A1 Journal article (refereed)
The effect of individualized, theory-based counselling intervention on active aging and quality of life among older people (the AGNES intervention study) (2020)


Rantanen, Taina; Hassandra, Mary; Pynnönen, Katja; Siltanen, Sini; Kokko, Katja; Karavirta, Laura; Kauppinen, Markku; Sipilä, Sarianna; Saajanaho, Milla; Portegijs, Erja (2020). The effect of individualized, theory-based counselling intervention on active aging and quality of life among older people (the AGNES intervention study). Aging Clinical and Experimental Research, 32 (10), 2081-2090. DOI: 10.1007/s40520-020-01535-x


JYU authors or editors


Publication details

All authors or editors: Rantanen, Taina; Hassandra, Mary; Pynnönen, Katja; Siltanen, Sini; Kokko, Katja; Karavirta, Laura; Kauppinen, Markku; Sipilä, Sarianna; Saajanaho, Milla; Portegijs, Erja

Journal or series: Aging Clinical and Experimental Research

ISSN: 1594-0667

eISSN: 1720-8319

Publication year: 2020

Volume: 32

Issue number: 10

Pages range: 2081-2090

Publisher: Springer; Editrice Kurtis

Publication country: Italy

Publication language: English

DOI: https://doi.org/10.1007/s40520-020-01535-x

Open Access: Open access publication published in a hybrid channel

Publication is parallel published (JYX): https://jyx.jyu.fi/handle/123456789/68426

Additional information: After completion of the study, data will be stored at the Finnish Social Science Data Archive without potential identifiers (open access). Until then, pseudonymized datasets are available to external collaborators upon agreement on the terms of data use and publication of results. To request the data please contact Professor Taina Rantanen.


Abstract

Background
We define active aging as a striving for activities as per one’s goals, capacities and opportunities.

Aim
To test the 1-year counselling intervention effects on active aging.

Methods
In this two-arm single-blinded randomized controlled trial, the intervention group received individually tailored counselling supporting autonomous motivation for active life (one face-to-face session, four phone calls and supportive written material, n = 101) and the control group written health information (n = 103). Participants were community-dwelling men and women aged 75 or 80 years with intermediate mobility function and without cognitive impairment. The primary outcome was active aging total score measured with the University of Jyväskylä Active Aging Scale (UJACAS, range 0–272, higher values indicate more activity) and secondary outcomes were its subscores for goals, ability, opportunity and activity (range 0–68) and a quality of life (QoL) score. Measures took place at pre-trial, mid-trial (6 months) and post-trial (12 months), except for QoL only pre and post-trial. Data were analyzed with intention-to-treat principles using GEE-models.

Results
The UJACAS total score increased in the intervention group slightly more than in the control group (group by time p-value = 0.050, effect size 0.011, net benefit 2%), but the group effect was not statistically significant. A small effect was observed for the activity subscore (p = 0.007).

Discussion
The individualized counselling supporting autonomous motivation for active life increased the UJACAS score slightly.

Conclusions
It may be possible to promote active aging with individualized counselling, but the effect is small and it is unclear whether the change is meaningful.


Keywords: behaviour; ageing; quality of life; mobility; randomised controlled trials

Free keywords: behavior change; aging; quality of life; mobility; randomized controlled trial


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Ministry reporting: Yes

Preliminary JUFO rating: 1


Last updated on 2020-28-10 at 08:52