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Review Articles

Effectiveness of home-based interventions in improving loneliness and social connectedness among older adults: a systematic review and meta-analysis

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Pages 1-10 | Received 05 Aug 2022, Accepted 29 Jun 2023, Published online: 19 Jul 2023

References

  • Banskota, S., Healy, M., & Goldberg, E. M. (2020). 15 smartphone apps for older adults to use while in isolation during the COVID-19 pandemic. The Western Journal of Emergency Medicine, 21(3), 514–525. https://doi.org/10.5811/westjem.2020.4.47372
  • Blanco, N. J., Otto, A. R., Maddox, W. T., Beevers, C. G., & Love, B. C. (2013). The influence of depression symptoms on exploratory decision-making. Cognition, 129(3), 563–568. https://doi.org/10.1016/j.cognition.2013.08.018
  • Cacioppo, J. T., Hawkley, L. C., & Thisted, R. A. (2010). Perceived social isolation makes me sad: 5-year cross-lagged analyses of loneliness and depressive symptomatology in the Chicago Health, Aging, and Social Relations Study. Psychology and Aging, 25(2), 453–463. https://doi.org/10.1037/a0017216
  • Cacioppo, S., Grippo, A. J., London, S., Goossens, L., & Cacioppo, J. T. (2015). Loneliness: Clinical import and interventions. Perspectives on Psychological Science, 10(2), 238–249. https://doi.org/10.1177/1745691615570616
  • Choi, M., Kong, S., & Jung, D. (2012). Computer and internet interventions for loneliness and depression in older adults: A meta-analysis. Healthcare Informatics Research, 18(3), 191–198. https://doi.org/10.4258/hir.2012.18.3.191
  • Choi, N. G., Marti, C. N., Wilson, N. L., Chen, G. J., Sirrianni, L., Hegel, M. T., Bruce, M. L., & Kunik, M. E. (2020). Effect of telehealth treatment by lay counselors vs by clinicians on depressive symptoms among older adults who are homebound: A randomized clinical trial. JAMA Network Open, 3(8), e2015648. https://doi.org/10.1001/jamanetworkopen.2020.15648
  • Choi, N. G., Pepin, R., Marti, C. N., Stevens, C. J., & Bruce, M. L. (2020). Improving social connectedness for homebound older adults: Randomized controlled trial of tele-delivered behavioral activation versus tele-delivered friendly visits. The American Journal of Geriatric Psychiatry, 28(7), 698–708. https://doi.org/10.1016/j.jagp.2020.02.008
  • Chou, C.-Y., Chiu, C.-J., Chang, C.-M., Wu, C.-H., Lu, F.-H., Wu, J.-S., & Yang, Y.-C. (2021). Disease-related disability burden: A comparison of seven chronic conditions in middle-aged and older adults. BMC Geriatrics, 21(1), 1–11. https://doi.org/10.1186/s12877-021-02137-6
  • Cohen-Mansfield, J., & Perach, R. (2015). Interventions for alleviating loneliness among older persons: A critical review. American Journal of Health Promotion, 29(3), e109–e125. https://doi.org/10.4278/ajhp.130418-LIT-182
  • Czaja, S. J., Boot, W. R., Charness, N., Rogers, W. A., & Sharit, J. (2018). Improving social support for older adults through technology: Findings from the PRISM randomized controlled trial. The Gerontologist, 58(3), 467–477. https://doi.org/10.1093/geront/gnw249
  • da Costa, B. R., Nüesch, E., Rutjes, A. W., Johnston, B. C., Reichenbach, S., Trelle, S., Guyatt, G. H., & Jüni, P. (2013). Combining follow-up and change data is valid in meta-analyses of continuous outcomes: A meta-epidemiological study. Journal of Clinical Epidemiology, 66(8), 847–855. https://doi.org/10.1016/j.jclinepi.2013.03.009
  • de Craen, A. J. M., Gussekloo, J., Blauw, G. J., Willems, C. G., & Westendorp, R. G. J. (2006). Randomised controlled trial of unsolicited occupational therapy in community-dwelling elderly people: The LOTIS trial. PLoS Clinical Trials, 1(1), e2. https://doi.org/10.1371/journal.pctr.0010002
