Social networking site usage: A systematic review of its relationship with social isolation, loneliness, and depression among older adults

Wiwatkunupakarn, Nutchar; Pateekhum, Chanapat; Aramrat, Chanchanok; Jirapornchaoren, Wichuda; Pinyopornpanish, Kanokporn; Angkurawaranon, Chaisiri

doi:10.1080/13607863.2021.1966745

Cited by 32 publications

(20 citation statements)

References 42 publications

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“…The reviews gave mixed results. Whereas some studies supported the use of SNS in reducing loneliness, a sizable number showed no impact or even an increase in loneliness after SNS use [ 19 , 42 , 46 ]. Both Chen and Schultz [ 35 ] and Wiwatkunupakarn et al [ 46 ], who reviewed high-quality RCT studies on the use of SNS, reported inconclusive impacts of SNS on loneliness.…”

Section: Resultsmentioning

confidence: 99%

“…Whereas some studies supported the use of SNS in reducing loneliness, a sizable number showed no impact or even an increase in loneliness after SNS use [ 19 , 42 , 46 ]. Both Chen and Schultz [ 35 ] and Wiwatkunupakarn et al [ 46 ], who reviewed high-quality RCT studies on the use of SNS, reported inconclusive impacts of SNS on loneliness. They found some support for sites such as Facebook, which provides games that can be played with others over a network, thus fostering social interaction and alleviating loneliness.…”

Section: Resultsmentioning

confidence: 99%

“…The methodological qualities of the reviews were assessed using the Revised Assessment of Multiple Systematic Reviews (R-AMSTAR) [32] quality rating tool for reviews. The 11-item R-AMSTAR includes 11 questions (Multimedia Appendix 2 [19,20,23,24,[33][34][35][36][37][38][39][40][41][42][43][44][45][46][47][48][49][50][51][52]) whose scores are summed to give the overall quality score of a systematic review. The R-AMSTAR tool provides a quantifiable assessment of systematic reviews and a measurement of their methodological quality.…”

Section: Quality Assessmentmentioning

confidence: 99%

“…Instead, a narrative synthesis summarizing the effectiveness of interventions was implemented. Under the methodological considerations of umbrella reviews, the results were reported descriptively in tabular form (Multimedia Appendix 3 [19,20,23,24,[33][34][35][36][37][38][39][40][41][42][43][44][45][46][47][48][49]) along with their associated characteristics (number of articles, databases used, participants, types of interventions, study design, measures used, summary of results, authors' conclusions, and summary and review methods). Multimedia Appendix 3 provides details of the 21 reviews in this study.…”

Section: Data Extractionmentioning

confidence: 99%

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Effectiveness of Technology Interventions in Addressing Social Isolation, Connectedness, and Loneliness in Older Adults: Systematic Umbrella Review

Balki¹,

Hayes²,

Holland³

2022

JMIR Aging

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Background The global population of older adults (aged >60 years) is expected to triple to 2 billion by 2050. Proportionate rises in older adults affected by loneliness and social isolation (or social connectedness) are expected. Rapid deployability and social changes have increased the availability of technological devices, creating new opportunities for older adults. Objective This study aimed to identify, synthesize, and critically appraise the effectiveness of technology interventions improving social connectedness in older adults by assessing the quality of reviews, common observations, and derivable themes. Methods Following the guidelines of PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses), 4 databases (PsycINFO, PubMed, Embase, and MEDLINE) were searched between February 2020 and March 2022. We identified reviews with adults aged ≥50 years in community and residential settings, reporting outcomes related to the impact of technologies on social disconnectedness with inclusion criteria based on the population, intervention, context, outcomes, and study schema—review-type articles (systematic, meta-analyses, integrative, and scoping)—and with digital interventions included. Grading of Recommendations, Assessment, Development, and Evaluations (GRADE) was used to measure the strength of outcome recommendations including the risk of bias. The reviews covered 326 primary studies with 79,538 participants. Findings were extracted, synthesized, and organized according to emerging themes. Results Overall, 972 publications met the initial search criteria, and 24 met our inclusion criteria. Revised Assessment of Multiple Systematic Reviews was used to assess the quality of the analysis. Eligible reviews (3/24, 12%) were excluded because of their low Revised Assessment of Multiple Systematic Reviews scores (<22). The included reviews were dedicated to information and communications technology (ICT; 11/24, 46%), videoconferencing (4/24, 17%), computer or internet training (3/24, 12%), telecare (2/24, 8%), social networking sites (2/24, 8%), and robotics (2/27, 8%). Although technology was found to improve social connectedness, its effectiveness depended on study design and is improved by shorter durations, longer training times, and the facilitation of existing relationships. ICT and videoconferencing showed the best results, followed by computer training. Social networking sites achieved mixed results. Robotics and augmented reality showed promising results but lacked sufficient data for informed conclusions. The overall quality of the studies based on GRADE was medium low to very low. Conclusions Technology interventions can improve social connectedness in older adults. The specific effectiveness rates favor ICT and videoconferencing, but with limited evidence, as indicated by low GRADE ratings. Future intervention and study design guidelines should carefully assess the methodological quality of studies and the overall certainty of specific outcome measures. The lack of randomized controlled trials in underlying primary studies (<28%) and suboptimal methodologies limited our findings. Robotics and augmented or virtual reality warrant further research. Low GRADE scores highlight the need for high-quality research in these areas. Trial Registration PROSPERO CRD42022363475; https://tinyurl.com/mdd6zds

