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Table 1 List of Path-oriented psychological self-help intervention (P-oPSI)

From: Efficacy of path-oriented psychological self-help interventions to improve mental health of empty-nest older adults in the Community of China

Optimal Intervention Path

Scores of Personality Traits

 

Scores of Coping style

 

Scores of psychological self-help ability

 

Objectives of Intervention*

Path (1)

Extroversion

↓

Coping Style

↓

Self-help Ability

↓

Facilitating a healthy personality for extroversionâ‘ 

Mastering positive coping strategiesâ‘¡

Improving psychological self-help abilityâ‘¢

Path (2)

Extroversion

↓

Coping Style

↑

Self-help Ability

↓

Facilitating a healthy personality for extroversionâ‘ 

Improving psychological self-help abilityâ‘¢

Path (3)

Extroversion

↑

Coping Style

↑

Self-help Ability

↓

Improving psychological self-help abilityâ‘¢

Path (4)

Neuroticism

↑

Coping Style

↓

Self-help Ability

↓

Facilitating a healthy personality for neuroticismâ‘£

Mastering a positive coping strategyâ‘¡

Improving psychological self-help abilityâ‘¢

Path (5)

Neuroticism

↑

Coping Style

↑

Self-help Ability

↓

Facilitating a healthy personality for neuroticismâ‘£

Improving psychological self-help abilityâ‘¢

Path (6)

Neuroticism

↓

Coping Style

↑

Self-help Ability

↓

Improving psychological self-help abilityâ‘¢

*Strategies of Psychological Self-help Intervention

â‘  Facilitating a healthy personality for extroversion

1. Understanding how introverted personality traits are manifested and negatively impact on everyday life and social activities;

2. Learning how to communicate more skilfully and seek social support from others;

3. Participating in outdoor physical exercise and developing individual hobbies;

4. Sharing interests and showcasing talents (such as reading, calligraphy, singing);

5. Learning how to express verbal and written praise and appreciation to others for participating in activities and contributing to the group [28].

â‘¡ Mastering positive coping strategies

1. Understanding the types and benefits of positive coping styles;

2. Assessing whether an individual demonstrates positive coping styles;

3. Actively seeking external social support and developing skills to cope with problems from others;

4. Learning common mental health improvement techniques (e.g. reading books and newspapers, exercising and developing hobbies in a group) [29];

5. Participating in psychological symposia addressing aging issues that encourage the older adults to share their experiences with each other and provide an avenue for disseminating positive mental health information [16].

â‘¢ Improving psychological self-help ability

1. Understanding the definition and importance of the ability to utilize psychological self-help techniques;

2. Undertaking measures to improve psychological self-help ability in 4 aspects: seeking psychological support, solving psychological problems, promoting psychological health and promoting self-actualization;

3. Adopting exercise and music relaxation training as a daily habit [17];

4. Touring well-managed, highly available community geriatric activity centres to explore their institutional settings, activities and operations;

5. Leveraging community resources (for example, audio and video equipment/interest groups/fitness equipment) to select the ideal site (parks/activities room) for conducting activities (talent show/outdoor fitness);

6. Sharing family photos of life experiences and personal achievements as a means to reminisce and share happy memories with others [18].

â‘£ Facilitating a healthy personality for neuroticism

1. Understanding how neurotic personality traits are manifested and negatively affect daily life and social activities;

2. Learning emotion management skills;

3. Mastering the relaxation training techniques such as abdominal deep breathing and progressive muscle relaxation training;

4. Joining a chorus to share feelings and memories through music and singing;

5. Engaging in medication training and group meditation exercises [30].

  1. Note: The Optimal Intervention--Path (1) ~ (6) were constructed by our previous study [26] were serve as the theoretical underpin for the P-oPSI