The impact of an Activation-Socialisation Intervention Programme on the emotionality and loneliness of older adults in Slovak elderly care facilities: a pilot study
Słowa kluczowe:
older adult, elderly care facilities, intervention programme, emotions, lonelinessAbstrakt
Background
This study analysed changes in the experience of negative emotions and feelings of loneliness in older adults in elderly care facilities. Although the physiological needs of older adults are optimally met in these facilities, their psychosocial needs remain unmet. The study’s main objective was to evaluate the short-term effectiveness of an original educational Activation-Socialisation Intervention Programme on positive and negative emotional states as well as feelings of loneliness.
Participants and procedure
The programme included 40 activities divided into three concepts. The research sample consisted of 41 older adults from a specific facility in Slovakia (33 in the experimental group and 8 in the control group). The experimental group participated in the intervention for four weeks, while the control group did not participate in any activities. Data were collected at two time points: at baseline and immediately after the intervention. It included the Scale of Emotional Habitual Subjective Well-being (SEHP) supplemented with the loneliness variable. The Reflection Questionnaire was administered at the end of the intervention.
Results
The results indicated a statistically significant effect of the programme on rates of experiencing negative emotional states, positive emotional states, and feelings of loneliness in the experimental group. The results of the control group support the effectiveness of the intervention.
Conclusions
The intervention programme proved effective in influencing negative and positive emotions and loneliness in the short term. Participants evaluated the programme positively and noted improvements at the social-psychological, educational and cultural levels.
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Bibliografia
Barański, M., & Poprawa, R. (2025). Profiles of loneliness types and social support sources in emerging adulthood, and their relevance to forms of problematic Internet use: a person-centered perspective. Health Psychology Report. https://doi.org/10.5114/hpr/202320
Blanca Mena, M. J., Alarcón Postigo, R., Arnau Gras, J., Bono Cabré, R., & Bendayan, R. (2017). Non-normal data: Is ANOVA still a valid option? Psicothema, 29, 552–557. https://doi.org/10.7334/psicothema2016.383
Blanca Mena, M. J., Arnau Gras, J., García de Castro, F. J., Alarcón Postigo, R., & Bono Cabré, R. (2023). Non-normal data in repeated measures ANOVA: Impact on type I error and power. Psicothema, 35, 21–29. https://doi.org/10.7334/psicothema2022.292
Bickman, L. (1990). Advances in program theory. Jossey-Bass.
Button, K. S., Ioannidis, J. P., Mokrysz, C., Nosek, B. A., Flint, J., Robinson, E. S., & Munafò, M. R. (2013). Power failure: Why small sample size undermines the reliability of neuroscience. Nature Reviews Neuroscience, 14, 365–376. https://doi.org/10.1038/nrn3475
Chao, S. Y., Liu, H. Y., Wu, Ch. Y., Jin, S. F., Chu, T. L., Huang, T. S., & Clark, M. J. (2006). The effects of group reminiscence therapy on depression, self-esteem, and life satisfaction of elderly nursing home residents. The Journal of Nursing Research, 14, 36–45. https://doi.org/10.1097/01.JNR.0000387560.03823.c7
Chin, A. M. (2007). Clinical effects of reminiscence therapy in older adults: a meta-analysis of controlled trials. Hong Kong Journal of Occupational Therapy, 17, 10–22. https://doi.org/10.1016/S1569-1861(07)70003-7
Chou, Y. C., Lan, Y. H., & Chao, S. Y. (2008). Application of individual reminiscence therapy to decrease crease anxiety in an elderly woman with dementia. The Journal of Nursing, 55, 105–110.
Cotelli, M., Manenti, R., & Zanetti, O. (2012). Reminiscence therapy in dementia. Maturitas, 72, 203–205. https://doi.org/10.1016/j.maturitas.2012.04.008
Čornaničová, R. (2000). Komenského “Škola možného veku” ako súčasť celoživotnej kultivácie človeka [Comenius’ “School of the Possible Age” as part of a person’s lifelong cultivation]. Vzdelávanie dospelých, 5, 48–53.
Ďuricová, D. (2021). Aktivačno-socializačný program pre klientov seniorských zariadení a ich emocionalita [Activation-Socialization Programme for clients of senior facilities and their emotionality]. [Bachelor’s thesis, Matej Bel University]. CRZP. Retrieved from https://opac.crzp.sk/?fn=detailBiblioForm&sid=334AA18D2886008FB1D96F272232
Ďuricová, D. (2025a). Aktivizačno-socializačný intervenčný program pre seniorov: Intervencia na stimuláciu kognitívnych schopností a sociálnych zručností (3. časť) [Activation-Socialisation Intervention Programme for seniors: Cognitive Abilities and Social Skills Stimulation Intervention (Part 3)]. [Manuscript submitted for publication].
Ďuricová, D. (2025b). Aktivizačno-socializačný intervenčný program pre seniorov: Reminiscenčná terapia (2. časť) [Activation-Socialisation Intervention Programme for seniors: Reminiscence Therapy (Part 2)]. [Manuscript submitted for publication].
