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重塑衰老认知:一种基于过程的减少内化年龄歧视的干预措施。

Reimagine Aging: A Process-Based Intervention to Decrease Internalized Ageism.

作者信息

Murphy Dallas J, Mackenzie Corey S, Porter Michelle M, Chipperfield Judith G

机构信息

Centre on Aging, University of Manitoba, Winnipeg, Canada.

Department of Psychology, University of Manitoba, Winnipeg, Canada.

出版信息

Clin Gerontol. 2024 May 22:1-14. doi: 10.1080/07317115.2024.2355539.

Abstract

OBJECTIVES

Exposure to ageism may be internalized in older adults, and this can have severe consequences. However, little research has addressed reducing internalized ageism. Thus, Reimagine Aging, a 6-week process-based intervention to reduce internalized ageism, was designed and implemented, using education, acceptance and commitment therapy, and attributional retraining to target theoretically based mechanisms of change.

METHODS

Seventy-two older adults ( = 70.4 years, SD = 6.4 years) participated in Reimagine Aging, consented to participate in this robust single-sample pilot study, and provided valid data. Participants completed questionnaires prior to, immediately following, and 2 months after the intervention.

RESULTS

Participants' self-perceptions of aging (=0.37,  < .001) and perceptions of older adults (=0.27,  < .001) became significantly more positive, associated with large effect sizes. Furthermore, these positive gains were mediated by increases in psychological flexibility, mindfulness, and perceived control.

DISCUSSION

This study provides initial support for this process-based intervention targeting a reduction of internalized ageism.

CLINICAL IMPLICATIONS

This program has the potential to reduce the negative impact internalized ageism has on the health of older adults. Furthermore, it provides novel insights into intervention targets and tools that may be useful in achieving this reduction.

摘要

目标

老年人可能会将年龄歧视内化,而这可能会产生严重后果。然而,很少有研究涉及减少内化年龄歧视。因此,设计并实施了“重塑衰老”项目,这是一项为期6周、基于过程的减少内化年龄歧视的干预措施,采用教育、接纳与承诺疗法以及归因再训练来针对基于理论的改变机制。

方法

72名老年人(平均年龄 = 70.4岁,标准差 = 6.4岁)参与了“重塑衰老”项目,同意参与这项严格的单样本试点研究,并提供了有效数据。参与者在干预前、干预后立即以及干预后2个月完成了问卷调查。

结果

参与者对衰老的自我认知(效应量 = 0.37,p <.001)和对老年人的认知(效应量 = 0.27,p <.001)变得显著更积极,且效应量较大。此外,这些积极的收获是由心理灵活性、正念和感知控制的增加所介导的。

讨论

本研究为这种旨在减少内化年龄歧视的基于过程的干预提供了初步支持。

临床意义

该项目有可能减少内化年龄歧视对老年人健康的负面影响。此外,它为实现这种减少可能有用的干预目标和工具提供了新的见解。

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