PDF(Pubmed)
Abstract：
Background Aging has an impact on women\'s quality of life and is closely correlated with deteriorating social support systems and cognitive abilities. This project intends to improve women\'s performance, independence, and quality of life by using meta-cognitive strategy-based activities to improve executive functioning and their capacity to maintain social networks. The ultimate objective is to keep older women\'s cognitive abilities from declining and to give them more independence in carrying out essential everyday tasks. By enhancing their executive functioning skills, women will be better equipped to navigate daily challenges and maintain their autonomy. Additionally, the project aims to provide a supportive environment for older women to engage in social activities and strengthen their social connections, ultimately leading to a more fulfilling and enriched quality of life. Aims and objectives The study aims to evaluate the impact of meta-cognitive strategy-based activities on executive functioning, social networking, and instrumental activities of daily living. This study is specifically for women. Materials and method This is a quasi-experimental design with convenience sampling and selected samples (n=70), who were then split into two groups: an experimental group (n=35) and a control group (n=35) based on the inclusion and exclusion criteria. The experimental group received intervention based on meta-cognitive strategies through various activities, while the control group did not receive any specific intervention except health education. Pre- and post-tests were conducted to measure the changes. Executive functioning was assessed using the Brief Executive Function Assessment Tool (BEAT), social networking was assessed using the Lubben Social Networking Scale, and instrumental activities of daily living were assessed using the Lawton Brody Instrumental Activities of Daily Living Scale. The duration of the study was six months, three sessions per week, lasting 45 minutes to an hour each. The statistical analysis was done with significance at a 5% alpha level using IBM SPSS version 29.0 (Armonk, NY: IBM Corp). Results The pre-test and post-test data were analyzed using the Wilcoxon signed-rank test and the Mann-Whitney test. Since the p-value of the experimental group was 0.00 for the Lubben Social Networking Scale, the BEAT, and the Lawton Brody Instrumental Activities of Daily Living Scale, the alternate hypothesis was accepted. Thus, the results showed significant improvement in executive functioning, social networking, and instrumental daily living activities in the experimental group compared to the control group. Conclusion The clinically significant finding of this study was that the participants were enthusiastic and motivated to engage in meta-cognitive strategy-based activities; furthermore, there was a significant improvement in the experimental group when compared with the control group in executive functioning and social networking abilities. This will enhance functions like instrumental activities of daily living and occupational performance. Meta-cognitive strategy-based activities appeared beneficial for improving the cognitive functions and quality of life of women. Although the findings from the studies are positive for therapeutic and health benefits, more clinical trials are needed in order to prove the effect of meta-cognitive strategy-based activities as a therapeutic approach.
摘要：
背景老龄化对女性生活质量有影响,与社会支持系统和认知能力的恶化密切相关。这个项目旨在提高女性的表现,独立性,通过使用基于元认知策略的活动来改善执行功能及其维持社交网络的能力，从而提高生活质量。最终目标是防止老年妇女的认知能力下降，并使她们在执行基本的日常任务时更加独立。通过提高他们的执行能力，妇女将更有能力应对日常挑战并保持自主权。此外,该项目旨在为老年妇女参与社会活动和加强她们的社会关系提供有利的环境，最终导致更充实和丰富的生活质量。目的和目标该研究旨在评估基于元认知策略的活动对执行功能的影响，社交网络,和日常生活的工具性活动。这项研究是专门针对女性的。材料和方法这是一个准实验设计，具有方便的采样和选定的样品（n=70），然后根据纳入和排除标准将其分为两组：实验组（n=35）和对照组（n=35）。实验组通过各种活动进行基于元认知策略的干预,对照组除健康教育外不接受任何针对性干预。进行前和后测试以测量变化。执行功能使用简短的执行功能评估工具(BEAT)进行评估，社交网络使用Lubben社交网络量表进行评估，使用LawtonBrody日常生活工具活动量表评估日常生活的工具活动。研究时间为六个月，每周三次，每次持续45分钟到一个小时。使用IBMSPSS29.0版（Armonk，纽约：IBM公司）。结果采用Wilcoxon符号秩检验和Mann-Whitney检验对前测和后测数据进行分析。由于实验组的Lubben社交网络量表的p值为0.00，Beat,和劳顿·布罗迪日常生活器乐活动量表，替代假设被接受。因此，结果显示执行功能有了显著改善，社交网络,与对照组相比，实验组的仪器日常生活活动能力。结论本研究具有临床意义的发现是，参与者对参与基于元认知策略的活动充满热情和积极性；此外，与对照组相比,实验组的执行功能和社交网络能力有显著改善.这将增强功能，如日常生活和职业表现的工具性活动。基于元认知策略的活动似乎有利于改善女性的认知功能和生活质量。尽管这些研究的结果对治疗和健康益处是积极的，需要更多的临床试验来证明基于元认知策略的活动作为治疗方法的效果.
