Disabilities, Psychological
Conditions
Keywords
meaning in life, life review, older adults, disabilities
Brief summary
The goal of this interventional study is to learn if life review works to improve the sense of meaning in life in older adults with disabilities who live at home. The main questions it aims to answer are: Does life review enhance the sense of meaning in life of participants? Does life reviews enhance the life satisfaction of participants. Does life reviews enhance the quality of life of participants? Researchers will compare the life review program to routine community health services to see if the life review intervention program is effective in enhancing the sense of meaning in life of older adults with disabilities who live at home. Participants will: Take face-to-face life review interview or routine community health service every week for 6 weeks. Take the the questionnaire survey before and after the six-week life review intervention.
Interventions
Life review is a process that involves a thorough examination and reflection on one's past experiences, memories, and life events. This process often involves the identification and examination of significant themes, patterns, and lessons learned throughout one's lifespan. Through life review, individuals can gain a deeper understanding of their own identity, values, and beliefs, and how these have shaped their present circumstances and future outlooks. It can serve as a tool for personal growth, self-discovery, and the promotion of a sense of meaning and purpose in life.
Routine community health services refer to a comprehensive health care service system that is government-led, community-participated, and guided by superior health institutions. It focuses on grass-roots health institutions and is staffed with general practitioners as the backbone. By rationally utilizing community resources, it provides a series of comprehensive health care services to community residents. These services center on human health, target families as the unit, cover the entire community, and aim to meet the basic health service needs of community residents. Specifically, routine community health services include the following aspects: Health Education, Prevention and Control, Health Care Services and so on.
Sponsors
Study design
Eligibility
Inclusion criteria
* Age ≥60 years old * Conform to the diagnosis of disability * Those who scored \<38 points on the Chinese version of the Meaning of Life Scale (C-MLQ) * Conscious, able to comprehend the questionnaire, and have the ability to communicate verbally * Voluntarily participate in the study and sign the informed consent form
Exclusion criteria
* With cognitive impairment * Unable to complete the questionnaire due to their physical condition * Participated in other psychosocial interventions during the same period
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change from Baseline in Meaning in life on the Meaning in Life Questionnaire (MLQ) at Week6 | Baseline and Week6 | The MLQ is a validated self-reported instrument assessing for sense of meaning in life, with 10 items and 2 dimensions, using a 7-point Likert scale, ranging from totally disagree to totally agree on a scale of 1-7, with a total score of 10-70, with higher scores indicating a higher level of sense of meaning in life. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change from Baseline in Life satisfaction on the Life Satisfaction In-dex A (LSIA) at Week6 | Baseline and Week6 | LSIA is a validated self-reported instrument assessing for life satisfaction. This scale has a total score of 20, with higher scores indicating greater life satisfaction. |
| Change from Baseline in Quality of life on the 12-Item Short Form Survey (SF-12) at Week6 | Baseline and Week6 | SF-12 is a validated self-reported instrument assessing for Quality of life. A total of 12 entries covering 8 dimensions in two areas, with a higher total score representing a higher quality of life. |
Countries
China