Intervention to reduce perceived loneliness in community‐dwelling older people

Scandinavian Journal of Caring Sciences - Tập 35 Số 2 - Trang 366-374 - 2021
Rocío Rodríguez‐Romero1, Carmen Herranz1,2, Belchin Kostov2, Joan Gené Badía1,3,4, Antoni Xaubet5,3,2
1Centro de Salud Casanova Consorcio de Atención Primaria de Salud Barcelona Izquierda (CAPSBE) Barcelona Spain
2Grupo de Investigación Transversal en Atención Primaria Instituto de Investigaciones Biomédicas August Pi i Sunyer (IDIBAPS) Barcelona Spain
3Departamento de Medicina Facultad de Medicina Universidad de Barcelona Barcelona Spain
4Instituto Catalán de la Salud, Barcelona, Spain
5Centro de Salud Les Corts Consorcio de Atención Primaria de Salud Barcelona Izquierda (CAPSBE) Barcelona Spain

Tóm tắt

AimWe evaluated the reduction in perceived loneliness and depression and the increase in social support and quality of life in community‐dwelling lonely people aged >65 years included in a community intervention compared with nonlonely controls from the same urban area.DesignRandomised clinical trial without blind evaluation.LocationUrban area of Barcelona.ParticipantsCommunity dwellers aged >65 years with loneliness identified by the primary care team.InterventionsThe primary care team together with community agents (municipal social services, community civil and religious associations) carried out 18 sessions developing activities including educational workshops, mindfulness, yoga, walking and visits to urban gardens.ResultsWe included 55 patients (87% female, mean age 80.6 ± 6.86 years) of whom 82% had moderate and 18% severe loneliness. Six months postintervention, 48.3% of the intervention group did not feel lonely compared with 26.9% of controls (p = 0.001). Social support (DUKE‐UNC‐11) increased from 33.5 ± 9.3 to 41.4 ± 6.6, and mental health (SF‐12) from 36 ± 610.4 to 48 ± 11.1 and depressive symptoms (Yesavage test) decreased from 9.2 ± 3.6 to 5.2 ± 5.0 in the intervention but not the control group.ConclusionsThe intervention mainly reached people with moderate loneliness and significantly improved the perception of loneliness, depressive symptoms, social support and the mental health component of the quality of life. The intervention may be more suitable for people with moderate loneliness, but these types of activities may be difficult to accept by people with severe loneliness not related to the barriers to socialisation generated by ageing.

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Thông tin xuất bản

Scandinavian Journal of Caring Sciences

Tập 35 Số 2

366-374

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