Effects of ‘participatory group-based care management’ on wellbeing of older people living alone: a randomized controlled trial

Ristolainen, Hanna; Kannasoja, Sirpa; Tiilikainen, Elisa; Hakala, Mari; Närhi, Kati; Rissanen, Sari

doi:10.1016/j.archger.2020.104095

Cited by 14 publications

(17 citation statements)

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“…Number of reviews reporting population characteristics, differential effects analysis, and applicability or limitations across PROGRESS-Plus items. Bars do not sum to 17 because reviews were double counted if they reported multiple types of relevant data across multiple PROGRESS-Plus item agencies [45] or recruited through advertisements in local newspapers [46][47][48]. Two primary studies evaluated interventions designed with participants' engagement who, for instance, were involved in planning of the content of the group meetings [47] or the development of the technology [48].…”

Section: Description and Analysis Of Health Equity In Primary Studiesmentioning

confidence: 99%

“…Bars do not sum to 17 because reviews were double counted if they reported multiple types of relevant data across multiple PROGRESS-Plus item agencies [45] or recruited through advertisements in local newspapers [46][47][48]. Two primary studies evaluated interventions designed with participants' engagement who, for instance, were involved in planning of the content of the group meetings [47] or the development of the technology [48]. However, none of the primary studies described whether interventions were tailored to reach socially disadvantaged populations of older adults with specific needs and preferences.…”

Section: Description and Analysis Of Health Equity In Primary Studiesmentioning

confidence: 99%

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Is equity considered in systematic reviews of interventions for mitigating social isolation and loneliness in older adults?

Madani

Ghogomu

et al. 2022

BMC Public Health

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Background Social isolation and loneliness affect one in four older adults in many regions around the world. Social isolation and loneliness are shown to be associated with declines in physical and mental health. Intersecting social determinants of health influence both the risk of being socially isolated and lonely as well as the access and uptake of interventions. Our objective is to evaluate what evidence is available within systematic reviews on how to mitigate inequities in access to and effectiveness of interventions. Methods We performed an overview of reviews following methods of the Cochrane Handbook for Overviews of Reviews. We selected systematic reviews of effectiveness of interventions aimed at mitigating social isolation and loneliness in older adults (aged 60 or above) published in the last 10 years. In addition, we assessed all primary studies from the most recent systematic review with a broad intervention focus. We searched MEDLINE, EMBASE, PsycINFO, CINAHL, and Scopus in collaboration with a librarian scientist. We used a structured framework called PROGRESS-Plus to assess the reporting and consideration of equity. PROGRESS-Plus stands for place of residence, race/ethnicity/culture/language, occupation, gender or sex, religion, education, socioeconomic status (SES), social capital, while “plus” stands for additional factors associated with discrimination and exclusion such as age, disability, and sexual orientation. We assessed whether PROGRESS-Plus factors were reported in description of the population, examination of differential effects, or discussion of applicability or limitations. Results We identified and assessed 17 eligible systematic reviews. We assessed all 23 primary studies from the most recent systematic review with a broad intervention focus. All systematic reviews and primary studies described the population by one or more PROGRESS-Plus factor, most commonly across place of residence and age, respectively. None of the reviews and five primary studies examined differential effects across one or more PROGRESS-Plus dimension. Nine reviews and four primary studies discussed applicability or limitations of their findings by at least one PROGRESS-Plus factor. Conclusions Although we know that social isolation and loneliness are worse for the poorest and most socially disadvantaged older adults, the existing evidence base lacks details on how to tailor interventions for these socially disadvantaged older people.

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Section: Description and Analysis Of Health Equity In Primary Studiesmentioning

confidence: 99%

Section: Description and Analysis Of Health Equity In Primary Studiesmentioning

confidence: 99%

Is equity considered in systematic reviews of interventions for mitigating social isolation and loneliness in older adults?

