Interventions targeting social isolation in older people: a systematic review

BMC Public Health - Tập 11 Số 1 - 2011
Andy Dickens1, Suzanne H Richards1, Colin Greaves1, John Campbell1
1Primary Care Research Group, Peninsula College of Medicine & Dentistry, University of Exeter, Smeall Building, St Luke's Campus, Magdalen Road, Exeter, EX1 2LU, UK

Tóm tắt

Từ khóa


Tài liệu tham khảo

United Nations: Profiles of ageing by country or area. World Population Ageing 2007. 2007, New York: United Nations, 133-517.

Office for National Statistics. Age structure of United Kingdom, 1971-2083. [ http://www.statistics.gov.uk/populationestimates/flash_pyramid/UK-pyramid/pyramid6_30.html ]

United Nations: Magnitude and speed of population ageing. World Population Ageing 2007. 2007, New York: United Nations, 13-16.

Jacobzone S, Cambois E, Chaplain E, Robine JM: The health of older persons in OECD countries: is it improving fast enough to compensate for population ageing?. 1999, Paris

Cattan M, White M, Bond J, Learmouth A: Preventing social isolation and loneliness among older people: a systematic review of health promotion interventions. Ageing Soc. 2005, 25: 41-67. 10.1017/S0144686X04002594.

Grenade L, Boldy D: Social isolation and loneliness amongst older people: issues and future challenges in community and residential settings. Australian Health Review. 2008, 32: 468-478. 10.1071/AH080468.

Hall M, Havens B: The effects of social isolation and loneliness on the health of older women. Research Bulletin, Centres of Excellence for Women's Health. 2001, 2: 6-7.

Wenger G, Davies R, Shahtahmasebi S, Scott A: Social isolation and loneliness in old age: review and model refinement. Ageing Soc. 1996, 16: 333-358. 10.1017/S0144686X00003457.

Victor C, Scambler S, Bond J: Loneliness and social isolation: issues of theory and method. The Social World of Older People: understanding loneliness and social isolation in later life. 2009, Maidenhead: Open University Press, 31-80.

Lubben J, Gironda M: Centrality of social ties to the health and well-being of older adults. Social Work and Health Care in an Aging World. Edited by: Berkman B, Harooytan LK. 2003, New York: Springer, 319-350.

Victor C, Scambler S, Bond J, Bowling A: Being alone in later life: loneliness, social isolation and living alone. Reviews in Clinical Gerontology. 2000, 10: 407-417. 10.1017/S0959259800104101.

Broadhead WE, Gehlbach SH, deGruy FV, Kaplan BH: Functional versus structural social support and health care utilization in a family medicine outpatient practice. Med Care. 1989, 27: 221-233. 10.1097/00005650-198903000-00001.

Routasalo PE, Tilvis RS, Kautiainen H, Pitkala KH: Effects of psychosocial group rehabilitation on social functioning, loneliness and well-being of lonely, older people: randomized controlled trial. Journal of Advanced Nursing. 2009, 65: 297-306. 10.1111/j.1365-2648.2008.04837.x.

Victor C, Bowling A, Bond J, Scambler S: Loneliness, social isolation and living alone in later life. ESRC Growing Old Programme, Research Findings 17. 2003

Wenger GC, Burholt V: Changes in levels of social isolation and loneliness among older people in a rural area: A twenty-year longitudinal study. Canadian Journal on Aging. 2004, 23: 115-127. 10.1353/cja.2004.0028.

Weiss RS: Loneliness: the experience of emotional and social isolation. 1973, Massachusetts: Halliday Lithograph Corporation

van Baarsen B, Snijders TAB, Smit JH, van Duijn MAJ: Lonely but not alone: Emotional isolation and social isolation as two distinct dimensions of loneliness in older people. Educational and Psychological Measurement. 2001, 61: 119-135. 10.1177/00131640121971103.

de Jong Gierveld J: A review of loneliness: concept and definitions, determinants and consequences. Reviews in Clinical Gerontology. 1998, 8: 73-80. 10.1017/S0959259898008090.

de Jong Gierveld J, Havens B: Cross-national comparisons of social isolation and loneliness: introduction and overview. Canadian Journal on Aging. 2004, 23: 109-113. 10.1353/cja.2004.0021.

