Positive messaging promotes walking in older adults.

Notthoff, Nanna; Carstensen, Laura L.

doi:10.1037/a0036748

Cited by 132 publications

(120 citation statements)

References 78 publications

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“…Consistent with other research 1,17,18 , consultations with consumers and carers highlighted key elements that might resonate with people in this age group. Rather than overly prescriptive, ageist or paternalistic messaging that simply focuses on the harms of alcohol use, more creative, humorous and playful content might be better received.…”

Section: Conclusion and Implications For Health Promotion Practicesupporting

confidence: 56%

“…We drew on positive messaging and incorporated humour -both of which have been shown to be useful in engaging people aged 55 and older in behaviour change 17,18 -to motivate individuals to find their own strategies to manage stress without relying on alcohol. The animation was developed in PowToon, an easy-to-use and low-cost animation development program that uses precreated images.…”

Section: Research Into Action: Developing the Animationmentioning

confidence: 99%

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#WaysToRelax: developing an online alcohol-related health promotion animation for people aged 55 and older

Ferguson

Savic

Manning

et al. 2017

Public Health Res Pr

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Alcohol use among middle-aged and older adults (55 years and older) is increasingly becoming a public health concern. Despite this, there is relatively little research on the experiences of alcohol use and related concerns among people aged 55 and older to inform tailored and engaging health promotion activities. To address this gap, we aimed to develop an engaging alcoholrelated health promotion resource for people aged 55 and older. We drew on a research-into-action approach, which involved: 1) thematic analysis of alcohol-related concerns in online counselling transcripts of 70 people aged 55 and older, 2) a review of health promotion literature, and 3) consultation with consumers of alcohol and other drug services, and carers.The research phase highlighted that people aged 55 and older were concerned that their reliance on alcohol use to manage stress had become a habit they wanted to shift. Alongside this, the literature showed that people aged 55 and older were often dismissive of conventional health promotion activities, and pointed to the benefits of conveying health promotion messages through animation.In response, we developed an animation to stimulate reflection and thought about other ways to relax and manage stress. We drew on health promotion principles to ensure that the animation had a positive message and was engaging without being ageist or paternalistic. It was further refined with input from consumers and carers, who thought the animation was appropriate, appealing and useful. Future activities will include further dissemination and evaluation of the animation and associated activities. Key points• We developed a health promotion animation based on qualitative research that found that people aged 55 and older often use alcohol to relax and manage stress • This project highlights the need for novel health promotion approaches based on the experiences of people aged 55 and older • A research-into-action approach might be useful in developing appropriate and appealing health promotion responses

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Section: Conclusion and Implications For Health Promotion Practicesupporting

confidence: 56%

Section: Research Into Action: Developing the Animationmentioning

confidence: 99%

#WaysToRelax: developing an online alcohol-related health promotion animation for people aged 55 and older

Ferguson

Savic

Manning

et al. 2017

Public Health Res Pr

View full text Add to dashboard Cite

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“…Recently, Notthoff and Carstensen (2014) showed that-in line with the positivity effect-positively framed messages promoted walking in older adults better than negatively framed messages. In this study, we examined the role of memory and motivation as mechanisms that presumably underlie the greater effectiveness of positively framed compared to negatively framed messages about physical activities.…”

Section: Discussionmentioning

confidence: 95%

“…Recent research shows that message framing which takes into account age differences in motivation effectively promotes walking in older adults (Notthoff and Carstensen 2014). In two studies, older adults who received positively framed messages about the benefits of walking increased walking significantly more than their peers who received negatively framed messages about the risks of failing to walk more.…”

mentioning

confidence: 99%

“…Based on these findings, Notthoff and Carstensen (2014) argued that preferential processing of positive information underlies the higher effectiveness of positively framed compared to negatively framed messages to promote walking in older adults. So far, this mechanism has not been directly tested in the context of physical activity promotion; neither Notthoff and Carstensen (2014) nor other studies on physical activity promotion measured preferential processing, for instance, how positively framed compared to negatively framed messages affect motivation for physical activity programmes or memory for message content.…”

