Impairments in hearing and/or vision are common in older age. Having lived one's life as a fully sighted and hearing individual, older adults with sensory loss must come to terms with their declining capacity to interact with others and waning independence. There is ample research evidence showing that sensory loss (i.e., loss of hearing, vision or both) can be a distressful experience for older adults and their spouses, yet little has been done to understand what works in alleviating this distress or develop scalable cost-effective interventions to counter this distress or associated outcomes like depression, anxiety, poor quality of life, and lower relationship quality. In this project, the investigators will design and test an easy-to-administer, online intervention aimed at reducing emotional and marital distress in older adults with sensory loss and their spouses. The goal of the intervention will be to develop acceptance of the sensory loss through a series of Acceptance and Commitment Therapy inspired educational, self-compassion, and therapeutic activities. In prior research, acceptance has been flagged as a promising factor on which to intervene to assist older couples' emotional and marital recovery in the context of sensory loss. Thus, the investigators expect that the intervention should show encouraging results regarding the alleviation of distress in this group and contribute significantly to the psychosocial rehabilitation of older adults with sensory loss and their spouses.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
662
Digital intervention program that consists of 4 modules, to be completed 1 week apart. The modules consist of psychoeducation, as well as acceptance and commitment therapy-inspired activities.
University of Copenhagen
Copenhagen, Denmark
WHO-5 well-being
5-item measure of general well-being (Bech, 1999, 2012)
Time frame: Within the last 2 weeks
Couple Satisfaction Index
4-item measure of satisfaction with one's romantic relationship (Funk \& Rogge, 2007)
Time frame: Follow-up 1: During the last 6 weeks
Depression
9-item measure of depressive symptoms (PHQ-9; Kroenke, Spitzer, \& Williams, 2001; Kroenke \& Spitzer, 2002)
Time frame: Within the last 2 weeks
Psychological flexibility
7-item measure of psychological flexibility (AAC-II; Bond, Hayes, Baer, Carpenter, Guenole, Orcutt, Waltz, \& Zettle, 2011).
Time frame: Follow-up 1: During the last 6 weeks
Communication
12-item measure of satisfaction with communication with partner (Jones, Jones, \& Morris, .018)
Time frame: Follow-up 1: During the last 6 weeks
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