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Interventions for older persons reporting memory difficulties: a randomized controlled pilot study
- Authors:
- COHEN-MANSFIELD Jiska, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 30(5), 2015, p.478–486.
- Publisher:
- Wiley
Objective: The objective of this study is to compare three different interventions for persons who report memory difficulties: health promotion, cognitive training, and a participation-centred course, using a single-blind, randomized controlled design. Methods: Participants were 44 Israeli adults with memory complaints, aged 65 years or older. The main outcome variable was the Global Cognitive Score assessed using the MindStreams® mild cognitive impairment assessment, a computerised cognitive assessment. The Mini-Mental State Examination and the self-report of memory difficulties were also utilised. To assess well-being, the UCLA Loneliness Scale-8 was used. Health was evaluated by self-report instruments. Results: All three interventions resulted in significant improvement in cognitive function as measured by the computerised cognitive assessment. All approaches seemed to decrease loneliness. The only variable which showed a significant difference among the groups is the self-report of memory difficulties, in which the cognitive training group participants reported greater improvement than the other groups. Conclusion: Multiple approaches should be offered to older persons with memory complaints. The availability of diverse options would help fit the needs of a heterogeneous population. An educational media effort to promote the public's understanding of the efficacy of these multiple approaches is needed. (Edited publisher abstract)
Retirement preparation programs: an examination of retirement perceptions, self-mastery, and well-being
- Authors:
- COHEN-MANSFIELD Jiska, REGEV Irit
- Journal article citation:
- Research on Social Work Practice, 28(4), 2018, pp.428-437.
- Publisher:
- Sage
Purpose: This study was designed to examine whether preretirement intervention, through preparation programs conducted by social workers, enhances retirees’ healthy retirement transition, self-mastery, and well-being outcomes. Methods:: Data were gathered at preprogram, postprogram, and at 6-month follow-up. A total of 84 participants filled out pre- and postprogram questionnaires, of which 66 also completed follow-up assessment. Participants were 1–3 months before retirement at preassessment and 4–8 months after retirement at follow-up. Results:: The preretirement program improved participants’ appraisal of retirement and created lower and more realistic expectations of postretirement work prospects. While these variables changed in the expected direction between pre- and postprogram assessment, participants’ scores at follow-up indicated less self-mastery, greater depressed affect, and less positive feelings regarding retirement. Discussion:: The short-term value of retirement programs was supported and revealed the importance of follow-up programs to maintain short-term gains and to address additional long-term developments. (Edited publisher abstract)