scholarly journals The Effects of Technological Interventions on Social Participation of Community-Dwelling Older Adults with and without Dementia: A Systematic Review

2021 ◽  
Vol 10 (11) ◽  
pp. 2308
Author(s):  
Pascale Heins ◽  
Lizzy M. M. Boots ◽  
Wei Qi Koh ◽  
An Neven ◽  
Frans R. J. Verhey ◽  
...  
Keyword(s):  
Systematic Review ◽  
Older Adults ◽  
Social Isolation ◽  
Social Participation ◽  
Methodological Quality ◽  
Well Being ◽  
Community Dwelling ◽  
Cochrane Library ◽  
Technological Interventions ◽  
Community Dwelling Older Adults

Social isolation in community-dwelling older adults with dementia is a growing health issue that can negatively affect health and well-being. To date, little attention has been paid to the role of technology in improving their social participation. This systematic review aims to provide a systematic overview of the effects of technological interventions that target social participation in community-dwelling older adults with and without dementia. The scientific databases Medline (PubMed), PsycINFO, CINAHL, Web of Science, and the Cochrane Library were systematically searched and independently screened by two reviewers. Results were synthesized narratively. The methodological quality of included studies was independently assessed by two reviewers. In total, 36 studies of varying methodological quality were identified. Most studies evaluated social networking technology and ICT training programs. Three studies focused on people with dementia. Quantitative findings showed limited effects on loneliness, social isolation, and social support. Nevertheless, several benefits related to social participation were reported qualitatively. Social interaction, face-to-face contact, and intergenerational engagement were suggested to be successful elements of technological interventions in improving the social participation of community-dwelling older adults. Rigorous studies with larger sample sizes are highly needed to evaluate the long-term effects of technology on the multidimensional concept of social participation.

scholarly journals Technological Interventions and Social Participation in Community-Dwelling Older Adults With or Without Dementia

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 590-590
Author(s):  
Lizzy Boots ◽  
Wei Qi Koh ◽  
An Neven ◽  
Frans Verhey ◽  
Marjolein de Vugt ◽  
...  
Keyword(s):  
Older Adults ◽  
Social Participation ◽  
Psychosocial Interventions ◽  
Well Being ◽  
Community Dwelling ◽  
Scientific Databases ◽  
Technological Interventions ◽  
Design Type ◽  
Community Dwelling Older Adults

Abstract Social isolation is a growing health issue in community-dwelling older adults with and without dementia as it can negatively affect their health and well-being. Consequently, psychosocial interventions targeting their social participation are increasingly gaining importance. So far, however, little is known about the potential of technological interventions in this population. Therefore, this systematic review explored the effectiveness of technological interventions in improving social participation of community-dwelling older adults with and without dementia. Records identified through five scientific databases were independently screened by two reviewers. A total of 36 studies published between 2005 and 2020 were included in a narrative synthesis. Studies differed widely in study design, type of technology, used outcome measures, and methodological quality. However, the findings highlight the potential role of technological interventions in improving different dimensions of social participation. At the same time, barriers and facilitators of these interventions to social participation were identified.

scholarly journals The Influence of Social Isolation on the Preventive Behaviors for Non-Communicable Diseases in Community-Dwelling Older Adults in Japan

2020 ◽  
Vol 17 (23) ◽  
pp. 8985
Author(s):  
Yuko Yamaguchi ◽  
Masako Yamada ◽  
Elsi Dwi Hapsari ◽  
Hiroya Matsuo
Keyword(s):  
Older Adults ◽  
Social Isolation ◽  
Social Participation ◽  
Communicable Diseases ◽  
Community Dwelling ◽  
Moderate Intensity ◽  
Lifestyle Behaviors ◽  
Cross Sectional ◽  
Non Communicable Diseases ◽  
Community Dwelling Older Adults

This study aimed to examine the relationship between one’s physical status related to non-communicable diseases (NCDs) and social isolation, and to identify lifestyle behaviors for the prevention of NCDs associated with social isolation among community-dwelling older adults in Japan. A cross-sectional study was conducted to investigate lifestyle behaviors for NCD prevention associated with social isolation in Japanese adults aged 60 years and above in a community setting. Out of 57 participants, 17.5% were not socially participative, 66.7% hardly ever, 29.8% sometimes, and 3.5% often felt loneliness. Non-social participation and loneliness were negatively related to the frequency of vegetable and fruit intake. Additionally, loneliness was positively associated with one’s duration of smoking and current smoking habits, and negatively associated with the frequency of moderate-intensity activities, with marginal significance. Those with non-social participation or loneliness were less likely to eat a healthy diet and live a smoke-free lifestyle. The findings of this study suggest that a mutual health support system in the community and the development of community-based approaches for the prevention of NCDs among Japanese older adults are needed.

