Abstract

Objectives

Resilience-building interventions have not yet targeted older adults, despite the importance of well-being for maintaining independence and health. The ‘My Generation’ programme aims to build resilience through greater access to social networks, well-being activities, and psycho-educational support; this paper examines service evaluation data from its pilot implementation to identify factors leading to positive outcomes.

Method

The ‘My Generation’ programme comprises eight weekly 2-hour group sessions; each session includes both psychoeducation and a well-being activity. Participants were invited to complete questionnaires at the start and end of the course, and 12 weeks later. These included measures of well-being, loneliness, social connections and self-efficacy.

Results

Baseline assessments were completed by 239 older people (average age 71, range 50-97), attending 38 courses in four centres. Most were female (80%), 40% were widowed, 25% divorced/separated and 64% lived alone. Demographics did not differ between those completing post-intervention assessments (N = 137) and those who did not. Compared with normative data, participants had significantly lower well-being and greater feelings of loneliness than age-peers. Significant improvements in well-being, self-efficacy, social connections and one measure of loneliness were evident at post-intervention and follow-up assessments. Improvement in well-being at post-intervention was greater in those who were divorced/separated and who were not carers, and at follow-up in females and those living alone.

Conclusion

The ‘My Generation’ package appeared effective in improving well-being, self-efficacy, social connections and aspects of loneliness in at-risk older people. More research is needed to identify the intervention’s key components and possible between-centre differences in outcomes.

中文翻译：

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谁从“高危”老年人的复原力建设小组中受益最大？试点服务评估

摘要

目标

尽管福祉对于保持独立性和健康很重要，但增强复原力的干预措施尚未针对老年人。“我的一代”计划旨在通过更多地接触社交网络、福祉活动和心理教育支持来建立复原力；本文检查了其试点实施中的服务评估数据，以确定导致积极成果的因素。

方法

“我的一代”计划包括八个每周 2 小时的小组课程；每节课都包括心理教育和健康活动。参与者被邀请在课程开始和结束时以及 12 周后完成问卷。这些包括幸福感、孤独感、社会联系和自我效能的衡量标准。

结果

239 名老年人（平均年龄 71 岁，范围 50-97 岁）完成了基线评估，参加了四个中心的 38 门课程。大多数为女性 (80%)，40% 为寡妇，25% 为离婚/分居，64% 为独居。完成干预后评估的人 ( N  = 137) 和未完成的人在人口统计学上没有差异。与正常数据相比，参与者的幸福感显着低于同龄人，孤独感更强。在干预后和后续评估中，幸福感、自我效能感、社会联系和一种孤独感的显着改善是显而易见的。在干预后，离婚/分居和没有照顾者的人以及女性和独居者在随访中的幸福感改善更大。

结论

“我这一代”一揽子计划在改善处于危险中的老年人的幸福感、自我效能感、社会关系和孤独感方面似乎很有效。需要更多的研究来确定干预的关键组成部分以及结果可能存在的中心差异。