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confidence: 99%

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Positive messages enhance older adults’ motivation and recognition memory for physical activity programmes

et al. 2016

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Although physical activity is an effective way to cope with ageing-related impairments, few older people are motivated to turn their sedentary lifestyle into an active one. Recent evidence suggests that walking can be more effectively promoted in older adults with positive messages about the benefits of walking than with negative messages about the risks of inactivity. This study examined motivation and memory as the supposed mechanisms underlying the greater effectiveness of positively framed compared to negatively framed messages for promoting activity. Older adults (N = 53, age 60-87 years) were introduced to six physical activity programmes that were randomly paired with either positively framed or negatively framed messages. Participants indicated how motivated they were to participate in each programme by providing ratings on attractiveness, suitability, capability and intention. They also completed surprise free recall and recognition tests.Respondents felt more motivated to participate in physical activity programmes paired with positively framed messages than in those with negatively framed ones. They also had better recognition memory for positively framed than negatively framed messages, and misremembered negatively framed messages to be positively framed. Findings support the notion that socioemotional selectivity theorya theory of age-related changes in motivation-is a useful basis for health intervention design.

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Association Between Psychological Interventions and Chronic Pain Outcomes in Older Adults

et al. 2018

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IMPORTANCE Chronic noncancer pain (hereafter referred to as chronic pain) is common among older adults and managed frequently with pharmacotherapies that produce suboptimal outcomes. Psychological treatments are recommended, but little information is available regarding their efficacy in older adults. OBJECTIVE To determine the efficacy of psychological interventions in older adults with chronic pain and whether treatment effects vary by participant, intervention, and study characteristics. DATA SOURCES MEDLINE, Embase, PsycINFO, and the Cochrane Library were searched from inception to March 29, 2017. STUDY SELECTION Analysis included studies that (1) used a randomized trial design,(2) evaluated a psychological intervention that used cognitive behavioral modalities alone or in combination with another strategy, (3) enrolled individuals with chronic pain (pain ≥3 months) with a sample mean age of 60 years or older, and (4) reported preintervention and postintervention quantitative data. DATA EXTRACTION AND SYNTHESIS Two of the authors independently extracted data. A mixed-model meta-analysis tested the effects of treatment on outcomes. Analyses were performed to investigate the association between participant (eg, age), intervention (eg, treatment mode delivery), and study (eg, methodologic quality) characteristicswith outcomes. MAIN OUTCOMES AND MEASURES Pain intensity was the primary outcome; secondary outcomes included pain interference, depressive symptoms, anxiety, catastrophizing beliefs, self-efficacy for managing pain, physical function, and physical health. RESULTS Twenty-two studies with 2608 participants (1799 [69.0%] women) were analyzed. Participants’ mean (SD) age was 71.9 (7.1) years. Differences of standardized mean differences (dD) at posttreatment were pain intensity (dD = −0.181, P = .006), pain interference (dD = −0.133, P = .12), depressive symptoms (dD = −0.128, P = .14), anxiety (dD = −0.205, P = .09), catastrophizing beliefs (dD = −0.184, P = .046), self-efficacy (dD = 0.193, P = .02), physical function (dD = 0.006, P = .96), and physical health (dD = 0.160, P = .24). There was evidence of effects persisting beyond the posttreatment assessment only for pain(dD = −0.251, P = .002). In moderator analyses, only mode of therapy (group vs individual) demonstrated a consistent effect in favor of group-based therapy. CONCLUSIONS AND RELEVANCE Psychological interventions for the treatment of chronic pain in older adults have small benefits, including reducing pain and catastrophizing beliefs and improving pain self-efficacy for managing pain. These results were strongest when delivered using group-based approaches. Research is needed to develop and test strategies that enhance the efficacy of psychological approaches and sustainability of treatment effects among older adults with chronic pain.

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Positive messaging promotes walking in older adults.

Cited by 132 publications

References 78 publications

#WaysToRelax: developing an online alcohol-related health promotion animation for people aged 55 and older

#WaysToRelax: developing an online alcohol-related health promotion animation for people aged 55 and older

Positive messages enhance older adults’ motivation and recognition memory for physical activity programmes

Association Between Psychological Interventions and Chronic Pain Outcomes in Older Adults

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