  • Debrot, A., Schoebi, D., Perrez, M., & Horn, A. (2014). Stroking your beloved one’s white bear: Responsive touch by the romantic partner buffers the negative effect of thought suppression on daily mood. Journal of Social and Clinical Psychology, 33(1), 75–97. https://doi.org/10.1521/jscp.2014.33.1.75
  • Deeks, J. J., Higgins, J. P., & Altman, D. G. (2019). Analysing data and undertaking meta-analyses. Cochrane Handbook for Systematic Reviews of Interventions, 2019, 241–284. https://doi.org/10.1002/9781119536604.ch10
  • Fields, J., Cemballi, A., Michalec, C., Uchida, D., DeSmidt, H., Cuellar, J., Chodos, A., & Lyles, C. R. (2019). In-home technology training to reduce social isolation among older adults: Preliminary findings from the tech allies program. Journal of the American Geriatrics Society, 67, S226. https://doi.org/10.1177/0733464820910028
  • Fitzpatrick, T., Perrier, L., Shakik, S., Cairncross, Z., Tricco, A. C., Lix, L., Zwarenstein, M., Rosella, L., & Henry, D. (2018). Assessment of long-term follow-up of randomized trial participants by linkage to routinely collected data: A scoping review and analysis. JAMA Network Open, 1(8), e186019. https://doi.org/10.1001/jamanetworkopen.2018.6019
  • Gardiner, C., Geldenhuys, G., & Gott, M. (2018). Interventions to reduce social isolation and loneliness among older people: An integrative review. Health & Social Care in the Community, 26(2), 147–157. https://doi.org/10.1111/hsc.12367
  • Gilbody, S., Littlewood, E., McMillan, D., Chew-Graham, C. A., Bailey, D., Gascoyne, S., Sloan, C., Burke, L., Coventry, P., Crosland, S., Fairhurst, C., Henry, A., Hewitt, C., Joshi, K., Ryde, E., Shearsmith, L., Traviss-Turner, G., Woodhouse, R., Clegg, A., … Ekers, D. (2021). Behavioural activation to prevent depression and loneliness among socially isolated older people with long-term conditions: The BASIL COVID-19 pilot randomised controlled trial. PLoS Medicine, 18(10), e1003779. https://doi.org/10.1371/journal.pmed.1003779
  • Granbom, M., Kristensson, J., & Sandberg, M. (2017). Effects on leisure activities and social participation of a case management intervention for frail older people living at home: A randomised controlled trial. Health & Social Care in the Community, 25(4), 1416–1429. https://doi.org/10.1111/hsc.12442
  • Hagan, R., Manktelow, R., Taylor, B. J., & Mallett, J. (2014). Reducing loneliness amongst older people: A systematic search and narrative review. Aging & Mental Health, 18(6), 683–693. https://doi.org/10.1080/13607863.2013.875122
  • Hariton, E., & Locascio, J. J. (2018). Randomised controlled trials – The gold standard for effectiveness research: Study design: Randomised controlled trials. An International Journal of Obstetrics and Gynaecology, 125(13), 1716–1716. https://doi.org/10.1111/1471-0528.15199
  • Hawkley, L. C., Buecker, S., Kaiser, T., & Luhmann, M. (2022). Loneliness from young adulthood to old age: Explaining age differences in loneliness. International Journal of Behavioral Development, 46(1), 39–49. https://doi.org/10.1177/0165025420971048
  • Hawkley, L. C., & Cacioppo, J. T. (2010). Loneliness matters: A theoretical and empirical review of consequences and mechanisms. Annals of Behavioral Medicine, 40(2), 218–227. https://doi.org/10.1007/s12160-010-9210-8
  • Higgins, J. P., Altman, D. G., Gøtzsche, P. C., Jüni, P., Moher, D., Oxman, A. D., Savović, J., Schulz, K. F., Weeks, L., & Sterne, J. A. (2011). The Cochrane Collaboration’s tool for assessing risk of bias in randomised trials. BMJ, 343, d5928. https://doi.org/10.1136/bmj.d5928
  • Higgins, J. P., Thomas, J., Chandler, J., Cumpston, M., Li, T., Page, M. J., Welch, V. A., Cochrane, C., Ohio, L., & Information, N. (2019). Cochrane handbook for systematic reviews of interventions (2nd ed.) Wiley-Blackwell.
