Improving Social Connectedness for Homebound Older Adults: Randomized Controlled Trial of Tele-Delivered Behavioral Activation Versus Tele-Delivered Friendly Visits

Choi, Namkee G.; Pepin, Renée; Marti, C. Nathan; Stevens, Caitlin; Bruce, Martha L.

doi:10.1016/j.jagp.2020.02.008

Cited by 105 publications

(91 citation statements)

References 34 publications

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“…Behavioral activation [77], for example, is an intervention designed to impart active coping strategies (e.g., maintaining a daily schedule, calling a family member even when you do not feel up to it) that may remediate loneliness and reinforce healthy behaviors that maintain cognitive functioning [78]. Of those who are lonely, for example, few might be expected to experience functional decline, but those who do will may experience high risk of lower cognition.…”

Section: Discussionmentioning

confidence: 99%

Health Factors as Potential Mediators of the Longitudinal Effect of Loneliness on General Cognitive Ability

Kim

Beam

Greenberg

et al. 2020

The American Journal of Geriatric Psychiatry

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OBJECTIVE: Higher levels of loneliness in older adulthood predict cognitive decline, but research on mediating mechanisms is sparse. We examine multisystemic physiological risk, functional ability, self-rated health, depressive symptoms, and social participation as mediating processes for the association between loneliness and general cognitive ability over a 10-year follow-up in an older adult sample. METHODS: Three waves of data from 3,005 individuals (mean intake age: 69.30 (SD: 7.85) years; female = 51.61%) recruited during Wave 1 of the National Social Life, Health, and Aging Project were used to test whether hypothesized mediators collected at the 5-year follow-up explained effects of baseline loneliness on 10-year general cognitive ability. RESULTS: The relationship between baseline loneliness and 10-year general cognitive ability was not mediated by multisystemic physiological risk. Functional ability (β =-0.24, SE = 0.05, p < .001), self-rated health (β=-0.08, SE = 0.02, p < .001), depressive symptoms (β=-0.20, SE = 0.05, p < .001), and social participation (β =-0.03, SE = 0.01, p = .016) significantly mediated effects. Indirect effects remained significant after adjusting for demographic covariates and 5year general cognitive ability, except social participation. DISCUSSION: Loneliness may influence cognitive ability indirectly, signaling waning physical and psychiatric health more proximally correlated with cognitive ability. These mechanisms may serve as targets of intervention for cognitive maintenance in lonely older adults. (217/250)

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Section: Discussionmentioning

confidence: 99%

Health Factors as Potential Mediators of the Longitudinal Effect of Loneliness on General Cognitive Ability

Kim

Beam

Greenberg

et al. 2020

The American Journal of Geriatric Psychiatry

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“… 96 Additionally, a recent study published after the release of the NASEM report compared a 5-week, tele-delivered behavioral activation intervention for homebound lonely older adults to a tele-delivered friendly visit and found greater improvements in social interaction, perceived social support, and loneliness in the tele-delivered behavioral activation group at 6 and 12 weeks. 97 …”

Section: Definitionsmentioning

confidence: 99%

Social Isolation and Loneliness in Older Adults: Review and Commentary of a National Academies Report

Donovan

Blazer

2020

The American Journal of Geriatric Psychiatry

342

190

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Highlights This article provides a comprehensive review of the recent National Academies of Science, Engineering and Medicine consensus committee report on Social Isolation and Loneliness (SI/L). The relevance specifically for mental health providers is emphasized. What is the primary question addressed by this study?What are the physical and mental health consequences of SI/L? What are the current evidence-based interventions for SI/L which can be implemented by mental health professionals? SI/L are significant public health problems and are clear risks for death, depression, anxiety, and cognitive disorders such as major cognitive impairment (dementia). The evidence based interventions by mental health professionals for SI/L are limited yet some have emerged which are promising. Health and mental healthcare professionals may be the first to identify socially isolated and lonely older adults as these older adults are at significant increased risk for serious adverse outcomes. For this reason, these professionals should know how to screen for and to initiate interventions that can be helpful.

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“…Two recent reports demonstrate how these approaches can be translated to virtual care and how clinicians may implement strategies to mitigate isolation worsened in the context of social distancing measures. 16,17 It is likely that this specific issue will receive greater attention as we better understand its longer-term consequences. Koenig 18 discusses how of religion and spirituality can play a role as a risk or protective factor.…”

Section: Dealing With Consequences Of Social Distancing and Lockdownsmentioning

confidence: 99%

COVID-19, Aging, and Mental Health: Lessons From the First Six Months

Vahia

2020

The American Journal of Geriatric Psychiatry

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Improving Social Connectedness for Homebound Older Adults: Randomized Controlled Trial of Tele-Delivered Behavioral Activation Versus Tele-Delivered Friendly Visits

Cited by 105 publications

References 34 publications

Health Factors as Potential Mediators of the Longitudinal Effect of Loneliness on General Cognitive Ability

Health Factors as Potential Mediators of the Longitudinal Effect of Loneliness on General Cognitive Ability

Social Isolation and Loneliness in Older Adults: Review and Commentary of a National Academies Report

COVID-19, Aging, and Mental Health: Lessons From the First Six Months

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