Improving goal striving and resilience in older adults through a personalized metacognitive self-help intervention: a protocol paper

BMC Psychology · 5 authors, 4 centres

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The training-test design uses a standardized walking goal (15 minutes daily) during the training phase, after which participants set their own personalized goals.

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The training-test design uses a standardized walking goal (15 minutes daily) during the training phase, after which participants set their own personalized goals. The authors acknowledge several limitations, including potential self-selection bias from online delivery, varying health literacy levels, and the pre-determined walking goal potentially deterring some participants. As a protocol paper, no empirical data or results are presented; the study has been pre-registered and received ethics approval from the University of Amsterdam (2022-DP-14451).

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other

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geriatrics

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ORIGINAL PAPER

PMC10403928

Improving goal striving and resilience in older adults through a personalized metacognitive self-help intervention: a protocol paper

BMC Psychology

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ABSTRACT

Abstract Background Successful aging is often linked to individual’s ability to demonstrate resilience: the maintenance or quick recovery of functional ability, well-being, and quality of life despite losses or adversity. A crucial element of resilience is behavioral adaptability, which refers to the adaptive changes in behavior in accordance with internal or external demands. Age-related degradation of executive functions can, however, lead to volition problems that compromise flexible adjustment of behavior. In contrast, the reliance on habitual control has been shown to remain relatively intact in later life and may therefore provide an expedient route to goal attainment among older adults. In the current study, we examine whether a metacognitive self-help intervention (MCSI), aimed at facilitating goal striving through the gradual automatization of efficient routines, could effectively support behavioral adaptability in favor of resilience among older adults with and without (sub-clinical) mental health problems. Methods This metacognitive strategy draws on principles from health and social psychology, as well as clinical psychology, and incorporates elements of established behavioral change and activation techniques from both fields. Additionally, the intervention will be tailored to personal needs and challenges, recognizing the significant diversity that exist among aging individuals. Discussion Despite some challenges that may limit the generalizability of the results, our MCSI program offers a promising means to empower older adults with tools and strategies to take control of their goals and challenges. This can promote autonomy and independent functioning, and thereby contribute to adaptability and resilience in later life. Trial registration Pre-registered, partly retrospectively. This study was pre-registered before the major part of the data was collected, created, and realized. Only a small part of the data of some participants (comprising the baseline and other pre-intervention measures), and the full dataset of the first few participants, was collected prior to registration, but it was not accessed yet. See: https://osf.io/5b9xz Supplementary Information The online version contains supplementary material available at 10.1186/s40359-023-01259-3. Keywords: Behavior change, Quality of life, Mental well-being, Self-help intervention, Older adults, Habit, Implementation intention, Successful aging

CITATION EXPORT

Lotte P Brinkhof, K Richard Ridderinkhof, Jaap M J Murre et al.. Improving goal striving and resilience in older adults through a personalized metacognitive self-help intervention: a protocol paper. BMC Psychology. (2023). https://doi.org/10.1186/s40359-023-01259-3

AUTHORS

5 · 4 CENTRES

Lotte P Brinkhof, K Richard Ridderinkhof, Jaap M J Murre, Harm J Krugers, Sanne de Wit

1Department of Psychology, Faculty of Behavioral and Social Sciences, University of Amsterdam, Amsterdam, Netherlands
2Centre for Urban Mental Health, University of Amsterdam, Amsterdam, Netherlands
3Amsterdam Brain & Cognition (ABC), University of Amsterdam, Amsterdam, Netherlands
4Faculty of Science, Swammerdam Institute for Life Sciences, University of Amsterdam, Amsterdam, Netherlands