  • Jamison, D. T., Breman, J. G., & Measham, A. R. (2006). Cost-effectiveness analysis. In Priorities in health. The International Bank for Reconstruction and Development. https://www.ncbi.nlm.nih.gov/books/NBK10253/
  • Jin, W., Liu, Y., Yuan, S., Bai, R., Li, X., & Bai, Z. (2021). The effectiveness of technology-based interventions for reducing loneliness in older adults: A systematic review and meta-analysis of randomized controlled trials. Frontiers in Psychology, 12, 711030–711030. https://doi.org/10.3389/fpsyg.2021.711030
  • Ko, Y., & Noh, W. (2021). A scoping review of homebound older people: Definition, measurement and determinants. International Journal of Environmental Research and Public Health, 18(8), 3949. https://doi.org/10.3390/ijerph18083949
  • Lai, D. W. L., Li, J., Ou, X., & Li, C. Y. P. (2020). Effectiveness of a peer-based intervention on loneliness and social isolation of older Chinese immigrants in Canada: A randomized controlled trial. BMC Geriatrics, 20(1), 356. https://doi.org/10.1186/s12877-020-01756-9
  • Lim, S. E. R., Cox, N. J., Tan, Q. Y., Ibrahim, K., & Roberts, H. C. (2021). Volunteer-led physical activity interventions to improve health outcomes for community-dwelling older people: A systematic review. Aging Clinical and Experimental Research, 33(4), 843–853. https://doi.org/10.1007/s40520-020-01556-6
  • Lopez, C., Jones, J., Alibhai, S. M., & Santa Mina, D. (2018). What is the ‘Home’ in home-based exercise? The need to define independent exercise for survivors of cancer. Journal of Clinical Oncology, 36(9), 926–927. https://doi.org/10.1200/jco.2017.76.4365
  • Macdonald, B., Luo, M., & Hülür, G. (2021). Daily social interactions and well-being in older adults: The role of interaction modality. Journal of Social and Personal Relationships, 38(12), 3566–3589. https://doi.org/10.1177/02654075211052536
  • MacIntyre, I., Corradetti, P., Roberts, J., Browne, G., Watt, S., & Lane, A. (1999). Pilot study of a visitor volunteer programme for community elderly people receiving home health care. Health & Social Care in the Community, 7(3), 225–232. https://doi.org/10.1046/j.1365-2524.1999.00178.x
  • Malinga, T., Schmidt, B.-M., & Wiysonge, C. S. (2020). Cochrane corner: Video calls for reducing social isolation and loneliness in older people. The Pan African Medical Journal, 35(Supp 2), 24283. https://doi.org/10.11604/pamj.supp.2020.35.24283
  • Masi, C. M., Chen, H.-Y., Hawkley, L. C., & Cacioppo, J. T. (2011). A meta-analysis of interventions to reduce loneliness. Personality and Social Psychology Review, 15(3), 219–266. https://doi.org/10.1177/1088868310377394
  • McCoy, C. E. (2017). Understanding the intention-to-treat principle in randomized controlled trials. The Western Journal of Emergency Medicine, 18(6), 1075–1078. https://doi.org/10.5811/westjem.2017.8.35985
  • Melin, A. L., & Bygren, L. O. (1993). Perceived functional health of frail elderly in a primary home care programme and correlation of self-perception with objective measurements. Scandinavian Journal of Social Medicine, 21(4), 256–263. https://doi.org/10.1177/140349489302100405
  • Moreh, E., Jacobs, J. M., & Stessman, J. (2010). Fatigue, function, and mortality in older adults. Journals of Gerontology Series A, 65(8), 887–895. https://doi.org/10.1001/2012.jama.10690
  • Morrow-Howell, N., Becker-Kemppainen, S., & Judy, L. (1998). Evaluating an intervention for the elderly at increased risk of suicide. Research on Social Work Practice, 8(1), 28–46. https://doi.org/10.1177/104973159800800104
  • Mountain, G. A., Hind, D., Gossage-Worrall, R., Walters, S. J., Duncan, R., Newbould, L., Rex, S., Jones, C., Bowling, A., Cattan, M., Cairns, A., Cooper, C., Edwards, R. T., & Goyder, E. C. (2014). Putting Life in Years’ (PLINY) telephone friendship groups research study: Pilot randomised controlled trial. Trials, 15(1), 141. https://doi.org/10.1186/1745-6215-15-141
  • National Academies of Sciences & Medicine. (2020). Social isolation and loneliness in older adults: Opportunities for the health care system. National Academies Press. https://doi.org/10.17226/25663
