reviewJAMA Network OpenOct 17, 2022GOLD OA

Interventions Associated With Reduced Loneliness and Social Isolation in Older Adults

University of Toronto · Alberta Health Services · +3 more institutions

PubMed
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Abstract

Importance

Loneliness and social isolation are public health concerns faced by older adults due to physical, cognitive, and psychosocial changes that develop with aging. Loneliness and social isolation are associated with increased morbidity and mortality.

Objective

To evaluate interventions, targeting older adults, associated with a reduction in loneliness and social isolation. Data Sources: OVID, CINAHL, CENTRAL, Embase, PsychINFO, Web of Science, and Scopus were searched from inception to March 2020. Study Selection: Peer-reviewed randomized clinical trials measuring loneliness and social isolation or support in adults aged 65 years or older. Only English language articles were included. Data Extraction and Synthesis: Two independent reviewers screened studies, extracted data, and assessed risk of bias. Random-effects models were performed to pool the overall effect size by intervention. Statistical heterogeneity was evaluated with the I2 statistic and by estimating prediction intervals. Data were analyzed from November 2021 to September 2022. Main Outcomes and Measures: Quantitative measures of loneliness, social isolation, or social support based on an effect size of standardized mean differences.

Citation impact

249
total citations
FWCI
34.61
Percentile
100%
References
143
Citations per year

Authors

9

Topics & keywords

Keywords
  • Loneliness
  • Psychological intervention
  • Psychosocial
  • Social isolation
  • CINAHL
  • Clinical psychology
  • Randomized controlled trial
  • Social support
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