Interventions to address loneliness and social isolation in young people: A systematic review of the evidence on acceptability and effectiveness

Journal of Adolescence - Tập 93 - Trang 53-79 - 2021
Tom Osborn1,2, Peter Weatherburn1, Rebecca S. French1
1Department of Public Health, Environments and Society, Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, 15-17 Tavistock Place, London, WC1H 9SH, UK
2Division of Psychology and Language Sciences, Faculty of Brain Sciences, UCL, 26 Bedford Way, London, WC1H 0AP, UK

Tóm tắt

AbstractIntroduction

Loneliness is prevalent and associated with negative health outcomes in young people. Our understanding of how it can be best addressed is limited. This systematic review aims to assess the acceptability and effectiveness of interventions to reduce and prevent loneliness and social isolation in young people.

Methods

Six bibliographic databases were searched; references of included studies were screened for relevant literature. A pre‐defined framework was used for data extraction. Quality appraisal was performed using the Mixed Method Appraisal Tool. Data were synthesised narratively.

Results

9,358 unique references were identified; 28 publications from 16 interventions met the inclusion criteria. The majority of interventions were high intensity, individual or small group interventions, often targeted at specific ‘at risk’ populations. While 14 interventions were associated with a statistically significant reduction in loneliness or social isolation, the heterogeneous measures of loneliness, small sample sizes, short periods of follow‐up and high attrition rates limit evidence on effectiveness. Interventions implemented in more general populations of young people appeared more acceptable than those in specific ‘at risk’ populations.

Conclusion

High intensity interventions are unlikely to be feasible at a population level. Further work is required to develop and evaluate theoretically‐informed loneliness interventions for young people that reach wider audiences.


Tài liệu tham khảo

Afsharnejad B., 2020, Cross‐cultural adaptation to australia of the kontakt© social skills group training program for youth with autism spectrum disorder: A feasibility study, Journal of Autism and Developmental Disorders, 2020 10.2196/17155 10.2196/21496 10.1016/j.puhe.2020.06.036 Cacioppo J. T., 2018, Advances in Experimental Social Psychology, 127 10.1016/j.tics.2009.06.005 10.1001/archpedi.160.8.805 10.1001/archpedi.160.8.805 10.1017/S0144686X04002594 Co‐op Foundation. (2018).Listening to Children and Young People to Help us Tackle Loneliness Together. Retrieved 22/04/2019 fromhttps://blog.coopfoundation.org.uk/index.php/2018/12/07/listening‐to‐children‐and‐young‐people‐to‐help‐us‐tackle‐loneliness‐together/. Coelho V., 2011, Project “Positive Attitude”: Promoting school success through social and emotional abilities development, Design for elementary and middle school students, in Portugal. Revista Interamericana de Psicologia/Interamerican Journal of Psychology, 45, 185 10.1016/j.adolescence.2015.05.009 10.1007/s10964‐016‐0472‐8 Coelho V., 2017, The impact of a Portuguese middle school social‐emotional learning program, Health Promotion International, 32, 292 10.4278/ajhp.130418‐LIT‐182 10.1136/bmj.a1655 10.1186/1471‐2458‐11‐647 10.1111/camh.12389 10.1017/S0144686X03001296 10.1007/s10803-011-1350-6 10.1111/soin.12018 10.1111/j.1467‐9280.2005.01617.x 10.1007/s12160‐010‐9210‐8 10.1016/j.cpr.2006.04.002 10.1186/1471‐2458‐14‐834 10.1136/bmj.g1687 10.3233/EFI-180221 10.1521/jscp.2018.37.10.751 Hutchinson D. &Woods R.(2010).ChildLine casenotes: Children talking to ChildLine about Loneliness. 10.1007/s10597‐009‐9226‐3 10.1007/s00127‐016‐1279‐3 10.1007/s10802‐010‐9442‐x 10.1007/s00127‐019‐01681‐2 10.3389/fpsyt.2019.00604 10.1186/s13643‐019‐0968‐x 10.1007/s00127‐017‐1392‐y 10.1177/1088868310377394 10.1016/j.jadohealth.2012.06.020 10.1017/s0033291718000788 10.1177/0956797619836102 10.1007/s10803-018-3504-2 Mental Health Foundation. (2010).The Lonely Society?Retrieved from:https://www.mentalhealth.org.uk/sites/default/files/the_lonely_society_report.pdf. 10.1186/1748‐5908‐6‐42 10.1016/j.adolescence.2019.03.006 10.1177/1356389018803219 10.1006/jado.2002.0464 NHS England. (2019).Social prescribing and community‐based support: Summary Guide. (2019). Retrieved from:https://www.england.nhs.uk/wp‐content/uploads/2020/06/social‐prescribing‐summary‐guide‐updated‐june‐20.pdf. 10.1186/s12877‐018‐0897‐x 10.1002/cpp.2103 Perlman D., 1981, Toward a Social Psychology of Loneliness 10.1016/S2215‐0366(18)30436‐X Popay J., 2006, Guidance on the conduct of narrative synthesis in systematic reviews, A product from the ESRC methods programme Version, 1, b92 10.1016/j.invent.2020.100323 10.1017/CBO9780511551888 Saulsberry A., 2013, Randomized clinical trial of a primary care Internet‐based intervention to prevent adolescent depression: One‐year outcomes, Journal of the Canadian Academy of Child and Adolescent Psychiatry/Journal de l'Academie canadienne de psychiatrie de l'enfant et de l'adolescent, 22, 106 Scottish Public Health Network(2017).Scottish Isolation and loneliness: what is the scope for public health action?Retrieved from:https://www.scotphn.net/wp‐content/uploads/2017/05/2017_05_16‐Loneliness‐Scoping‐Note‐Final‐formatted.pdf. 10.1016/j.beth.2017.03.005 10.1016/j.cbpra.2015.08.006 Snape D. M. Hassell S. Osborn C. Martin E. Sidney G. Pyle I. et al. (2018).Children's and Young People's Experiences of Loneliness: 2018. Retrieved from:https://www.ons.gov.uk/peoplepopulationandcommunity/wellbeing/articles/childrensandyoungpeoplesexperiencesofloneliness/2018. 10.1016/j.adolescence.2010.04.007 Stewart M., 2009, A support intervention to promote health and coping among homeless youths, Canadian Journal of Nursing Research, 41, 55 10.1016/j.adolescence.2013.11.003 The Children's Foundation. (2019).Loneliness in Childhood: Exploring Loneliness and Well‐being Among 10‐17 year olds. Retrieved from:https://www.childrenssociety.org.uk/sites/default/files/2021‐01/loneliness_in_childhood.pdf. 10.1016/j.compedu.2019.103754 10.4088/PCC.v09n0503 Voorhees B. W., 2009, Adolescent dose and ratings of an Internet‐based depression prevention program: A randomized trial of primary care physician brief advice versus a motivational interview, Journal of Cognitive and Behavioral Psychotherapies, 9, 1 10.1097/DBP.0b013e3181966c2a Voorhees B. W., 2008, Integrative Internet‐based depression prevention for adolescents: A randomized clinical trial in primary care for vulnerability and protective factors, Journal of the Canadian Academy of Child and Adolescent Psychiatry/Journal de l'Academie canadienne de psychiatrie de l'enfant et de l'adolescent, 17, 184 10.1080/00223980.2011.613875 Weiss R. S., 1973, Loneliness: The Experience of Emotional and Social Isolation Windle K. Francis J. &Coomber C.(2011).Preventing loneliness and social isolation: interventions and outcomes.Social Care Institute for Excellence London. 10.35648/20.500.12413/11781/ii029 10.1002/ijop.12394