Effectiveness of psychosocial interventions among older adults with mild cognitive impairment: a systematic review and meta-analysis

Chow, Gigi; Gan, Javeil Ke En; Chan, Janice Kuang Yeung; Wu, Vivien Xi; Klainin‐Yobas, Piyanee

doi:10.1080/13607863.2020.1839861

Cited by 23 publications

(14 citation statements)

References 51 publications

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“…However, the lockdown took away their social interaction with the outsiders, increasing their isolation. Recent systematic reviews evidenced that psychosocial interventions could improve older adults’ cognition, psychological and mental health, and social support (Chow et al, 2020; Tam et al, 2021).…”

Section: Discussionmentioning

confidence: 99%

Psychological impacts and online interventions of social isolation amongst older adults during COVID‐19 pandemic: A scoping review

Rodrigues

Han

et al. 2021

Journal of Advanced Nursing

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Aim To summarise the psychological impacts of social isolation amongst older adults during COVID‐19 and review the benefits and limitations of online interventions used to combat social isolation. Design A scoping review was performed. Data Sources A systematic search was performed from October 2020 to January 2021 in seven electronic databases: China National Knowledge Infrastructure (CNKI), PubMed, EMBASE, Cumulative Index to Nursing and Allied Health Literature (CINAHL), PsycINFO, Cochrane Library and Web of Science. A hand search of the reference lists of included papers and WHO publications was performed. Grey literature search was carried out from Scopus, ProQuest Dissertation and Google Scholar. Review Methods Studies were screened, appraised and extracted independently by two reviewers. Thematic analysis was used to synthesise data, which were presented in a descriptive manner and organised into categories and themes. Results Totally, 33 studies were included. Four themes and eight sub‐themes emerged: (1) negative impacts and experiences of older adults during social isolation, (2) adopting coping behaviours in the midst of COVID‐19, (3) online interventions to combat the consequences of social isolation, (4) barriers to online intervention. Conclusion The COVID‐19 pandemic has taken an emotional toll on older adults’ psychological wellbeing and has highlighted the untapped strengths of older adults facing isolation. Online interventions, which could be a new normal in the COVID era, were beneficial in combating social isolation. Strategies by various stakeholders were recommended to tackle the barriers of online interventions. Impact With the COVID‐19 pandemic still in progress, this review provides insights on the psychological impacts of social isolation amongst older adults. Nurses in the community and long‐term care facilities could adopt strategies and online intervention to better support the older adults, contribute to a stronger COVID‐19 response and support system, and an overall better road to recovery from this crisis.

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Section: Discussionmentioning

confidence: 99%

Psychological impacts and online interventions of social isolation amongst older adults during COVID‐19 pandemic: A scoping review

Rodrigues

Han

et al. 2021

Journal of Advanced Nursing

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“…The findings corroborated with the salutogenic model that suggests that resilience is a protective factor against stressors such as declining sensory abilities (SAB) and fear of death (DAD). Successful coping in resilient older adults also enables them to maintain in- (Chow et al, 2020;Tam et al, 2021).…”

Section: Discussion On the Key Variablesmentioning

confidence: 99%

Impact of sense of coherence, resilience and loneliness on quality of life amongst older adults in long‐term care: A correlational study using the salutogenic model