Madani

Ghogomu

et al. 2022

BMC Public Health

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“…Five of the six interventions provided by experts showed improved outcomes (Heller et al, 1991 ; Fukui et al, 2003 ; Kremers et al, 2006 ; Mountain et al, 2014 ; Czaja et al, 2017 ). Seven of the 10 interventions provided by health or social workers were also effective (Lökk, 1990 ; Ollonqvist et al, 2008 ; Saito et al, 2012 ; Black et al, 2014 ; Chan et al, 2017 ; Lai et al, 2020 ; Ristolainen et al, 2020 ). Four interventions provided by teachers or students of the education community presented improved results (Constantino, 1988 ; MacIntyre et al, 1999 ; White et al, 2002 ; Slegers et al, 2008 ).…”

Section: Resultsmentioning

confidence: 99%

“…In six individual studies of private residences (Heller et al, 1991;Brennan et al, 1995;Morrow-Howel et al, 1998;MacIntyre et al, 1999;Yi et al, 2012;Lai et al, 2020), only two intervention studies presented no improved effects, even any dimension (Heller et al, 1991, Brennan et al, 1995. The other three studies did not provide evidence of the implementation environment (Savelkoul and de Witte, 2004;Kremers et al, 2006;Ristolainen et al, 2020). In addition, studies precisely targeting clients with social isolation or loneliness problems had better effects on all dimensions (e.g., Harris and Bodden, 1978;Savelkoul and de Witte, 2004;Routasalo et al, 2009;Bøen et al, 2012;Saito et al, 2012).…”

Section: Intervention Effects According To Intervention Environmentmentioning

confidence: 99%

Systematic Review of Efficacy of Interventions for Social Isolation of Older Adults

et al. 2021

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Background: The social isolation of older people is a growing public health concern. The proportion of older people in society has increased in recent decades, and it is estimated that ~40% of the population will be aged 50 or above within the next few decades. This systematic review aims to summarize and renew knowledge of the effectiveness of existing interventions for alleviating social isolation of older adults.Methods: Relevant electronic databases, including Cochrane Library, CINAHL, SCOPUS, and Web of Science, were searched by a systematic evaluation method. Eligible randomized controlled trial (RCT) studies were published between 1978 and 2021 in English or Chinese. The primary and secondary outcomes were social isolation and loneliness. The quality of the included RCTs was scored by the Cochrane risk-of-bias tool to assess their quality. Two independent reviewers extracted data, using a standardized form. Narrative synthesis and vote-counting methods were used to summarize and interpret study data.Results: Twenty-four RCTs were finally included in this review. There was evidence of substantial heterogeneity in the interventions delivered. The overall quality of included studies indicated a low-to-medium risk of bias. Eighteen of 24 RCTs showed at least one dimension effect on reducing social isolation. The interventions with accurate targeting of clients in social and public places had more obvious effect. The interventions in which older people are active participants also appeared more likely to be effective. In addition, group intervention activities and individual intervention interviews were effective in improving structural social support; mixed intervention, and group intervention on training support significantly improved functional social support.Conclusions: This study suggests that group and mixed intervention targeting of older adults could be helpful for alleviating social isolation problems. The use of modern technology for remote services could also present good results. More well-conducted RCTs of the effectiveness of social interventions for alleviating social isolation are needed to improve the evidence base. Especially as the debating results of remote interventions, further research in this field should be conducted.

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“…Caring of elder people always requires particular attention [11]. The reason for this is mainly the features on grounds of age, which might be the loss of appetite, loss of fluid, accumulated chronic diseases, physical inactivity or psychological influence [3].…”

Section: Introductionmentioning

confidence: 99%

Role of liquid foods and beverages to prevent dehydration especially in elderly people

Molnár¹

2020

JNFP

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Dehydration is an important health issue and is more commonly observed in older people than younger ones. Dehydration occurs when there is excess fluid loss of fluid from the body, as a result of exposure to high temperatures, sickness, inadequate fluid intake and use of diuretic medicines. The symptoms of dehydration can range from simple dizziness and confusion to seizures and death. Elderly people should avoid coffee, tea, and alcohol in large quantizes, and also must get enough fruits and vegetables in their daily diet. It is imperative that water and healthy drinks should be made easily available to the elderly at all times. In addition to water, fruit and juice, syrups, vegetables, vegetable juice and pottages, tea, milk, and dairy products, plant-based beverages and also soups should be given to the elderly people. It is advised that elderly must consume more fluid during the summer season.

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Effects of ‘participatory group-based care management’ on wellbeing of older people living alone: a randomized controlled trial

Cited by 14 publications

References 36 publications

Is equity considered in systematic reviews of interventions for mitigating social isolation and loneliness in older adults?

Is equity considered in systematic reviews of interventions for mitigating social isolation and loneliness in older adults?

Systematic Review of Efficacy of Interventions for Social Isolation of Older Adults

Role of liquid foods and beverages to prevent dehydration especially in elderly people

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