scholarly journals SOCIAL ISOLATION AND OLDER ADULTS: UNDERSTANDING THEIR EXPERIENCE

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S368-S369
Author(s):  
Bonnie Jeffery ◽  
Tom McIntosh ◽  
Nuelle Novik
Keyword(s):  
Older Adults ◽  
Social Isolation ◽  
Well Being ◽  
Community Dwelling ◽  
Community Activities ◽  
Rural And Urban ◽  
Isolation Index ◽  
Key Variables ◽  
Services And Supports ◽  
Community Dwelling Older Adults

Abstract This presentation will focus on a unique undertaking where three provincial organizations in Saskatchewan, Canada implemented nine projects to address social isolation for rural and urban older adults across a geography that encompasses one-half of the province. A survey of older adults was conducted to assess their level of social isolation in order to gain a more thorough understanding of the experiences of social isolation among community dwelling older adults. Key variables of interest included: older adult access to services and supports, participation in activities, feelings of being valued by others, barriers to supports and services, and the overall isolation experienced by older adults. The responses from 1,719 urban and rural older adults indicate that 24.1% of respondents felt that they lack support, 17.2% feel less connected to family and friends, and 16.8% of respondents do not feel valued by their friends and family. Overall, almost one-quarter (23.9%) of the survey respondents score ‘high’ or ‘medium’ on a Social Isolation Index. One-third of respondents report they experience barriers to participation in activities outside the home. Several key categories of barriers were identified: health, personal, environmental, social, transportation and systemic. Respondents identified accommodation, services, practices, and activities as areas where their community could assist in participation of community activities outside of the home. Social isolation can have serious health consequences for older adults. The results of this survey highlight several key areas that older adults identify as important for reducing their feelings of isolation and enhancing their overall health and well-being.

scholarly journals Frailty as a Moderator of the Relationship Between Social Isolation and Health Outcomes in Community-Dwelling Older Adults

2021 ◽  
Author(s):  
Fereshteh Mehrabi ◽  
François Béland
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Health Outcomes ◽  
Cognitive Decline ◽  
Social Isolation ◽  
Social Participation ◽  
Social Connectedness ◽  
Extended Family ◽  
Community Dwelling ◽  
Community Dwelling Older Adults

This research investigated the effects of social isolation on frailty and health outcomes and tested whether these associations varied across different levels of frailty. We performed a multivariate analysis of data from the first wave of the FRéLE study among 1,643 Canadian older adults aged 65 years and over. We assessed social isolation using social participation, social networks, and support from various social ties, namely, friends, children, extended family, and partner. Frailty predicted disability, comorbidity, depression, and cognitive decline. Less social participation was associated with IADLs, depression, and cognitive decline. The absence of friends was associated with depression and cognitive impairment. Less social support from children and partner was related to comorbidity, depression, and cognitive decline. Overall, social isolation is linked to mental health, rather than physical health. The associations of having no siblings, receiving less support from friends, and participating less in social activities with ADL limitations, depression, and cognitive decline were higher among frail than pre-frail and robust older adults. This study corroborates the pivotal role of social connectedness, particularly the quality of relationships, on the mental health of older adults. Public health policies on social relationships are paramount to ameliorate the health status of frail older adults.

scholarly journals Technological interventions for loneliness and social isolation among older adults: a scoping review protocol

2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Andrew Wister ◽  
Ian Fyffe ◽  
Eireann O’Dea
Keyword(s):  
Older Adults ◽  
Social Isolation ◽  
Scoping Review ◽  
English Language ◽  
Data Extraction ◽  
Community Dwelling ◽  
Technological Interventions ◽  
Information And Communication ◽  
Evaluation Trial ◽  
Community Dwelling Older Adults