Holt-Lunstad J, Smith TB, Layton JB: Social relationships and mortality risk: a meta-analytic review. Public Library of Science Medicine. 2010, 7: e1000316-

Seeman TE: Social ties and health: The benefits of social integration. Annals of Epidemiology. 1996, 6: 442-451. 10.1016/S1047-2797(96)00095-6.

Cornwell EY, Waite LJ: Social disconnectedness, perceived isolation, and health among older adults. Journal of Health and Social Behavior. 2009, 50: 31-48. 10.1177/002214650905000103.

Fratiglioni L, Wang HX, Ericsson K, Maytan M, Winblad B: Influence of social network on occurrence of dementia: a community-based longitudinal study. Lancet. 2000, 355: 1315-1319. 10.1016/S0140-6736(00)02113-9.

Lund R, Nilsson CJ, Avlund K: Can the higher risk of disability onset among older people who live alone be alleviated by strong social relations? A longitudinal study of non-disabled men and women. Age Ageing. 2010, 39: 319-326. 10.1093/ageing/afq020.

Hawton A, Green C, Dickens AP, Richards SH, Taylor RS, Edwards R, Greaves CJ, Campbell JL: The impact of social isolation on the health status and health-related quality of life of older people. Quality of Life Research. 2010, 1-11.

Victor C, Scambler S, Bond J: Social exclusion and social isolation. The Social World of Older People: understanding loneliness and social isolation in later life. 2009, Maidenhead: Open University Press, 168-200.

Iliffe S, Kharicha K, Harari D, Swift C, Gillmann G, Stuck A: Health risk appraisal in older people 2: the implications for clinicians and commissioners of social isolation risk in older people. British Journal of General Practice. 2007, 57: 277-282.

Barnes M, Blom A, Cox K, Lessof C, Walker A: The Social Exclusion of Older People: evidence from the first wave of the English Longitudinal Study of Ageing (ELSA). Final report. 2006, London

Tomaszewski W, Barnes M: Investigating the dynamics of social detachment in old age. Living in the 21st century: older people in England. The 2006 English Longitudinal Study of Ageing (wave 3). Edited by: Banks J, Breeze E, Lessof C, Nazroo J. 2008, London: Institute of Fiscal Studies, 150-185.

Hawthorne G: Measuring social isolation in older adults: development and initial validation of the Friendship Scale. Soc Indic Res. 2006, 77: 521-548. 10.1007/s11205-005-7746-y.

Hawthorne G: Perceived social isolation in a community sample: its prevalence and correlates with aspects of peoples' lives. Social Psychiatry + Psychiatric Epidemiology. 2008, 43: 140-150. 10.1007/s00127-007-0279-8.

Savikko N, Routasalo P, Tilvis RS, Strandberg TE, Pitkala KH: Predictors and subjective causes of loneliness in an aged population. Archives of Gerontology & Geriatrics. 2005, 41: 223-233. 10.1016/j.archger.2005.03.002.

Steed L, Boldy D, Grenade L, Iredell H: The demographics of loneliness among older people in Perth, Western Australia. Australasian Journal on Ageing. 2007, 26: 81-86. 10.1111/j.1741-6612.2007.00221.x.

Victor C, Scambler S, Bond J: The prevalence of, and risk factors for, loneliness in later life: a survey of older people in Great Britain. Ageing Soc. 2005, 25: 357-375. 10.1017/S0144686X04003332.

