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对代际互动对老年人认知、社交和健康结果影响的系统评价。

A systematic review of the impacts of intergenerational engagement on older adults' cognitive, social, and health outcomes.

作者信息

Krzeczkowska Anna, Spalding David M, McGeown William J, Gow Alan J, Carlson Michelle C, Nicholls Louise A Brown

机构信息

School of Psychological Sciences and Health, University of Strathclyde, Glasgow, UK.

Department of Psychology and Centre for Applied Behavioural Sciences, Heriot-Watt University, Edinburgh, UK.

出版信息

Ageing Res Rev. 2021 Nov;71:101400. doi: 10.1016/j.arr.2021.101400. Epub 2021 Jul 6.

Abstract

BACKGROUND

Intergenerational engagement could benefit health and wellbeing within an ageing population. This systematic review evaluated the impacts of intergenerational engagement on cognitive, social, and health outcomes in healthy older adults and older adults with mild cognitive impairment.

RESEARCH DESIGN AND METHODS

Comprehensive literature searches were undertaken, with records filtered according to pre-registered criteria. Study quality was formally assessed, and a narrative synthesis of the findings produced.

RESULTS

Forty-four studies were reviewed. Regarding quantitative evidence, 4 out of 8 studies found significant intergenerational engagement effects on cognitive outcomes, 15 of 24 on social outcomes, and 21 of 31 on health-related outcomes. Qualitative evidence was also important for understanding perceived impacts and experiences of intergenerational programmes. Only 11 studies fully met criteria for high quality research, of which the majority focused on social outcomes.

DISCUSSION AND IMPLICATIONS

There are a range of potential benefits of intergenerational engagement, most notably regarding anxiety, generativity, cross-age attitudes, and physical activity. However, heterogeneity in programme context, sample design, dosage, and duration indicate that more research is required to enable wider implementation and generalisability. Scientific rigour in both quantitative and qualitative research should also be employed as far as possible, to provide the highest quality evidence.

摘要

背景

代际互动可能有益于老年人群的健康和幸福。本系统评价评估了代际互动对健康老年人和轻度认知障碍老年人认知、社会和健康结局的影响。

研究设计与方法

进行了全面的文献检索,记录根据预先注册的标准进行筛选。对研究质量进行了正式评估,并对研究结果进行了叙述性综合分析。

结果

共审查了44项研究。关于定量证据,8项研究中有4项发现代际互动对认知结局有显著影响,24项研究中有15项对社会结局有显著影响,31项研究中有21项对健康相关结局有显著影响。定性证据对于理解代际项目的感知影响和经历也很重要。只有11项研究完全符合高质量研究的标准,其中大多数关注社会结局。

讨论与启示

代际互动有一系列潜在益处,最显著的是在焦虑、繁衍感、跨年龄态度和身体活动方面。然而,项目背景、样本设计、剂量和持续时间的异质性表明,需要更多研究以实现更广泛的实施和推广。在定量和定性研究中也应尽可能采用科学严谨性,以提供最高质量的证据。

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