An Evaluation of a Low-Intensity Cognitive Behavioral Therapy mHealth-Supported Intervention to Reduce Loneliness in Older People
There is a high prevalence of loneliness among older people, especially in residential care settings. Loneliness is often accompanied by maladaptive cognitions which can affect the maintenance and establishment of meaningful social connections. This study implemented and evaluated a low-intensity Cognitive Behavior Therapy (LI-CBT) mHealth-supported intervention which targeted maladaptive cognitions in older people (≥60 years) experiencing loneliness. The three-month intervention using WhatsApp was implemented with older people in four inner-city residential care facilities. The intervention included three components: technology acceptance, psycho-education, and individualized positively worded messages addressing maladaptive cognitions. The intervention was evaluated using a randomized control design. Key outcomes were measured pre-, post-, and one month after the intervention. There were significant changes in social cognition (YSQ-SF T<sub<0</sub<–T<sub<1</sub<–T<sub<2</sub<, <i<X</i<<sup<2</sup< = 9.69, <i<p =</i< 0.008) and loneliness levels (total loneliness T<sub<0</sub<–T<sub<1</sub<–T<sub<2</sub<, <i<X</i<<sup<2</sup< = 14.62, <i<p</i< = 0.001), and an increase in WhatsApp usage (T<sub<0</sub< = 26% vs. T<sub<1</sub< = 60%, <i<X</i<<sup<2</sup<=15.22, <i<p</i< = 0.019). At 1-month follow-up, even with a significant reduction in WhatsApp usage, a significant reduction in loneliness was maintained. LI-CBT delivered via instant messaging may be effective in reducing loneliness experienced by older people..
| Medienart: |
E-Artikel |
|---|
| Erscheinungsjahr: |
2019 |
|---|---|
| Erschienen: |
2019 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:16 |
|---|---|
| Enthalten in: |
International Journal of Environmental Research and Public Health - 16(2019), 7, p 1305 |
| Sprache: |
Englisch |
|---|
| Beteiligte Personen: |
Mary Ann Jarvis [VerfasserIn] |
|---|
| Links: |
doi.org [kostenfrei] |
|---|
| Themen: |
Loneliness |
|---|
| doi: |
10.3390/ijerph16071305 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
DOAJ015845362 |
|---|
| LEADER | 01000caa a22002652 4500 | ||
|---|---|---|---|
| 001 | DOAJ015845362 | ||
| 003 | DE-627 | ||
| 005 | 20230502134055.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 230226s2019 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.3390/ijerph16071305 |2 doi | |
| 035 | |a (DE-627)DOAJ015845362 | ||
| 035 | |a (DE-599)DOAJ7cdfc23872ff470cba925d158bbdedcd | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng | ||
| 100 | 0 | |a Mary Ann Jarvis |e verfasserin |4 aut | |
| 245 | 1 | 3 | |a An Evaluation of a Low-Intensity Cognitive Behavioral Therapy mHealth-Supported Intervention to Reduce Loneliness in Older People |
| 264 | 1 | |c 2019 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a Computermedien |b c |2 rdamedia | ||
| 338 | |a Online-Ressource |b cr |2 rdacarrier | ||
| 520 | |a There is a high prevalence of loneliness among older people, especially in residential care settings. Loneliness is often accompanied by maladaptive cognitions which can affect the maintenance and establishment of meaningful social connections. This study implemented and evaluated a low-intensity Cognitive Behavior Therapy (LI-CBT) mHealth-supported intervention which targeted maladaptive cognitions in older people (≥60 years) experiencing loneliness. The three-month intervention using WhatsApp was implemented with older people in four inner-city residential care facilities. The intervention included three components: technology acceptance, psycho-education, and individualized positively worded messages addressing maladaptive cognitions. The intervention was evaluated using a randomized control design. Key outcomes were measured pre-, post-, and one month after the intervention. There were significant changes in social cognition (YSQ-SF T<sub<0</sub<–T<sub<1</sub<–T<sub<2</sub<, <i<X</i<<sup<2</sup< = 9.69, <i<p =</i< 0.008) and loneliness levels (total loneliness T<sub<0</sub<–T<sub<1</sub<–T<sub<2</sub<, <i<X</i<<sup<2</sup< = 14.62, <i<p</i< = 0.001), and an increase in WhatsApp usage (T<sub<0</sub< = 26% vs. T<sub<1</sub< = 60%, <i<X</i<<sup<2</sup<=15.22, <i<p</i< = 0.019). At 1-month follow-up, even with a significant reduction in WhatsApp usage, a significant reduction in loneliness was maintained. LI-CBT delivered via instant messaging may be effective in reducing loneliness experienced by older people. | ||
| 650 | 4 | |a older people | |
| 650 | 4 | |a loneliness | |
| 650 | 4 | |a mHealth | |
| 650 | 4 | |a low-intensity CBT | |
| 650 | 4 | |a smartphone | |
| 650 | 4 | |a WhatsApp | |
| 653 | 0 | |a Medicine | |
| 653 | 0 | |a R | |
| 700 | 0 | |a Anita Padmanabhanunni |e verfasserin |4 aut | |
| 700 | 0 | |a Jennifer Chipps |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i In |t International Journal of Environmental Research and Public Health |d MDPI AG, 2005 |g 16(2019), 7, p 1305 |w (DE-627)DOAJ000006807 |x 16604601 |7 nnns |
| 773 | 1 | 8 | |g volume:16 |g year:2019 |g number:7, p 1305 |
| 856 | 4 | 0 | |u https://doi.org/10.3390/ijerph16071305 |z kostenfrei |
| 856 | 4 | 0 | |u https://doaj.org/article/7cdfc23872ff470cba925d158bbdedcd |z kostenfrei |
| 856 | 4 | 0 | |u https://www.mdpi.com/1660-4601/16/7/1305 |z kostenfrei |
| 856 | 4 | 2 | |u https://doaj.org/toc/1660-4601 |y Journal toc |z kostenfrei |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_DOAJ | ||
| 912 | |a SSG-OLC-PHA | ||
| 951 | |a AR | ||
| 952 | |d 16 |j 2019 |e 7, p 1305 | ||