This systematic review aims to evaluate the impact of positive psychological interventions (PPIs) on well-being in healthy older adults. Systematic review of PPIs obtained from three electronic databases (PsycINFO, Scopus, and Web of Science) was undertaken. Inclusion criteria were: that they were positive psychology intervention, included measurement of well-being, participants were aged over 60 years, and the studies were in English. The cochrane collaboration Guidelines dimensions of quality control, randomization, comparability, follow-up rate, dropout, blinding assessors are used to rate the quality of studies by two reviewers independently. The reach, efficacy, adoption, implementation, and maintenance (RE-AIM) for evaluation of PPIs effectiveness was also applied. The final review included eight articles, each describing a positive psychological intervention study. The reminiscence interventions were the most prevalent type of PPIs to promote and maintain well-being in later life. Only two studies were rated as high quality, four were of moderate-quality and two were of low-quality. Overall results indicated that efficacy criteria (89 %), reach criteria (85 %), adoption criteria (73 %), implementation criteria (67 %), and maintenance criteria (4 %) across a variety of RE-AIM dimensions. Directions for future positive psychological research related to RE-AIM, and implications for decision-making, are described.
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Armijo-Olivo, S., Stiles, C. R., Hagen, N. A., Biondo, P. D., & Cummings, G. G. (2010). Assessment of study quality for systematic reviews: a comparison of the Cochrane collaboration risk of bias tool and the effective public health practice project quality assessment tool: Methodological research. Journal of Evaluation in Clinical Practice, 18(1), 12–18. doi:10.1111/j.1365-2753.2010.01516.x.
Baird, B. M., Lucas, R. E., & Donnellan, M. B. (2010). Life satisfaction across the lifespan: Findings from two nationally representative panel studies. Social Indicators Research, 99, 183–203. doi:10.1007/s11205-010-9584-9.
Biswas-Diener, R., Kashdan, T., & King, L. (2009). Two traditions of happiness research, not two distinct types of happiness. The Journal of Positive Psychology, 3(1), 208–211.
Boland, A., Cherry, G. M., & Dickson, R. (2014). Doing a systematic review: A student’s guide. London: SAGE.
Bolier, L., Haverman, M., Westerhof, G. J., Riper, H., Smit, F., & Bohlmeijer, E. (2013). Positive psychology interventions: A meta-analysis of randomized controlled studies. BMC Public Health, 13(1), 119–139. doi:10.1186/1471-2458-13-119.
Bookwala, J., Harralson, T. L., & Parmelee, P. A. (2003). Effects of pain on functioning and well-being in older adults with osteoarthritis of the knee. Psychology and Aging, 18(4), 844–850. doi:10.1037/0882-79220.127.116.114.
Bryant, F. B., Smart, C. M., & King, S. P. (2005). Using the past to enhance the present: Boosting happiness through positive reminiscence. Journal of Happiness Studies, 6(3), 227–260.
Butler, R. N. (1963). The life review: An interpretation of reminiscence in the aged. Psychiatry, 26(1), 65–70.
Chiang, K. J., Lu, R. B., Chu, H., Chang, Y. C., & Chou, K. R. (2008). Evaluation of the effect of a life review group program on self-esteem and life satisfaction in the elderly. International Journal of Geriatric Psychiatry, 23(1), 7–10. doi:10.1002/gps.1824.
Comana, M. T., Brown, V. M., & Thomas, J. D. (1998). The effect of reminiscence therapy on family coping. Journal of Family Nursing, 4(2), 182–197. doi:10.1177/107484079800400205.
Corcoran, J., Brown, E., Davis, M., Pineda, M., Kadolph, J., & Bell, H. (2013). Depression in older adults: A meta-synthesis. Journal of Gerontological Social Work, 56(6), 509–534.
Diener, E., & Chan, M. Y. (2011). Happy people live longer: Subjective well-being contributes to health and longevity. Applied Psychology: Health and Well-Being, 3(1), 1–43.
Diener, E., Emmons, R. A., Larsen, R. J., & Griffin, S. (1985). The satisfaction with life scale. Journal of Personality Assessment, 49(1), 71–75.
Emmons, R. A., & McCullough, M. E. (2003). Counting blessings versus burdens: An experimental investigation of gratitude and subjective well-being in daily life. Journal of Personality and Social Psychology, 84(2), 377–389.