Ďuricová, D. (2025c). Aktivizačno-socializačný intervenčný program pre seniorov: Terapia smiechom (1. časť) [Activation-Socialisation Intervention Programme for seniors: Laughter Therapy (Part 1)]. [Manuscript submitted for publication].
Džuka, J., & Dalbert, C. (2002). Vývoj a overenie validity škál emocionálnej habituálnej subjektívnej pohody (SEHP) [Elaboration and verification of emotional habitual subjective well-being scales (SEHP)]. Československá Psychologie, 46, 234–250.
Džuka, J., Klučárová, Z., & Babinčák, P. (2021). COVID-19 na Slovensku: ekonomické, sociálne a psychologické faktory subjektívnej pohody a symptómov depresie v čase pandémie [COVID-19 in Slovakia: Economic, social and psychological factors of subjective well-being and depressive symptoms during a pandemic]. Československá Psychologie, 65, 125–145. https://doi.org/10.51561/cspsych.65.2.125
Ferring, D., & Filipp, S. H. (1995). The structure of subjective wellbeing in the elderly: a test of different models by structural equation modeling. European Journal of Psychological Assessment, 11, 32–39.
Findlay, R. A. (2003). Interventions to reduce social isolation amongst older people: Where is the evidence? Ageing & Society, 23, 647–658. https://doi.org/10.1017/S0144686X03001296
Gardiner, C., Geldenhuys, G., & Gott, M. (2016). Interventions to reduce social isolation and loneliness among older people: an integrative review. Health and Social Care in the Community, 26, 147–157. https://doi.org/10.1111/hsc.12367
Golden, J., Conroy, M. R., Bruce, I., Denihan, A., Greene, E., Kirby, M., & Lawlor, A. B. (2009). Loneliness, social support networks, mood and wellbeing in community-dwelling elderly. International Journal of Geriatric Psychiatry, 24, 694–700. https://doi.org/10.1002/gps.2181
Goss-Sampson, A. M. (2024, March 18). Statistical analysis in JASP 0.18.3: a guide for students. JASP. Retrieved from https://jasp-stats.org/jasp-materials/
Greenland, S. (2005). Multiple-bias modelling for analysis of observational data. Journal of the Royal Statistical Society Series A: Statistics in Society, 168, 267–306. https://doi.org/10.1111/j.1467-985X.2004.00349.x
Greene, J. O., & Burleson, B. R. (2003). Handbook of communication and social interaction skills. Lawrence Erlbaum Associates.
Haight, B. K., Gibson, F., & Michel, Y. (2006). The Northern Ireland life review/life storybook project for people with dementia. Alzheimerʾs & Dementia, 2, 56–58. https://doi.org/10.1016/j.jalz.2005.12.003
Jansson, A. H., Muurinen, S., Savikko, N., Soini, H., Suominen, M. M., Kautiainen, H., & Pitkälä, K. H. (2017). Loneliness in nursing homes and assisted living facilities: Prevalence, associated factors and prognosis. The Journal of Nursing Home Research, 3, 43–49. https://doi.org/10.14283/jnhrs.2017.7
Jasielska, A. (2011). Funkcjonowanie emocjonalne osób w wieku 60-85 lat na przykładzie regulacji emocji [Emotional functioning of people aged 60-85 years on the example of emotion regulation]. Gerontologia Polska, 19, 112–118.
Latha, K. S., Bhandary, P., Tejaswini, S., & Sahana, M. (2014). Reminiscence therapy: an overview. Middle East Journal of Age and Ageing, 11, 18–22.
Liu, S. J., Lin, C. J., Chen, Y. M., & Huang, X. Y. (2007). The effects of reminiscence group therapy on selfesteem, depression, loneliness and life satisfaction of elderly people living alone. Mid-Taiwan Journal of Medicine, 12, 133–142. https://doi.org/10.6558/MTJM.2007.12(3).2
Low, L. F., Brodaty, H., Goodenough, B., Spitzer, P., Bell, J. P., Fleming, R., Casey, A. N., Liu, Z., & Chenoweth, L. (2013). The Sydney Multisite Intervention of LaughterBosses and ElderClowns (SMILE) study: Cluster randomised trial of humour therapy in nursing homes. BMJ Open, 3, e002072. https://doi.org/10.1136/bmjopen-2012-002072
Luanaigh, C. Ó., & Lawlor, B. A. (2008). Loneliness and the health of older people. International Journal of Geriatric Psychiatry, 23, 1213–1221. https://doi.org/10.1002/gps.2054
Mallett, J. (1995). Humour and laughter therapy. Complementary Therapies in Nursing and Midwifery, 1, 73–76. https://doi.org/10.1016/S1353-6117(05)80080-0
Martin, R. (2007). The psychology of humour: an integrative approach. Elsevier.