Department of Work and Pensions: Link-Age: developing networks of services for older people. 2004, London

Department of Health: Confident communities, brighter future. A framework for developing well-being. 2010, London

Marmot Review: Fair society, healthy lives. The Marmot Review: executive summary. 2010, London

Department of Work and Pensions: Opportunity age: meeting the challenges of ageing in the 21st century. 2005, London

HM Government: Building a society for all ages. 2009, London

Findlay R: Interventions to reduce social isolation amongst older people: where is the evidence?. Ageing Soc. 2003, 23: 647-658. 10.1017/S0144686X03001296.

Cattan M, White M: Developing evidence based health promotion for older people: a systematic review and survey of health promotion interventions targeting social isolation and loneliness among older people. Internet Journal of Health Promotion. 1998

Masi CM, Chen H-Y, Hawkley LC, Cacioppo JT: A meta-analysis of interventions to reduce loneliness. Personality and Social Psychology Review. 2010

Deeks JJ, Higgins JPT, Altman DG: What is heterogeneity?. Cochrane Handbook for Systematic Reviews of Interventions. Edited by: Higgins JPT, Green S. 2009, 5.0.2

Petticrew M, Roberts H: Synthesizing the evidence. Systematic Reviews in the Social Sciences. 2006, Oxford: Blackwell Publishing, 164-214.

Centre for Reviews and Dissemination: Systematic reviews: CRD's guidance for undertaking reviews in health care. 2009, York: CRD, University of York

Ogilvie D, Egan M, Hamilton V, Petticrew M: Systematic reviews of health effects of social interventions: 2. Best available evidence: how low should you go?. J Epidemiol Community Health. 2005, 59: 886-892. 10.1136/jech.2005.034199.

Higgins JPT, Altman DG: The Cochrane Collaboration's tool for assessing risk of bias. Cochrane Handbook for Systematic Reviews of Interventions. Edited by: Higgins JPT, Green S. 2009, 5.0.2

Wells GA, Shea B, O'Connell D, Peterson J, Welch V, Losos M, Tugwell P: Newcastle-Ottawa scale (NOS) for assessing the quality of nonrandomised studies in meta-analysis. 2009, [ http://www.ohri.ca/programs/clinical_epidemiology/oxford.htm ]

Bushman BJ: Vote-counting procedures in meta-analysis. The Handbook of Research Synthesis. Edited by: Cooper H, Hedges LV. 1984, New York: Russell Sage Foundation, 193-213.

Moher D, Liberati A, Tetzlaff J, Altman DG, the PRISMA Group: Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. BMJ. 2009, 339: b2535-10.1136/bmj.b2535.

Brennan P, Moore S, Smyth K: The effects of a special computer network on caregivers of persons with Alzheimer's disease. Nursing Research. 1995, 44: 166-172.

Drentea P, Clay OJ, Roth DL, Mittelman MS: Predictors of improvement in social support: Five-year effects of a structured intervention for caregivers of spouses with Alzheimer's disease. Soc Sci Med. 2006, 63: 957-967. 10.1016/j.socscimed.2006.02.020.

Toseland R, Rossiter C, Peak T, Smith G: Comparative effectiveness of individual and group interventions to support family caregivers. Social Work. 1990, 35: 209-217.

Toseland R, Smith G: Effectiveness of individual counseling by professional and peer helpers for family care-givers of the elderly. Psychology and Aging. 1990, 5: 256-263.

Fukui S, Koike M, Ooba A, Uchitomi Y: The effect of a psychosocial group intervention on loneliness and social support for Japanese women with primary breast cancer. Oncology Nursing Forum. 2003, 30: 823-831. 10.1188/03.ONF.823-830.

Savelkoul M, de Witte LP: Mutual support groups in rheumatic diseases: Effects and participants' perceptions. Arthritis & Rheumatism. 2004, 51: 605-608. 10.1002/art.20538.

O'Loughlin J, Laurendeau MC, Gagnon G: An evaluation of a volunteer visitor program for socially isolated adults with chronic mental-health problems. [French]. Canadian Journal of Community Mental Health. 1989, 8: 31-52.

Heller K, Thompson M, Trueba P, Hogg J, Vlachos-Weber I: Peer support telephone dyads for elderly women: was this the wrong intervention?. American Journal of Community Psychology. 1991, 19: 53-74. 10.1007/BF00942253.