Emmons, R. A., & Shelton, C. S. (2002). Gratitude and the science of positive psychology. In C. R. Snyder & S. J. Lopez (Eds.), Handbook of positive psychology (pp. 459–471). New York: Oxford University Press.
Erikson, E., & Erikson, J. (1997). The life cycle completed: Extended version. New York: W. W. Norton & Company.
Falagas, M. E., Pitsouni, E. I., Malietzis, G. A., & Pappas, G. (2008). Comparison of Pubmed, Scopus, Web of Science, and Google Scholar: Strengths and weaknesses. The FASEB Journal, 22(2), 338–342.
Frieswijk, N., Steverink, N., Buunk, B., & Slaets, J. P. J. (2006). The effectiveness of a bibliotherapy in increasing the self-management ability of slightly to moderately frail older people. Patient Education and Counselling, 61, 219–227. doi:10.1016/j.pec.2005.03.011.
Glasgow, R. E., Vogt, T. M., & Boles, S. M. (1999). Evaluating the public health impact of health promotion interventions: The RE-AIM framework. American Journal of Public Health, 89, 1322–1327.
Higgins, J. P. T., & Green, S. (2008). Cochrane handbook for systematic reviews of interventions. Chichester: Wiley.
Ho, H. C. Y., Yeung, D. Y., & Kwok, S. Y. C. L. (2014). Development and evaluation of the positive psychology intervention for older adults. Journal of Positive Psychology, 9(3), 187–197.
Hone, L. C., Jarden, A., & Schofield, G. M. (2014). An evaluation of positive psychology intervention effectiveness trials using the re-aim framework: A practice-friendly review. The Journal of Positive Psychology. doi:10.1080/17439760.2014.965267.
Horder, H. M., Frandin, 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.
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). Well-being: The foundations of hedonic psychology. New York: Russell Sage Foundation.
Killen, A., & Macaskill, A. (2014). Using a gratitude intervention to enhance well-being in older adults. Journal of Happiness Studies. doi:10.1007/s10902-014-9542-3.
Kim, E. S., Park, N., & Peterson, C. (2011). Dispositional optimism protects older adults from stroke: The health and retirement study. Stroke, 42, 2855–2859.
Lawton, M. P. (1972). Assessing the competence of older people. In D. Kent, R. Kastenbaum, & S. Sherwood (Eds.), Research planning and action for the elderly (pp. 122–143). New York, NY: Behavioral Publications.
Litwin, H., & Shiovitz-Ezra, S. (2006). The association between activity and wellbeing in later life: What really matters? Ageing and Society, 26(2), 225–242.
Lundh, A., & Gøtzsche, P. C. (2008). Recommendations by cochrane review groups for assessment of the risk of bias in studies. BMC Medical Research Methodology. doi:10.1186/1471-2288-8-22.
Lusardi, A., & Mitchell, O. S. (2005). Financial literacy and planning: implications for retirement wellbeing. Michigan Retirement Research Center Research Paper No, WP 2005-108.
Lyubomirsky, S., & Layous, K. (2013). How do simple positive activities increase well-being? Current Directions in Psychological Science, 22, 57–62. doi:10.1177/0963721412469809.
Lyubomirsky, S., King, L., & Diener, E. (2005). The benefits of frequent positive affect: Does happiness lead to success? Psychological Bulletin, 131, 803–855.
Lyubomirsky, S., Dickerhoof, R., Boehm, J. K., & Sheldon, K. M. (2011). Becoming happier takes both a will and a proper way: Two experimental longitudinal interventions to boost well-being. Emotion, 11(2), 391–402.
McCullough, M. E., Kilpatrick, S., Emmons, R. A., & Larson, D. (2001). Is gratitude a moral affect? Psychological Bulletin, 127, 249–266.
Meléndez Moral, J. C., Fortuna Terrero, F.B., Sales Galán, A., & Mayordomo Rodríguez, T. (2014). Effect of integrative reminiscence therapy on depression, wellbeing, integrity, self-esteem, and life satisfaction in older adults. Journal of Positive Psychology. Article in Press.
Meléndez-Moral, J. C., Charco-Ruiz, L., Mayordomo-Rodríguez, T., & Sales-Galán, A. (2013). Effects of a reminiscence program among institutionalized elderly adults. Psicothema, 25(3), 319–323.