Mellor, D., Firth, L., & Moore, K. (2008). Can the internet improve the well-being of the elderly? Ageing International, 32, 25–42. https://doi.org/10.1007/s12126-008-9006-3
Miller, M. C. (2009). What is reminiscence therapy? The Harvard Mental Health Letter, 25, 8.
Moral, J. C. M., Terrero, F. B. F., Galán, A. S., & Rodríguez, T. M. (2014). Effect of integrative reminiscence therapy on depression, well-being, integrity, self-esteem, and life satisfaction in older adults. The Journal of Positive Psychology, 10, 240–247. https://doi.org/10.1080/17439760.2014.936968
O’Rourke, H. M., Collins, L., & Sidani, S. (2018). Interventions to address social connectedness and loneliness for older adults: a scoping review. BMC Geriatrics, 18, 214. https://doi.org/10.1186/s12877-018-0897-x
Osborne, J. W. (2010). Improving your data transformations: Applying the Box-Cox transformation. Practical Assessment, Research, and Evaluation, 15, 12. https://doi.org/10.7275/qbpc-gk17
Pitkälä, K. H., Routasalo, P., Kautiainen, H., & Tilvis, R. S. (2009). Effects of psychosocial group rehabilitation on health, use of health care services, and mortality of older persons suffering from loneliness: a randomized, controlled trial. Journals of Gerontology: Series A, Biological Sciences and Medical Sciences, 64, 792–800. https://doi.org/10.1093/gerona/glp011
Pitkälä, K. H., Routasalo, P., Kautiainen, H., Sintonen, H., & Tilvis, R. S. (2011). Effects of socially stimulating group intervention on lonely, older people’s cognition: a randomized, controlled trial. American Journal of Geriatric Psychiatry, 19, 654–663. https://doi.org/10.1097/JGP.0b013e3181f7d8b0
Ready, R. E., Vaidya, J. G., Watson, D., Latzman, R. D., Koffel, E. A., & Clark, L. A. (2011). Age-group differences in facets of positive and negative affect. Aging & Mental Health, 15, 784–795. https://doi.org/10.1080/13607863.2011.562184
Sadavoy, J. (2007). Psychotherapy for the institutionalized elderly. In D. K. Conn, N. Herrmann, A. Kaye, D. Rewilak, & B. Schogt (Eds.), Practical psychiatry in the long-term care home: a handbook for staff (pp. 239–256). Hogrefe & Huber Publishers.
Saito, T., Kai, I., & Takizawa, A. (2012). Effects of a program to prevent social isolation on loneliness, depression, and subjective well-being of older adults: a randomized trial among older migrants in Japan. Archives of Gerontology and Geriatrics, 55, 539–547. https://doi.org/10.1016/j.archger.2012.04.002
Savikko, N., Routasalo, P., Tilvis, R. S., Strandberg, T. E., & Pitkälä, K. H. (2005). Predictors and subjective causes of loneliness in an aged population. Archives of Gerontology and Geriatrics, 41, 223–233. https://doi.org/10.1016/j.archger.2005.03.002
Schmider, E., Ziegler, M., Danay, E., Beyer, L., & Bühner, M. (2010). Is it really robust? Reinvestigating the robustness of ANOVA against violations of the normal distribution assumption. Methodology, 6, 147–151. https://doi.org/10.1027/1614-2241/a000016
Slovenská komora psychológov (2016, March 11). Etický kódex psychológa [Code of Ethics for Psychologists]. Retrieved from https://www.komorapsychologov.sk/eticky-kodex/
Slovenská psychoterapeutická spoločnosť (2013, November 7). Etický kódex Slovenskej psychoterapeutickej spoločnosti [Code of Ethics of the Slovak Psychotherapeutic Society]. Retrieved from https://psychoterapeuti.org/sps/stranka/zdruzenie-eticky-kodex
Trybusińska, D., & Saracen, A. (2019). Loneliness in the context of quality of life of nursing home residents. Open Medicine, 14, 354–361. https://doi.org/10.1515/med-2019-0035
Tse, M. M. Y., Lo, A. P. K., Cheng, T. L. Y., Chan, E. K. K., Chan, A. H. Y., & Chung, H. S. W. (2010). Humor therapy: Relieving chronic pain and enhancing happiness for older adults. Journal of Aging Research, 2010, 343574. https://doi.org/10.4061/2010/343574
World Medical Association (2024, December 31). Declaration of Helsinki: Ethical principles for medical research involving human participants. Retrieved from https://www.wma.net/policies-post/wma-declaration-of-helsinki/
Yim, J. (2016). Therapeutic benefits of laughter in mental health: a theoretical review. The Tohoku Journal of Experimental Medicine, 239, 243–249. https://doi.org/10.1620/tjem.239.243
Zhou, W., He, G., Gao, J., Yuan, Q., Feng, H., & Zhang, C. K. (2012). The effects of group reminiscence therapy on depression, self-esteem, and affect balance of Chinese community-dwelling elderly. Archives of Gerontology and Geriatrics, 54, e440–e447. https://doi.org/10.1016/j.archger.2011.12.003
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