Schulz R: Effects of control and predictability on the physical and psychological well-being of the institutionalized aged. Journal of Personality and Social Psychology. 1976, 33: 563-573.

Arnetz B, Theorell T: Psychological, sociological and health behaviour aspects of a long term activation programme for institutionalized elderly people. Soc Sci Med. 1983, 17: 449-456. 10.1016/0277-9536(83)90050-3.

Baumgarten M, Thomas D, Poulin de Courval L, Infante-Rivard C: Evaluation of a mutual help network for the elderly residents of planned housing. Psychology and Aging. 1988, 3: 393-398.

White H, McConnell E, Clipp E, Bynum L, Teague C, Navas L, Craven S, Halbrecht H: Surfing the net in later life. Journal of Applied Gerontology. 1999, 18: 358-378. 10.1177/073346489901800306.

Winningham RG, Pike NL: A cognitive intervention to enhance institutionalized older adults' social support networks and decrease loneliness. Aging & Mental Health. 2007, 11: 716-721. 10.1080/13607860701366228.

White H, McConnell E, Clipp E, Branch L, Sloane R, Pieper C, Box T: A randomized controlled trial of the psychosocial impact of providing internet training and access to older adults. Aging & Mental Health. 2002, 6: 213-221. 10.1080/13607860220142422.

Bergman-Evans B: Beyond the basics. Effects of the Eden Alternative model on quality of life issues. Journal of Gerontological Nursing. 2004, 30: 27-34.

Constantino RE: Comparison of two group interventions for the bereaved. IMAGE: Journal of Nursing Scholarship. 1988, 20: 83-88. 10.1111/j.1547-5069.1988.tb00036.x.

Harris JE, Bodden JL: An activity group experience for disengaged elderly persons. Journal of Counseling Psychology. 1978, 25: 325-330.

Kremers I, Steverink N, Albersnagel F, Slaets J: Improved self-management ability and well-being in older women after a short group intervention. Aging & Mental Health. 2006, 10: 476-484. 10.1080/13607860600841206.

Lokk J: Emotional and social effects of a controlled intervention study in a day-care unit for elderly patients. Scand J Prim Health. 1990, 8: 165-172. 10.3109/02813439008994951.

Ollonqvist K, Palkeinen H, Aaltonen T, Pohjolainen T, Puuka P, Hinkka K, Pontinen S: Alleviating loneliness among frail older people - findings from a randomised controlled trial. International Journal of Mental Health Promotion. 2008, 10: 26-34.

MacIntyre I, Corradetti P, Roberts J, Browne G, Watt S, Lane A: Pilot study of a visitor volunteer programme for community elderly people receiving home health care. Health and Social Care in the Community. 1999, 7: 225-232. 10.1046/j.1365-2524.1999.00178.x.

Slegers K, van-Boxtel MP, Jolles J: Effects of computer training and Internet usage on the well-being and quality of life of older adults: a randomized, controlled study. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences. 2008, 63: 176-184.

Evans RL, Jaureguy BM: Phone therapy outreach for blind elderly. Gerontologist. 1982, 22: 32-35. 10.1093/geront/22.1.32.

Fujiwara Y, Sakuma N, Ohba H, Nishi M, Lee S, Watanabe N, Kousa Y, Yoshida H, Fukaya T, Yajima S, et al: REPRINTS: effects of an intergenerational health promotion program for older adults in Japan. Journal of Intergenerational Relationships. 2009, 7: 17-39. 10.1080/15350770802628901.

Martina CM, Stevens NL: Breaking the cycle of loneliness? Psychological effects of a friendship enrichment program for older women. Aging & Mental Health. 2006, 10: 467-475. 10.1080/13607860600637893.

Rosen C, Rosen S: Evaluating an intervention program for the elderly. Community Mental Health Journal. 1982, 18: 21-33. 10.1007/BF00757109.

