The increasingly ageing population includes a proportion of well older adults that may benefit from low-level psychological support to help maintain their wellbeing. A factor consistently regarded as integral to wellbeing is gratitude. The effect of a ‘Three good things in life’ gratitude intervention on hedonic and eudemonic wellbeing and perceived stress levels in non-clinically depressed older adults was examined. This intervention has not been evaluated with older adults previously. The duration of the intervention was 2 weeks and baseline, end of intervention and 30-day follow up measures were compared. The effects of online and paper delivery of the intervention were compared and differences in acceptability of the two routes examined. The daily positive events identified by participants were also analysed. Participants were 88 healthy community living adults aged 60 years or over. The intervention produced significant differences in eudemonic wellbeing as measured by flourishing from baseline to day 15 that was maintained at day 45. Significant increases in flourishing were evident from baseline to day 45. There were decreases in perceived stress from day 1 to day 15 but these were not maintained once the intervention ended. There were no significant differences between online and paper delivery of the intervention. This age group managed and many preferred online delivery, Gratitude diaries seem to be a cost-effective method of producing beneficial improvements in wellbeing for older adults.
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Andresen, E. M., Fouts, B. S., Romeis, J. C., & Brownson, C. A. (1999). Performance of health-related quality-of life instruments in a spinal cord injured population. Archives of Physical Medicine and Rehabilitation, 1(80), 877–884.
Barraza, J. A., Grewal, N. S., Ropacki, S., Perez, P., Gonzalez, A., & Zak, P. J. (2013). Effects of a 10-day oxytocin trial in older adults on health and well-being. Experimental & Clinical Psychopharmacology, 21(2), 85–92.
Beekman, A. T., Deeg, D. J., van Tilburg, T., Smit, J. H., Hooijer, C., & van Tilburg, W. (1995). Major and minor depression in later life: A study of prevalence and risk factors. Journal of Affective Disorders, 36(1–2), 65–75.
Bond, G. E., Burr, R. L., Wolf, F. M., & Feldt, K. (2010). The effects of a web-based intervention on psychosocial wellbeing among adults aged 60 and older with diabetes: A randomized trial. The Diabetes Educator, 36(3), 446–456.
Buller, D. B., Burris-Woodall, P., Davis, G. S., Saba, L., Cutter, G. R., Woodall, W. G., et al. (2008). Randomized trial on the 5 a day, the Rio Grande way website, a web-based program to improve fruit and vegetable consumption in rural communities. Journal of Health Communication, 13(3), 230–249.
Carstensen, L. L., Isaacowitz, D., & Charles, S. T. (1999). Taking time seriously: A theory of socioemotional selectivity. American Psychologist, 54, 165–181.
Centers for Disease Control and Prevention. (2000). Measuring Healthy Days. Atlanta, GA: CDC.
Christensen, H., Griffiths, K. M., Mackinnon, A. J., & Brittliffe, K. (2006). Online randomized controlled trial of brief and full cognitive behaviour therapy for depression. Psychological Medicine, 36, 1737–1746.
Clark, V., & Braun, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101.
Cohen, S., & Janicki-Deverts, D. (2012). Who’s stressed? Distributions of psychological stress in the United States in probability samples from 1983, 2006, and 2009. Journal of Applied Social Psychology, 42(6), 1320–1334.
Cohen, S., Kamarck, T., & Mermelstein, R. (1983). A global measure of perceived stress. Journal of Health and Social Behavior, 24(4), 385–396.
Cohen, S., & Williamson, G. (1988). Perceived stress in a probability sample of the United States. In S. Spacapan & S. Oskamp (Eds.), Social psychology of health. New York: Sage.
Diener, E., Emmons, R. A., Larsen, R. J., & Griffin, S. (1985). The satisfaction with life scale. Journal of Personality Assessment, 49(1), 71–75.
Diener, E., Wirtz, D., Tov, W., Kim-Prieto, C., Choi, D., Oishi, S., et al. (2010). New wellbeing measures: Short scales to assess flourishing and positive and negative feelings. Social Indicators Research, 97(2), 143–156.
Donaldson, T., Earl, J. K., & Muratore, A. M. (2010). Extending the integrated model of retirement adjustment: Incorporating mastery and retirement planning. Journal of Vocational Behavior, 77(2), 279–289.
Emmons, R. A., & Crumpler, C. A. (2000). Gratitude as a human strength: Appraising the evidence. Journal of Social and Clinical Psychology, 19(1), 56–69.
Emmons, R. A., & McCullough, M. E. (2003). Counting blessings versus burdens: An experimental investigation of gratitude and subjective wellbeing in daily life. Journal of Personality and Social Psychology, 84(2), 377–389.
