讨论
描述了一项旨在研究团体回忆疗法对机构养老老年人心理健康、抑郁和生活质量的具体影响的研究方案。预计该试验的结果将有助于我们了解团体回忆的过程，评估其在改善机构养老个体心理健康方面的有效性，并确定优化这种方法的最佳条件。
试验注册
该试验于2014年1月31日在ClinicalTrials.gov（注册号：NCT02077153）注册。
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