Development of an Integrated Reminiscence Group Program on Depression, Self-esteem, and Quality of Life for Older Adults in Nakhon Si Thammarat
Keywords:
Reminiscence, Depression, Self-Esteem, Quality of Life, Older AdultAbstract
This research and development study aimed to conduct situation analysis, then to develop an integrated reminiscence group program, and compare levels of depression, self-esteem and quality of life among older adults before and after participating the program. The method consisted of 3 phases. The first phase was to study of situation of self–esteem, depression and quality of life. Sample was 517 older adults, selected using multi-stage random sampling. The research questionnaires consisted of Thai Geriatric Depression Scale (TGDS), self-esteem scale as well as quality of life. Data analyzed by descriptive statistic and Pearson correlation coefficients. Second phase was to develop an integrated reminiscence group program. The third phase was a pre–posttest one-group research design study in order to compare levels of depression, self - esteem, and quality of life among the 15 older adults, who were found having lower than the 25-percentile of quality of life, and had mild to moderate depression. Data were tested using Wilcoxon Signed Rank Test. The results of this study showed as follows.
1. Most of the older adults were not depressed (75.05%); only 20.70% of them had mild depression. Most of them (73.89%) had a high level of self-esteem. Overall quality of life was at a good level (82.79%) and depression was significantly correlated with quality of life (r=.148, p<.01). While self - esteem had moderately and positively correlated with quality of life (r=.549, p<.001)
2. The integrated reminiscence group program consists of 6 activities, namely relationship building, life path, successful life path, unfinished business in the mind, meaning of life, and creation of an impulsion from the past to the present.
3. After participating the program, the mean score of depression was significantly lower than before participating in the program (p<.001). The mean score of self-esteem and quality of life were significantly higher than before participating the program (p< .05 and .001, respectively).
Per findings, the integrated reminiscence group program could increase self-esteem, decrease depression, and promote quality of life among older adults.
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