In It Together: Using Acceptance and Commitment Therapy to Treat Distress Among Older Adults With Sensory Loss and Their Spouses
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 662
- 试验地点
- 1
- 主要终点
- Depression
研究概览
简要总结
Impairments in hearing and/or vision are common in older age. Having lived one's life as a fully sighted and hearing individual, older adults with sensory loss must come to terms with their declining capacity to interact with others and waning independence. There is ample research evidence showing that sensory loss (i.e., loss of hearing, vision or both) can be a distressful experience for older adults and their spouses, yet little has been done to understand what works in alleviating this distress or develop scalable cost-effective interventions to counter this distress or associated outcomes like depression, anxiety, poor quality of life, and lower relationship quality. In this project, the investigators will design and test an easy-to-administer, online intervention aimed at reducing emotional and marital distress in older adults with sensory loss and their spouses. The goal of the intervention will be to develop acceptance of the sensory loss through a series of Acceptance and Commitment Therapy inspired educational, self-compassion, and therapeutic activities. In prior research, acceptance has been flagged as a promising factor on which to intervene to assist older couples' emotional and marital recovery in the context of sensory loss. Thus, the investigators expect that the intervention should show encouraging results regarding the alleviation of distress in this group and contribute significantly to the psychosocial rehabilitation of older adults with sensory loss and their spouses.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 60 Years 至 —(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Be 60 years of age or older
- •Be able to read and write in Danish
- •Be in a romantic relationship of at least 1 year
- •Live together with the partner (share housing)
- •Feel either one self or one's partner has a sensory loss (hearing and/or sight) that affects day-to-day life. This sensory loss does not need to be confirmed by a health care provider.
排除标准
- •Less than 60 years of age
- •Cannot read or write in Danish
- •Not in a romantic relationship
- •Relationship length of less than 1 year
- •Not living together with the partner (not share housing)
- •Currently receiving psychological help (therapy/intervention)
研究组 & 干预措施
Intervention group
Gains access to the digital intervention program
干预措施: English: In It Together (IIT) (Behavioral)
Wait-list- control group
Does not gain access to the intervention (until end of study)
结局指标
主要结局
Depression
时间窗: Within the last 2 weeks
9-item measure of depressive symptoms (PHQ-9; Kroenke, Spitzer, \& Williams, 2001; Kroenke \& Spitzer, 2002)
Couple Satisfaction Index
时间窗: Follow-up 1: During the last 6 weeks
4-item measure of satisfaction with one's romantic relationship (Funk \& Rogge, 2007)
WHO-5 well-being
时间窗: Within the last 2 weeks
5-item measure of general well-being (Bech, 1999, 2012)
次要结局
- Communication(Follow-up 1: During the last 6 weeks)
- Psychological flexibility(Follow-up 1: During the last 6 weeks)
研究者
Camilla Stine Øverup
Postdoc
University of Copenhagen
