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Reframing Expectations about aging - Physical Activity and Inclusive Reappraisal (RE-PAIR): Protocol of a randomized intervention promoting positive self-perceptions of aging and physical activity in older couples

Sabatini S, Pagnini F, Pederiva AM, Henderson E, Cheval B, Borella E, de la Fuente-Núñez V, Gerstorf D et al.

BMC geriatrics, 2026

Abstract

Background: Ageism and negative self-perceptions of aging have a detrimental impact on the health of older individuals, and on the healthcare and economic systems. Although existing psychoeducational and behavioral interventions have effectively increased positive self-perceptions of aging, often their beneficial effects have been investigated with short follow-ups or faded over time. This may be due to interventions having been delivered at the individual level without sufficient attention to social context, but individuals' self-perceptions of aging are likely influenced by the age-related beliefs and behaviors of people close to them.

Objective: We aim to deliver a 12-week multicomponent intervention promoting positive self-perceptions of aging and physical activity to investigate (1) whether it promotes significant change in primary (i.e., self-perceptions of aging and physical activity) and secondary (i.e., self-directed and other-directed ageism, subjective views of couple's joint aging, perceived age-related changes in one's partner, anxiety and depressive symptoms, physical fitness, and executive function) intervention outcomes; (2) whether observed change in intervention outcomes is greater when the intervention is delivered to couples compared to when it is delivered to one partner alone; (3) the extent to which the effect of the intervention is extended from one partner who undertakes the intervention to the other partner who does not undertake it.

Methods: We…

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