  • Nguyen, D., & Vu, C. M. (2013). Current depression interventions for older adults: A review of service delivery approaches in primary care, home-based, and community-based settings. Current Translational Geriatrics and Experimental Gerontology Reports, 2(1), 37–44. https://doi.org/10.1007/s13670-012-0035-0
  • Nguyen, M. H., Gruber, J., Marler, W., Hunsaker, A., Fuchs, J., & Hargittai, E. (2022). Staying connected while physically apart: Digital communication when face-to-face interactions are limited. New Media & Society, 24(9), 2046–2067. https://doi.org/10.1177/1461444820985442
  • O’’Rourke, H. M., & Sidani, S. (2017). Definition, determinants, and outcomes of social connectedness for older adults: A scoping review. Journal of Gerontological Nursing, 43(7), 43–52. https://doi.org/10.3928/00989134-20170223-03
  • Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo-Wilson, E., McDonald, S., … Moher, D. (2021). The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. BMJ, 372, n71. https://doi.org/10.1136/bmj.n71
  • Peel, N. M., & Warburton, J. (2009). Using senior volunteers as peer educators: What is the evidence of effectiveness in falls prevention? Australasian Journal on Ageing, 28(1), 7–11. https://doi.org/10.1111/j.1741-6612.2008.00320.x
  • Perissinotto, C. M., Stijacic Cenzer, I., & Covinsky, K. E. (2012). Loneliness in older persons: A predictor of functional decline and death. Archives of Internal Medicine, 172(14), 1078–1083. https://doi.org/10.1001/archinternmed.2012.1993
  • Quan, N. G., Lohman, M. C., Resciniti, N. V., & Friedman, D. B. (2020). A systematic review of interventions for loneliness among older adults living in long-term care facilities. Aging & Mental Health, 24(12), 1945–1955. https://doi.org/10.1080/13607863.2019.1673311
  • Sawilowsky, S. S. (2009). New effect size rules of thumb. Journal of Modern Applied Statistical Methods, 8(2), 597–599. https://doi.org/10.22237/jmasm/1257035100
  • Sedgwick, P. (2013). Meta-analyses: Heterogeneity and subgroup analysis. BMJ, 346(2), f4040. https://doi.org/10.1136/bmj.f4040
  • Shah, S. G. S., Nogueras, D., van Woerden, H. C., & Kiparoglou, V. (2021). Evaluation of the effectiveness of digital technology interventions to reduce loneliness in older adults: Systematic review and meta-analysis. Journal of Medical Internet Research, 23(6), e24712. https://doi.org/10.2196/24712
  • Taube, E., Kristensson, J., Midlöv, P., & Jakobsson, U. (2018). The use of case management for community-dwelling older people: The effects on loneliness, symptoms of depression and life satisfaction in a randomised controlled trial. Scandinavian Journal of Caring Sciences, 32(2), 889–901. https://doi.org/10.1111/scs.12520
  • Thomas, K. S., Akobundu, U., & Dosa, D. (2016). More than a meal? A randomized control trial comparing the effects of home-delivered meals programs on participants’ feelings of loneliness. The Journals of Gerontology, 71(6), 1049–1058. https://doi.org/10.1093/geronb/gbv111
  • Vaportzis, E., Giatsi Clausen, M., & Gow, A. J. (2018). Older adults experiences of learning to use tablet computers: A mixed methods study. Frontiers in Psychology, 9, 1631. https://doi.org/10.3389/fpsyg.2018.01631
  • Williams, C. Y., Townson, A. T., Kapur, M., Ferreira, A. F., Nunn, R., Galante, J., Phillips, V., Gentry, S., & Usher-Smith, J. A. (2021). Interventions to reduce social isolation and loneliness during COVID-19 physical distancing measures: A rapid systematic review. PLoS One, 16(2), e0247139. https://doi.org/10.1371/journal.pone.0247139
  • Wong, S. O. K., Lo, H. H-m., Lai, E. K. C., Wong, D. F. K., & Choi, C. W. (2018). A feasibility study of a home-based intervention for elderly depression among Hong Kong Chinese. China Journal of Social Work, 11(2), 152–166. https://doi.org/10.1080/17525098.2018.1537071
  • World Health Organization. (2021). Social isolation and loneliness among older people: Advocacy brief. https://www.who.int/publications/i/item/9789240030749
  • Wu, B. (2020). Social isolation and loneliness among older adults in the context of COVID-19: a global challenge. Global Health Research and Policy, 5(1), 1–3. https://doi.org/10.1186/s41256-020-00154-3

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