Xiao Xiaohua, Zhu Yunying, Jiang Dongdong, Vinnikova Anna, Zhang Jin, Zhang Ruotong, Chen Wenxiao, Li Sisi, Wang Jingwen, Sheng Mingyuan, Lau Joseph T F, Yang Qian
School of Public Health and Department of Geriatric, Center for Regeneration and Aging Medicine, the Fourth Affiliated Hospital of Zhejiang University School of Medicine, and International School of Medicine of Zhejiang University, Hangzhou, China.
Zhejiang Key Laboratory of Intelligent Preventive Medicine, Hangzhou, Zhejiang, China.
BMC Psychol. 2025 Mar 6;13(1):210. doi: 10.1186/s40359-025-02402-y.
Although active aging is widely accepted and applied in various countries, research on active aging has predominantly focused on environmental interventions, often overlooking the autonomy of older people. This study addresses this gap by using group psychological counseling technique to implement growth mindset interventions, aiming to stimulate older people's autonomy and foster their active aging behaviors.
This study employs a randomized controlled trial design with two groups: an autonomous intervention group and a usual control group. Each participant in the autonomous intervention group will be assigned to one fixed group of four to seven people and participate in four structured group psychological counseling-based growth mindset intervention sessions. The usual control group will engage in community activities of equivalent duration. The study will take place in the eastern and western provinces of China. Indicators of active aging and positive psychology orientation, including growth mindset, active learning behaviors, active health behavior, active social participation behaviors, and active self-security behaviors will be evaluated to verify intervention effects at four timepoints (baseline, after the intervention, one month and three months after the intervention). The study will employ the Theoretical Domains Framework (TDF) to conduct qualitative interviews among the participants and community workers who participate in the autonomous intervention group. The Generalized Estimating Equation (GEE) model will be utilized to examine the intervention effect.
The study will focus on the autonomy of older people and design a structured, scalable group psychological counseling-based growth mindset intervention program, offering a novel pathway to fostering active aging behaviors and tackling the critical challenges posed by population aging. This is the first study that will validate the effectiveness of the growth mindset theory in behavioral interventions tailored to the older people population. To improve the scalability and replicability of the intervention program, the study will utilize TDF to explore the factors that facilitate or hinder the effectiveness of the growth mindset intervention.
Hypotheses were registered on Aspredicted.org (#138686) on July 18, 2023, prospectively registered. The trial was registered on the Chinese Clinical Trial Registry (ChiCTR2500095613) on January 9, 2025, retrospectively registered.
尽管积极老龄化在各国得到广泛认可和应用，但对积极老龄化的研究主要集中在环境干预方面，往往忽视了老年人的自主性。本研究通过运用团体心理咨询技术实施成长型思维干预来填补这一空白，旨在激发老年人的自主性并促进他们的积极老龄化行为。
本研究采用随机对照试验设计，分为两组：自主干预组和常规对照组。自主干预组的每位参与者将被分配到一个由四至七人组成的固定小组，参加四次基于团体心理咨询的结构化成长型思维干预课程。常规对照组将参与时长相等的社区活动。研究将在中国东部和西部省份进行。将评估积极老龄化和积极心理学取向的指标，包括成长型思维、积极学习行为、积极健康行为、积极社会参与行为和积极自我保障行为，以在四个时间点（基线、干预后、干预后一个月和三个月）验证干预效果。本研究将采用理论领域框架（TDF）对参与自主干预组的参与者和社区工作者进行定性访谈。将使用广义估计方程（GEE）模型来检验干预效果。
本研究将关注老年人的自主性，设计一个基于团体心理咨询的结构化、可扩展的成长型思维干预项目，为促进积极老龄化行为和应对人口老龄化带来的严峻挑战提供一条新途径。这是第一项将验证成长型思维理论在针对老年人群体的行为干预中的有效性的研究。为提高干预项目的可扩展性和可复制性，本研究将利用TDF探索促进或阻碍成长型思维干预效果的因素。
假设于2023年7月18日在Aspredicted.org（#138686）上进行前瞻性注册。该试验于2025年1月9日在中国临床试验注册中心（ChiCTR2500095613）上进行回顾性注册。