National Institute of Population and Social Security Research. (2014). Latest Demographic Statistics 2014 (in Japanese). Tokyo: National Institute of Population and Social Security Research.
Neugarten, B. L., Havighurst, R., & Tobin, S. (1961). The measurement of life satisfaction. Journal of Gerontology, 16, 134–143. doi:10.1093/geronj/16.2.134.
Oddone, C. G., Hybels, C. F., McQuoid, D. R., & Steffens, D. C. (2011). Social support modifies the relationship between personality and depressive symptoms in older adults. The American Journal of Geriatric Psychiatry, 19, 123–131.
Ormel, J., Kempen, G. I. J. M., Deeg, D. J. H., Brilman, E. I., van Sonderen, E., & Relyveld, J. (1998). Functioning, well-being, and health perception in late middle aged and older people: Comparing the effects of depressive symptoms on chronic medical conditions. Journal of American Geriatrics Society, 46(1), 39–48.
Park, N., Peterson, C., & Seligman, M. E. P. (2004). Strengths of character and wellbeing. Journal of Social and Clinical Psychology, 23, 603–619.
Parks, A. C., & Biswas-Diener, R. (2013). Positive interventions: Past, present, and future. In T. Kashdan & J. Ciarrochi (Eds.), Mindfulness, acceptance, and positive psychology: The seven foundations of wellbeing (pp. 140–165). Oakland, CA: Context Press.
Pasupathi, M., & Carstensen, L. L. (2003). Age and emotional experience during mutual reminiscing. Psychology and Aging, 18, 430–442.
Peterson, C., & Seligman, M. E. P. (2003). Character strengths before and after September 11. Psychological Science, 14, 381–384.
Population Reference Bureau. (2014). 2014 WORLD POPULATION DATA SHEET. http://www.prb.org/pdf14/2014-world-population-data-sheet_eng.pdf.
Preschl, B., Maercker, A., Wagner, B., Forstmeier, S., Baños, R. M., Alcañiz, M., et al. (2012). Life-review therapy with computer supplements for depression in the elderly: A randomized controlled trial. Aging and Mental Health, 16(8), 964–974. doi:10.1080/13607863.2012.702726.
Ramirez, E., Ortega, A. R., Chamorro, A., & Colmenero, J. M. (2014). A program of positive intervention in the elderly: Memories, gratitude and forgiveness. Aging and Mental Health, 18(4), 463–470.
Rash, J. A., Matsuba, M. K., & Prakachin, K. M. (2011). Gratitude and well-being: Who benefits the most from a gratitude intervention? Applied Psychology: Health and Well-Being, 3(3), 350–369. doi:10.1111/j.1758-0854.2011.01058.x.
Reed, G. L., & Enright, R. D. (2006). The effects of forgiveness therapy on depression, anxiety, and posttraumatic stress for women after spousal emotional abuse. Journal of Consulting and Clinical Psychology, 74, 920–929.
Ryan, R. M., & Deci, E. L. (2001). On happiness and human potentials: A review of research on hedonic and edaimonic well-being. Annual Reviews of Psychology, 52, 141–166.
Ryan, R. M., Huta, V., & Deci, E. L. (2008). Living well: A self-determination theory perspective on eudaimonia. Journal of Happiness Studies, 9, 139–170.
Ryff, C. D. (1989). Happiness is everything, or is it? Explorations on the meaning of psychological wellbeing. Journal of Personality and Social Psychology, 57, 1069–1081.
Sandvik, E., Diener, E., & Seidlitz, L. (2009). Subjective well-being: The convergence and stability of self-report and non-self-report measures. Social Indicators Research Series, 39, 119–138.
Schrank, B., Riches, S., Bird, V., Murray, J., Tylee, A., & Slade, M. (2014). A conceptual framework for improving well-being in people with a diagnosis of psychosis. Epidemiology and Psychiatric Sciences, 23(4), 377–387. doi:10.1017/S2045796013000462.
Seligman, M. E. P. (2002). Authentic happiness: Using the new positive psychology to realize your potential for lasting fulfilment. New York, NY: Free Press.
Seligman, M. E. P., & Csikszentmihalyi, M. (2000). Positive psychology: An introduction. American Psychologist, 55, 51–82.