Abstract Background Loneliness and social isolation are prevalent public health concerns among community-dwelling older adults. One approach that is becoming an increasingly popular method of reducing levels of loneliness and social isolation among older adults is through technology-driven solutions. This protocol outlines a research trajectory whereby a scoping review will be initiated in order to illustrate and map the existing technological approaches that have been utilized to diminish levels of loneliness and social isolation among community-dwelling older adults aged 60 years or older. We will address the question: what are the most common and less used technological approaches to reduce loneliness and social isolation among community-dwelling older adults? Methods A scoping review of Academic Search Premier, AGEline, Global Health, MEDLINE, PsycINFO, and Web of Science databases will take place using our search terms including the following: loneliness, social isolation, older adults, elderly, Aged, Aged 80 and over, program, evaluation, trial, intervention, technology, computer, information and communication technology, internet, and robot. The initial electronic search will be supplemented by reviewing the reference lists and review articles to identify any missing studies. To meet study inclusion criteria, intervention studies had to pertain to community-dwelling adults aged 60 years or older, include technological interventions, include loneliness and/or social isolation as outcome variables, and be written in the English language. Two parallel independent assessments of study eligibility will be conducted for the title, abstract, and full-text screens. Any disagreement will be resolved by consensus and a third reviewer consulted to make a decision if consensus is not achieved initially. Finally, the amalgamation of results will be an iterative process whereby reviewers will refine the plan for presenting results after data extraction is completed so that all of the contents of the extraction may be included in the results. Discussion The information gleaned in this scoping review will be essential to understand the degree to which technological interventions influence social isolation and loneliness among older adults and identify gaps for further research.

scholarly journals Frailty as a Moderator of the Relationship between Social Isolation and Health Outcomes in Community-Dwelling Older Adults

2021 ◽  
Vol 18 (4) ◽  
pp. 1675
Author(s):  
Fereshteh Mehrabi ◽  
François Béland
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Health Outcomes ◽  
Cognitive Decline ◽  
Social Isolation ◽  
Social Participation ◽  
Social Connectedness ◽  
Extended Family ◽  
Community Dwelling ◽  
Community Dwelling Older Adults

This research investigated the effects of social isolation on frailty and health outcomes and tested whether these associations varied across different levels of frailty. We performed a multivariate analysis of the first wave of Frailty: A longitudinal study of its expressions (FRéLE) among 1643 Canadian older adults aged 65 years and over. We assessed social isolation using social participation, social networks, and support from various social ties, namely, friends, children, extended family, and partner. Frailty was associated with disability, comorbidity, depression, and cognitive decline. Less social participation was associated with limitations in instrumental activities of daily living (IADLs), depression, and cognitive decline. The absence of friends was associated with depression and cognitive impairment. Less social support from children and partner was related to comorbidity, depression, and cognitive decline. Overall, social isolation is linked to mental health rather than physical health. The associations of having no siblings, receiving less support from friends, and participating less in social activities with ADL limitations, depression, and cognitive decline were higher among frail than prefrail and robust older adults. This study corroborates the pivotal role of social connectedness, particularly the quality of relationships, on the mental health of older adults. Public health policies on social relationships are paramount to ameliorate the health status of frail older adults.

scholarly journals Effectiveness of Nutritional Advice for Community-Dwelling Obese Older Adults With Frailty: A Systematic Review and Meta-Analysis

2021 ◽  
Vol 8 ◽  
Author(s):  
Yue-Heng Yin ◽  
Justina Yat Wa Liu ◽  
Tsz Man Fan ◽  
Kit Man Leung ◽  
Man Wai Ng ◽  
...  
Keyword(s):  
Systematic Review ◽  
Older Adults ◽  
Body Weight ◽  
Physical Function ◽  
Fat Mass ◽  
Meta Analysis ◽  
Well Being ◽  
Community Dwelling ◽  
Cochrane Library ◽  
Nutritional Advice

Objectives: This systematic review was aimed to examine the effectiveness of nutritional advise interventions compared with usual care, or exercise, or exercise combined with nutritional advice as a means of improving the body weight, body composition, physical function, and psychosocial well-being of frail, obese older adults.Methods: CINAHL, Cochrane Library, Embase, MEDLINE, PsycINFO, and Scopus databases were searched to identify relevant studies. The quality of the included studies was assessed using Cochrane's risk of bias tool 2. Meta-analysis was performed with respect to body weight and fat mass. Other outcomes were synthesized narratively.Results: Eight articles (from two studies) with a total of 137 participants were included in the review. The results revealed that nutritional advice was more effective than exercise in reducing body weight and fat mass. The nutritional advice was also beneficial in enhancing physical function and psychosocial well-being. However, it was less effective than exercise or combined interventions in increasing muscle strength and preventing lean mass loss.Conclusions: Nutritional advice is an essential intervention for reducing body weight and fat mass, for enhancing physical function, and for improving the psychosocial well-being of obese older adults experiencing frailty. The limited number of studies included in this review suggests that there is a need for more well-designed interventional studies in order to confirm these findings.