Emmons, R. A., McCullough, M. E., & Tsang, J. (2003). The measurement of gratitude. In S. Lopez & C. R. Snyder (Eds.), Handbook of positive psychology assessment (pp. 327–341). Washington, DC: American Psychological Association.
Emmons, R. A., & Mishra, A. (2011). Why gratitude enhances wellbeing: What we know, what we need to know. In K. Sheldon, T. Kashdan, & M. F. Steger (Eds.), Designing the future of positive psychology: Taking stock and moving forward. New York: Oxford University Press.
Erikson, E. (1959). Identity and the life cycle. New York: International University Press.
Eysenbach, G. (2005). The law of attrition. Journal of Medical Internet Research, 7, 11.
Fiske, A., Wetherell, J. L., & Gatz, M. (2009). Depression in older adults. Annual Review of Clinical Psychology, 5(1), 363–389.
Frederickson, B. L. (1998). What good are positive emotions? Review of General Psychology, 2(3), 300–319.
Fredrickson, B. L. (2000). Cultivating positive emotions to optimize health and wellbeing. Prevention & Treatment, 3(1), 18–48.
Fredrickson, B. L., Tugade, M. M., Waugh, C. E., & Larkin, G. R. (2003). What good are positive emotions in crises? A prospective study of resilience and emotions following the terrorist attacks on the united states on September 11th, 2001. Journal of Personality and Social Psychology, 84(2), 365–376.
Gander, F., Proyer, R. T., Ruch, W., & Wyss, T. (2013). Strength-based positive interventions: Further evidence for their potential in enhancing well-being and alleviating depression. Journal of Happiness Studies, 14, 1241–1259.
Geraghty, A. W. A., Wood, A. M., & Hyland, M. E. (2010). Attrition from self-directed interventions: Investigating the relationship between psychological predictors, technique, and dropout from a body image intervention. Social Science and Medicine, 71(1), 30–37.
Hawthorn, D. (2000). Possible implications of aging for interface designers. Interacting with Computers, 12(5), 507–528.
Hörder, H. M., Frändin, K.,& Larsson, M. E. H. (2013). Self-respect through ability to keep fear of frailty at a distance: Successful ageing from the perspective of community-dwelling older people. International Journal of Qualitative Studies in Health and Well-being, 8, 20194. doi:10.3402/qhw.v8i0.20194.
Huang, M., Hansen, D., & Xie, B. (2012). Older adults’ online health information seeking behavior. Association for Computing Machinery. Proceedings of the 2012 iconference, 338–345.
Huta, V., & Ryan, R. M. (2010). Pursuing pleasure or virtue: The differential and overlapping wellbeing benefits of hedonic and eudemonic motives. Journal of Happiness Studies, 11(6), 735–762.
Kahneman, D., Diener, E., & Schwarz, N. (1999). Wellbeing: The foundations of hedonic psychology. New York: Russell Sage Foundation.
Kashdan, T. B., Mishra, A., Breen, W. E., & Froh, J. J. (2009). Gender differences in gratitude: Examining appraisals, narratives, the willingness to express emotions, and changes in psychological needs. Journal of Personality, 77, 691–730.
Lau, R. W. L., & Cheng, S. (2011). Gratitude lessens death anxiety. European Journal of Ageing, 8(3), 169–175.
Lucas, R. E., Diener, E., & Suh, E. (1996). Discriminant validity of wellbeing measures. Journal of Personality and Social Psychology, 71(3), 616–628.
Lyubomirsky, S., Sheldon, K. M., & Schkade, D. (2005). Pursuing happiness: The architecture of sustainable change. Review of General Psychology, 9(2), 111–131.
McAdams, D. P., & Bauer, J. J. (2004). Gratitude in modern life: Its manifestations and development. In R. A. Emmons & M. E. McCullough (Eds.), The psychology of gratitude (pp. 81–99). New York: Oxford University Press.
McCullough, M. E., Emmons, R. A., & Tsang, J. (2002). The grateful disposition: A conceptual and empirical topography. Journal of Personality and Social Psychology, 82(1), 112–127.
McMahan, E. A., & Estes, D. (2011). Hedonic versus eudemonic conceptions of wellbeing: Evidence of differential associations with self-reported wellbeing. Social Indicators Research, 103(1), 93–108.
Mitchell, J., Stanimirovic, R., Klein, B., & Vella-Brodrick, D. (2009). A randomised controlled trial of a self-guided internet intervention promoting wellbeing. Computers in Human Behavior, 25(3), 749–760.
Nelson, C. (2009). Appreciating gratitude: Can gratitude be used as a psychological intervention to improve individual wellbeing? Counselling Psychology Review, 24(3–4), 38–50.
Newschaffer, C. J. (1998). Validation of Behavioral Risk Factor Surveillance System (BRFSS) HRQOL measures in a statewide sample. Atlanta: Center for Disease Control and Prevention.