Stevens N, van Tilburg T: Stimulating friendship in later life: a strategy for reducing loneliness among older women. Educational Gerontology. 2000, 26: 15-35. 10.1080/036012700267376.

Bogat G, Jason L: An evaluation of two visiting programs for elderly community residents. International Journal of Aging and Human Development. 1983, 17: 267-280. 10.2190/6AQX-1TDM-DEL4-3T6L.

Fokkema T, Knipscheer K: Escape loneliness by going digital: a quantitative and qualitative evaluation of a Dutch experiment in using ECT to overcome loneliness among older adults. Aging & Mental Health. 2007, 11: 496-504. 10.1080/13607860701366129.

Mulligan M, Bennett R: Assessment of mental health and social problems during multiple friendly visits: the development and evaluation of a friendly visiting program for isolated elderly. International Journal of Aging and Human Development. 1977, 8: 43-65. 10.2190/6F9D-2FT9-JFQB-M8R2.

Rook KS, Sorkin DH: Fostering social ties through a volunteer role: implications for older-adults' psychological health. International Journal of Aging & Human Development. 2003, 57: 313-337. 10.2190/NBBN-EU3H-4Q1N-UXHR.

Eccles M, Grimshaw J, Campbell M, Ramsay C: Research designs for studies evaluating the effectiveness of change and improvement strategies. Quality & Safety in Health Care. 2003, 12: 47-52. 10.1136/qhc.12.1.47.

Campbell NC, Murray E, Darbyshire J, Emery J, Farmer A, Griffiths F, Guthrie B, Lester H, Wilson P, Kinmonth AL: Designing and evaluating complex interventions to improve health care. BMJ. 2007, 334: 455-459. 10.1136/bmj.39108.379965.BE.

Woodward M: Confounding and interaction. Epidemiology: study design and data analysis. 1999, Florida: Chapman & Hall/CRC, 145-190.

Wang H, Boissel JP, Nony P: Revisiting the relationship between baseline risk and risk under treatment. Emerging Themes in Epidemiology. 2009, 6:

Egger M, Juni P, Bartlett C, Holenstein F, Sterne J: How important are comprehensive literature searches and the assessment of trial quality in systematic reviews? Empirical study. Health Technology Assessment. 2003, 7: 1-76.

Pitkala KH, Routasalo P, Kautiainen H, Tilvis RS: Effects of psychosocial group rehabilitation on health, use of health care services, and mortality of older persons suffering from loneliness: a randomized, controlled trial. J Gerontol A Biol Sci Med Sci. 2009, 64: 792-800.

Britton A, McKee M, Black N, McPherson K, Sanderson C, Bain C: Choosing between randomised and non-randomised studies: a systematic review. 1998, 13:

Petticrew M, Roberts H: Evidence, hierarchies, and typologies: horses for courses. J Epidemiol Community Health. 2003, 57: 527-529. 10.1136/jech.57.7.527.

Thomson H, Hoskins R, Petticrew M, Ogilvie D, Craig N, Quinn T, Lindsay G: Evaluating the health effects of social interventions. BMJ. 2004, 328: 282-285. 10.1136/bmj.328.7434.282.

Barreto ML: Efficacy, effectiveness, and the evaluation of public health interventions. Journal of Epidemiology & Community Health. 2005, 59: 345-346. 10.1136/jech.2004.020784.

Schulz KF, Altman DG, Moher D, the CONSORT Group: CONSORT 2010 Statement: updated guidelines for reporting parallel group randomised trials. BMJ. 2010, 340: c332-10.1136/bmj.c332.

von Elm E, Altman D, Pocock S, Gotzsche P, Vandenbroucke J: Strengthening the reporting of observational studies in epidemiology (STROBE) statement: guidelines for reporting observational studies. BMJ. 2007, 335: 806-808. 10.1136/bmj.39335.541782.AD.

Craig D, Dieppe P, Macintyre S, Michie S, Nazareth I, Petticrew M: Developing and evaluating complex interventions: new guidance. 2008