scholarly journals Associations of social isolation, social participation, and loneliness with frailty in older adults in Singapore: a panel data analysis

2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Lixia Ge ◽  
Chun Wei Yap ◽  
Bee Hoon Heng
Keyword(s):  
Older Adults ◽  
Panel Data ◽  
Confidence Interval ◽  
Social Isolation ◽  
Social Participation ◽  
Odds Ratio ◽  
Fixed Effects ◽  
Moderating Effect ◽  
Community Dwelling ◽  
Community Dwelling Older Adults

Abstract Background There is a shortage of research evidence about how social isolation, social participation, and loneliness were longitudinally associated with frailty. This study was to 1) examine the associations of social isolation, social participation, and loneliness with level of frailty among community-dwelling older adults using panel data, and 2) explore the moderating effect of gender on the association of social isolation, social participation and loneliness with frailty. Methods The study included 606 participants aged 60 years and above from the longitudinal Population Health Index Survey conducted in Singapore. At each timepoint, level of frailty was determined using the Clinical Frailty Scale. Social isolation was assessed by the Lubben Social Network Scale-6, and loneliness was assessed using the three-item UCLA Loneliness Scale. Fixed-effects ordinal logistic regressions were conducted with level of frailty as the dependent variable and social isolation and loneliness as the independent variables, adjusting for time-varying socio-demographic, lifestyle, and health-related factors. Results Increase in social participation was associated with lower level of frailty (odds ratio: 0.96, 95% confidence interval: 0.93–0.99) and feeling lonely was associated with higher level of frailty (odds ratio: 2.90, 95% confidence interval: 1.44–5.84). Social isolation was not associated with frailty. Gender did not have moderating effect on these associations. Conclusions This study observed that social isolation and loneliness had differential longitudinal association with level of frailty among community-dwelling older adults and suggested that loneliness and frailty should be measured and addressed concurrently among community-dwelling older adults.

scholarly journals Epidemiology of at-risk alcohol use and associated comorbidities of interest among community-dwelling older adults: a protocol for a systematic review

BMJ Open ◽  
2020 ◽  
Vol 10 (1) ◽  
pp. e035481 ◽  
Author(s):  
Maria Latanioti ◽  
Jean-Pierre Schuster ◽  
Joelle Rosselet Amoussou ◽  
Marie-Pierre F. Strippoli ◽  
Armin von Gunten ◽  
...  
Keyword(s):  
Systematic Review ◽  
Older Adults ◽  
At Risk ◽  
Alcohol Use ◽  
Assessment Tool ◽  
The Elderly ◽  
Community Dwelling ◽  
Cochrane Library ◽  
Ethical Approval ◽  
Community Dwelling Older Adults

IntroductionThere is little epidemiological evidence and knowledge about at-risk alcohol use among community-dwelling older adults and their chronic and acute alcohol-related comorbidities of interest. This systematic review will summarise and examine relevant studies about the epidemiology of at-risk alcohol use and associated comorbidities of interest in this population.MethodsWe will search the following databases, without language or date restrictions, from inception to 31 August 2019: Embase.com, Medline Ovid SP, Pubmed (NOT medline[sb]), CINAHL EBSCO, PsycINFO Ovid SP, Central—Cochrane Library Wiley and Web of Science (Core Collection). Search strategies will be developed in collaboration with a librarian. We will use predefined search terms for alcoholism, epidemiology, the elderly, living place and comorbidities of interest, as well as terms related to the identification of “measurements”, “tools” or “instruments” for measuring harm from alcohol use. At-risk status will be determined by the amount of alcohol consumed and any comorbidities of interest associated with at-risk alcohol use, with the latter being documented separately or using an assessment tool for at-risk drinking. We will also examine the bibliographies of all the relevant articles found and search for unpublished studies. We will consider publications in all languages.Ethics and disseminationNo ethical approval is necessary. Results will be presented in national and international conferences on addiction and published in a peer-reviewed journal.PROSPERO registration numberCRD42018099965.

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