Tan

Tam

Goh

et al. 2021

Journal of Advanced Nursing

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Aims: This study aimed to identify the predicting factors of quality of life (QoL) from a set of psychosocial, sociodemographic and clinical variables amongst older adults in a long-term care setting. Design:A cross-sectional, descriptive correlational study. Method:The study was conducted in a nursing home and a day care centre from July to December 2019. Two hundred older adults were recruited. Guided by the salutogenic model, the sense of coherence (SOC) scale, Connor-Davidson resilience scale, de Jong Gierveld loneliness scale and World Health Organization quality of life instrument-older adults (WHOQOL-OLD) were used. The sociodemographic and clinical profiles of participants were collected. Descriptive statistics, Pearson productmoment correlation coefficient, independent-samples t test, one-way analysis of variance and stepwise regression were utilised in the analysis. Results:The mean score for WHOQOL-OLD was 94.42 ± 19.55. The highest mean score was observed in the "Death and Dying" facet, while the lowest mean scores were reflected in the "Autonomy" and "Intimacy" facets of QoL. Regardless of resident type, most QoL scores were similar across different variables. Based on the stepwise regression, higher manageability and meaningfulness in SOC, higher resilience, lower social loneliness, lower emotional loneliness and hearing impairments are significantly associated with higher QoL. Conclusion:Manageability, meaningfulness and resilience should be enhanced while ameliorating feelings of loneliness to improve the QoL amongst older adults receiving long-term care. Age, marital status, educational level, care arrangement, body mass index, performance in activities of daily living, comorbidities and hearing and mobility impairments could influence QoL and thus warrant more attention. Impact: Future interventions can be conducted in group sessions to facilitate social interaction and alleviate loneliness. More resources should be allocated to enhance older adults' care arrangements and coping mechanisms to provide them with the support, as they face challenges in daily life due to mobility impairment and other restrictions.

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“…Further development of structured IGP guidelines on its content, process and activities will help healthcare providers to implement IGP across the healthcare settings, which provide opportunities for two generations to foster positive relationships. For instance, the element of physical, cognitive exercise and psychosocial interventions could be integrated into the IGP to promote well‐being of older adults in the community (Chow et al., 2020; Gualano et al., 2018; Tam et al., 2021). In addition, future IGP could look into the strategies to enhance social integration to address the barrier raised by the older adults in the study.…”

Section: Discussionmentioning

confidence: 99%

Older adults' perspective of intergenerational programme at senior day care centre in Singapore: A descriptive qualitative study

Leong

Klainin‐Yobas

Fong

et al. 2021

Health Soc Care Community

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Population ageing resulting from declining fertility and extended life expectancy has been occurring rapidly throughout the world. Older adults are faced with multiple physical, psychological and social changes that challenge their sense of self and capacity for healthy ageing. Intergenerational programmes (IGP) in communities have been developed to address a variety of social issues brought about by the population ageing. These programmes focus on promoting intergenerational social contact, supporting educational programmes and facilitating intellectual and/or physical activities in the older adults. This study intended to explore the perception of community‐dwelling older adults towards an IGP in a senior day care centre in Singapore. Purposive sampling was adopted to recruit 15 participants for the study. Individual face‐to‐face interviews were conducted until data saturation was achieved. Interviews were audio‐taped and transcribed verbatim. Thematic analysis was carried out. Four themes and 13 sub‐themes emerged: (1) IGP enhances memory and strength; (2) social interaction between older adults and younger generation; (3) emotional responses to IGP; and (4) attitudes and perception towards the younger generation. The current study illustrated the dynamic social interaction between older adults and the younger generation, as well as the perceived benefits of the IGP. The relationship formed between the two generations entailed companionship, mutual care, trust and affection. Participation in the IGP provided the older adults an opportunity for active engagement in society and development. Continuous effort must be put in to ensure continuity of integration and empowerment of older adults, including the removal of obstacles and barriers that exclude or discriminate against them. The study findings will help facilitate the customisation of IGP to meet the needs of the older adults. With a well‐planned and structured IGP, significant physical, emotional and psychosocial outcomes could benefit the older adults and the younger generation.

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Effectiveness of psychosocial interventions among older adults with mild cognitive impairment: a systematic review and meta-analysis

Cited by 23 publications

References 51 publications

Psychological impacts and online interventions of social isolation amongst older adults during COVID‐19 pandemic: A scoping review

Psychological impacts and online interventions of social isolation amongst older adults during COVID‐19 pandemic: A scoping review

Impact of sense of coherence, resilience and loneliness on quality of life amongst older adults in long‐term care: A correlational study using the salutogenic model

Older adults' perspective of intergenerational programme at senior day care centre in Singapore: A descriptive qualitative study

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