'Accepting where I'm at' - a qualitative study of the mechanisms, benefits, and impact of a behavioral memory intervention for community-dwelling older adults

Aging Ment Health. 2017 Sep;21(9):895-901. doi: 10.1080/13607863.2016.1181709. Epub 2016 Jul 4.

Abstract

Objective: Gain novel, in-depth insight into therapeutic mechanisms, benefits, and impact of a multi-modal behavioral memory intervention for older adults with concerns about memory.

Methods: Participants were11 community-dwelling older adults (aged 63-88) who completed the Memory and Aging Program, an evidence-based multi-modal group intervention for normal age-related memory change. Semi-structured interviews were administered post-intervention. Responses were analyzed using qualitative content analysis until meaningful themes were agreed upon.

Results: Analyses revealed a main theme of normalization as the overarching benefit of participation. The mechanism for this comprised both specific intervention content and the process of participating with others. A positive impact of the intervention was demonstrated at emotional (feelings of reassurance, hope, and confidence) and functional (increasing motivation for lifestyle change) levels; for some, there was a direct link between emotion and function.

Conclusion: This study highlighted a single, prominent therapeutic benefit of normalization, illustrated a dual mechanism for achieving this, and characterized a nuanced inter-relationship of the emotional and functional impact of the intervention for participants. Results support the notion that group behavioral interventions can educate, empower, and promote psychological well-being in older adults and may be an effective avenue to reduce risk of disease and promote sustained functional independence.

Keywords: Age-associated memory problems; qualitative methods; self-efficacy/coping.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adaptation, Psychological
  • Aged
  • Aged, 80 and over
  • Anxiety / psychology
  • Behavior Therapy / methods*
  • Cognitive Aging / psychology*
  • Female
  • Focus Groups
  • Hope
  • Humans
  • Independent Living / psychology*
  • Male
  • Memory*
  • Middle Aged
  • Qualitative Research