Offer, S. (2012). The burden of reciprocity: Processes of exclusion and withdrawal from personal networks among low-income families. Current Sociology, 60(6), 788–805.
Office of National Statistics. (2013). Internet access—Households and individuals. Retrieved from http://www.ons.gov.uk/ons/dcp171778_322713.pdf.
Park, N., Peterson, C., & Seligman, M. (2004). Strengths of character and well being. Journal of Social and Clinical Psychology, 23(5), 603–619.
Peterson, C., & Seligman, M. E. P. (2004). Character strengths and virtues: A handbook and classification. Oxford: American Psychological Association.
Ramachandra, P., Booth, S., Pieters, T., Vrotsou, K., & Huppert, F. A. (2009). A brief self-administered psychological intervention to improve wellbeing in patients with cancer: Results from a feasibility study. Psycho-Oncology, 18(12), 1323–1326.
Ramírez, E., Ortega, A. R., Chamorro, A., & Colmenero, J. M. (2014). A program of positive intervention in the elderly: Memories, gratitude and forgiveness. Aging & Mental Health, 18(4), 463–470.
Ryff, C. D., & Keyes, C. L. M. (1995). The structure of psychological wellbeing revisited. Journal of Personality and Social Psychology, 69, 719–727.
Sarkisian, C. A., Hays, R. D., & Mangione, C. M. (2002). Do older adults expect to age successfully? The association between expectations regarding aging and beliefs regarding healthcare seeking among older adults. Journal of the American Geriatrics Society, 50(11), 1837–1843.
Seligman, M. E. P. (2002). Authentic happiness: Using the new positive psychology to realize your potential for lasting fulfilment. New York: Free Press.
Seligman, M. E. P., Steen, T. A., Park, N., & Peterson, C. (2005). Positive psychology progress: Empirical validation of interventions. American Psychologist, 60, 410–421.
Sheldon, K. M., & Lyubomirsky, S. (2006). How to increase and sustain positive emotion: The effects of expressing gratitude and visualizing best possible selves. The Journal of Positive Psychology, 1(2), 73–82.
Sin, N. L., & Lyubomirsky, S. (2009). Enhancing wellbeing and alleviating depressive symptoms with positive psychology interventions: A practice-friendly meta-analysis. Journal of Clinical Psychology, 65(5), 467.
Streiner, D. L. (2009). From the corrections officer: Why we correct for multiple tests. Canadian Journal of Psychiatry, 54(6), 351.
Tabachnik, B. G., & Fidell, L. S. (2012). Using multivariate statistics (6th ed.). New York: Pearson Education.
Van’t Veer-Tazelaar, P. J., van Marwijk, H. W. J., Jansen, A. P. D., Rijmen, F., Kostense, P. J., van Oppen, P., et al. (2008). Depression in old age (75+), the PIKO study. Journal of Affective Disorders, 106(3), 295–299.
Waterman, A. S. (1993). Two conceptions of happiness: Contrasts of personal expressiveness (eudemonia) and hedonic enjoyment. Journal of Personality and Social Psychology, 64, 678–691.
Watkins, P. C., Grimm, D. L., & Kolts, R. (2004). Counting your blessings: Positive memories among grateful persons. Current Psychology, 23(1), 52–67.
Watkins, P., Scheer, J., Ovnicek, M., & Kolts, R. (2006). The debt of gratitude: Dissociating gratitude and indebtedness. Cognition and Emotion, 20(2), 217–241.
Webb, T. L., Joseph, J., Yardley, L., & Michie, S. (2010). Using the internet to promote health behavior change: A systematic review and meta-analysis of the impact of theoretical basis, use of behavior change techniques, and mode of delivery on efficacy. Journal of Medical Internet Research, 12(1), 4.
Wood, A. M., Froh, J. J., & Geraghty, A. W. A. (2010). Gratitude and wellbeing: A review and theoretical integration. Clinical Psychology Review, 30(7), 890–905.
Wood, A. M., Joseph, S., & Linley, A. P. (2007). Coping style as a psychological resource of grateful people. Journal of Social and Clinical Psychology, 26(9), 1076–1093.
Wood, A. M., Maltby, J., Gillett, R., Linley, P. A., & Joseph, S. (2008a). The role of gratitude in the development of social support, stress, and depression: Two longitudinal studies. Journal of Research in Personality, 42(4), 854–871.
Wood, A. M., Maltby, J., Stewart, N., Linley, P. A., & Joseph, S. (2008b). A social–cognitive model of trait and state levels of gratitude. Emotion, 8, 281–290.
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Killen, A., Macaskill, A. Using a Gratitude Intervention to Enhance Well-Being in Older Adults. J Happiness Stud 16, 947–964 (2015). https://doi.org/10.1007/s10902-014-9542-3
- Older adults
- Online delivery
- Three good things intervention