Section of Hygiene, Institute of Public Health, Università Cattolica del Sacro Cuore, Rome, Italy.
Department of Health Promotion, Institute of Public Health, Faculty of Health Sciences, Jagiellonian University Medical College, Krakow, Poland.
Exp Gerontol. 2018 Feb;102:133-144. doi: 10.1016/j.exger.2017.11.017. Epub 2017 Dec 2.
This systematic review aims to summarize and update the current knowledge on the effectiveness of the existing interventions for alleviating loneliness and social isolation among older persons. A search of PubMed, ISI Web of science, SCOPUS, The Cochrane Library, and CINAHL databases was performed. The terminology combined all possible alternatives of the following keywords: social isolation, loneliness, old people, intervention and effectiveness. Eligible studies were published between January 2011 and February 2016 in English or Italian language and regarded the implementation of loneliness/social isolation interventions among the older generations. Outcome measures in terms of the intervention effects needed to be reported. In total, 15 quantitative and five qualitative studies were ultimately included in this review. Eighteen interventions were reported across the quantitative studies. Six out of 11 group interventions (55%), one out of four mixed interventions (25%) and all three individual interventions reported at least one significant finding related to loneliness or social isolation. Our review suggested that new technologies and community engaged arts might be seen as a promising tool for tackling social isolation and loneliness among the older individuals. Future studies need to work on methodological quality and take into consideration the suggestions of the present literature in order to provide firm evidence.
本系统评价旨在总结和更新现有干预措施缓解老年人孤独和社会隔离的效果的现有知识。我们检索了 PubMed、ISI Web of Science、SCOPUS、The Cochrane Library 和 CINAHL 数据库。检索词组合了以下关键词的所有可能的同义词:社会隔离、孤独、老年人、干预和效果。纳入的研究发表于 2011 年 1 月至 2016 年 2 月,采用英语或意大利语,研究对象为老年人孤独/社会隔离干预措施的实施。需要报告干预效果的结果指标。最终共纳入 15 项定量研究和 5 项定性研究。定量研究报告了 18 项干预措施。11 项团体干预中有 6 项(55%)、4 项混合干预中有 1 项(25%)和 3 项个体干预均报告了至少一项与孤独或社会隔离相关的显著发现。本综述表明,新技术和社区参与艺术可能被视为解决老年人社会隔离和孤独问题的有前途的工具。未来的研究需要关注方法学质量,并考虑本研究领域的建议,以提供确凿的证据。