Seligman, M. E. P., Parks, A. C., & Steen, T. (2004). A balanced psychology and full life. Philosophical Transaction of the Royal Society of London, 359(1449), 1379–1381. doi:10.1098/rstb.2004.1513.
Seligman, M. E. P., Steen, T., Park, N., & Peterson, C. (2005). Positive psychology progress: Empirical validation of interventions. American Psychologist, 60, 410–421.
Shadish, W. R., Cook, T. D., & Campbell, D. T. (2002). Experimental and quasi-experimental designs for generalized causal inference. Boston, MA: Houghton Mifflin and Company.
Sheldon, K. M., & Lyubomirsky, S. (2007). Is it possible to become happier? (And If So, How?). Social and Personality Psychology Compass, 1(1), 129–145. doi:10.1111/j.1751-9004.2007.00002.x.
Sherman, E. (1991). Reminiscence and the self in old age. New York: Springer Publishing Company.
Shtompel, N., Whiteman, K., & Ruggiano, N. (2014). Negative feelings and help seeking among older adults with chronic conditions. Journal of Gerontological Social Work, 57(8), 810–824. doi:10.1080/01634372.2014.898008.
Sin, N. L., & Lyubomirsky, S. (2009). Enhancing well-being and alleviating depressive symptoms with positive psychology interventions: A practice-friendly meta-analysis. Journal of Clinical Psychology, 65(5), 467–487. doi:10.1002/jclp.20593.
Sirgy, M. J., & Wu, J. (2009). The pleasant life, the engaged life, and the meaningful life: What about the balanced life? Journal of Happiness Studies, 10, 183–196.
Steptoe, A., Deaton, A., & Stone, A. A. (2014). Subjective wellbeing, health, and ageing. The Lancet. doi:10.1016/S0140-6736(13)61489-0.
Steverink, N., Schuurmans, H., Slaets, J. P. J., Lindenberg, S., Frieswijk, N., & Buunk, B. P. (2003). Can self-management ability help to maintain subjective well-being in frail elderly people? Gerontologist, 43, 551.
Sutton, A. J., Abrams, K. R., Jones, D. R., Sheldon, T. A., & Song, F. (1998). Systematic reviews of trials and other studies. Health Technology Assessment, 2(9), 1–276.
Tobin, G., & Begley, C. (2004). Methodological rigour within a qualitative framework. Journal of Advanced Nursing, 48(4), 388–396.
United Nations, Department of Economic and Social Affairs, Population Division. (2013). World Population Ageing 2013. http://www.un.org/en/development/desa/population/publications/pdf/ageing/WorldPopulationAgeing2013.pdf.
Watson, D., Clark, L. A., & Tellegen, A. (1988). Development and validation of brief measures of positive and negative affect: The PANAS Scales. Journal of Personality and Social Psychology, 47, 1063–1070.
Watt, L. M., & Cappeliez, P. (2000). Integrative and instrumental reminiscence therapies for depression in older adults: Intervention strategies and treatment effectiveness. Aging and Mental Health, 4, 166–177.
Webster, J. D., Bohlmeijer, E. T., & Westerhof, G. J. (2010). Mapping the future of reminiscence: A conceptual guide for research and practice. Research on Aging, 32, 527–564.
Westerhof, G. J., & Keyes, C. L. M. (2006). Reminiscence and mental health: a review of recent progress in theory, research and interventions. Journal of Gerontology: Social Sciences, 61B(5), 240–247.
Wiest, M., Schüz, B., Webster, N., & Wurm, S. (2011). Subjective well-being and mortality revisited: Differential effects of cognitive and emotional facets of well-being on mortality. Health Psychology, 30(6), 728–735.
You, E., Dunt, D., Doyle, C., & Hsueh, A. (2012). Effects of case management in community aged care on client and carer outcomes: A systematic review of randomized trials and comparative observational studies. BMC Health Services Research, 12, 395.
This study was financially supported by the Thailand Research Fund through the Royal Golden Jubilee Ph.D. Program (Grant No. PHD/0002/2556).
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Sutipan, P., Intarakamhang, U. & Macaskill, A. The Impact of Positive Psychological Interventions on Well-Being in Healthy Elderly People. J Happiness Stud 18, 269–291 (2017). https://doi.org/10.1007/s10902-015-9711-z
- Positive psychological intervention
- Older people
- Systematic review