Øverup Camilla S, Lehane Christine M, Hald Gert Martin
Department of Public Health, University Of Copenhagen, Øster Farimagsgade 5, 1353 København K, Denmark.
Internet Interv. 2022 Jul 9;29:100557. doi: 10.1016/j.invent.2022.100557. eCollection 2022 Sep.
Sensory impairment is common in older age and may be associated with intra- and interpersonal struggles. Treatment and intervention efforts may be hampered by functional difficulties or unwillingness to receive face-to-face mental health services. The current study seeks to assess the efficacy of an online psychological intervention for older adults with sensory loss and their spouses in Denmark, using a two-arm, parallel-group, randomized controlled trial study design. Participants will be randomly assigned to the intervention group or waiting list control group. The intervention consists of four digital, sequential modules that contain psychoeducation and Acceptance and Commitment Therapy inspired therapeutic activities. Individuals will be assessed at baseline, 6 weeks, and 10 weeks post-baseline, and for the intervention group only, at 18-weeks. The outcomes are well-being (primary), relationship satisfaction (secondary), and depressive symptoms (tertiary). The data will be analyzed using multilevel modeling to account for non-independence of data (nesting within participant and within couple). This is the first randomized controlled trial study of an online psychological intervention for older adults with sensory loss and their spouses and it will provide valuable knowledge regarding whether internet-delivered intervention is effective for this population group.
感觉障碍在老年人中很常见，可能与人际内和人际间的困扰有关。功能困难或不愿接受面对面心理健康服务可能会阻碍治疗和干预工作。本研究旨在采用双臂、平行组、随机对照试验研究设计，评估丹麦针对有感觉丧失的老年人及其配偶的在线心理干预的疗效。参与者将被随机分配到干预组或等待名单对照组。干预包括四个数字顺序模块，包含心理教育以及受接纳与承诺疗法启发的治疗活动。个体将在基线、基线后6周和10周进行评估，干预组仅在18周时进行评估。结果指标为幸福感（主要指标）、关系满意度（次要指标）和抑郁症状（第三指标）。将使用多层次模型分析数据，以考虑数据的非独立性（参与者内和夫妻内的嵌套）。这是第一项针对有感觉丧失的老年人及其配偶的在线心理干预的随机对照试验研究，它将提供关于互联网提供的干预对该人群是否有效的宝贵知识。