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Quality Assessmentmentioning

confidence: 99%

Section: Data Extractionmentioning

confidence: 99%

See 2 more Smart Citations

Effectiveness of Technology Interventions in Addressing Social Isolation, Connectedness, and Loneliness in Older Adults: Systematic Umbrella Review

Balki¹,

Hayes²,

Holland³

2022

JMIR Aging

View full text Add to dashboard Cite

show abstract

“…Furthermore, in light of age-related risk factors such as physical frailty, social isolation, and bereavement (Arslantaş et al, 2015; Ge et al, 2018; Losada et al, 2012; Szabó et al, 2019; Taylor et al, 2016), loneliness and depressive symptoms have been identified as crucial indices of well-being in older adults that warrant further empirical attention (see Li et al, 2014; Tang et al, 2021; Victor & Yang, 2012). Accordingly, an increasing number of studies have investigated older adults’ SNS use in relation to at least one of these key well-being outcomes: life satisfaction (e.g., Chen & Feeley, 2014; Chiarelli & Batistoni, 2021; Kim & Shen, 2020; Zhou, 2018), feelings of loneliness (e.g., Yu et al, 2016; Zhang et al, 2021), and depressive symptoms (e.g., Aarts et al, 2015; Chopik, 2016; Kim et al, 2020; Wiwatkunupakarn et al, 2021)—two of these well-being indices in tandem (e.g., Aarts et al, 2015; Chen & Feeley, 2014; Wiwatkunupakarn et al, 2021).…”

Section: Introductionmentioning

confidence: 99%

Socializing Targets of Older Adults’ SNS Use: Social Strain Mediates the Relations Between Older Adults’ SNS Use With Friends and Well-Being Outcomes

Tng

Yang

2022

Social Media + Society

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Studies have yielded mixed findings regarding the relation between older adults’ social networking site (SNS) use and well-being. Drawing on socioemotional selectivity theory, we sought to examine whether older adults’ SNS use with different socializing targets (i.e., family vs friends) would differentially predict global, social, and mental well-being outcomes indexed by life satisfaction, loneliness, and depressive symptoms, respectively. Furthermore, we examined whether social support and social strain would mediate, in parallel, the relations between SNS use and well-being outcomes. We recruited healthy, community-dwelling older adults (ages 60–93 years, N = 69). Using the PROCESS macro, we found that SNS use with friends, but not family, predicted poorer life satisfaction and greater loneliness via increased social strain. However, SNS use with neither friends nor family was linked to depressive symptoms. Furthermore, social support failed to account for the relations between SNS use and well-being indices. These results held when we controlled for a host of covariates—age, gender, education level, income, marital status, and overall physical health. Our findings reconcile disparate findings in the literature by elucidating that older adults’ SNS use with different socializing targets asymmetrically predicts life satisfaction and loneliness via varying degrees of perceived social strain.

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Psychological aspects of rehabilitation nutrition: A position paper by the Japanese Association of Rehabilitation Nutrition (secondary publication)

Wakabayashi,

Mori,

Nishioka

et al. 2023

J of Gen and Family Med

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Psychological aspects of rehabilitation nutrition affect physical, cognitive, and social rehabilitation nutrition. When depression is recognized, not only pharmacotherapy and psychotherapy, but also non‐pharmacological therapies such as exercise, nutrition, psychosocial, and other interventions can be expected to improve depression. Therefore, accurate diagnosis and intervention without overlooking depression is important. Psychological aspects of preventive rehabilitation nutrition is also important because depression can be partially prevented by appropriate exercise and nutritional management. Even in the absence of psychological negatives, increasing more psychological positives from a positive psychology perspective can be useful for both patients and healthcare professionals. Positive rehabilitation nutrition interventions can increase more psychological positives, such as well‐being, through cognitive‐behavioral therapy and mindfulness on their own, as well as through interventions on environmental factors. Consequently, physical, cognitive, and social positives are also expected to be enhanced.

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Social networking site usage: A systematic review of its relationship with social isolation, loneliness, and depression among older adults

Cited by 32 publications

References 42 publications

Effectiveness of Technology Interventions in Addressing Social Isolation, Connectedness, and Loneliness in Older Adults: Systematic Umbrella Review

Effectiveness of Technology Interventions in Addressing Social Isolation, Connectedness, and Loneliness in Older Adults: Systematic Umbrella Review

Socializing Targets of Older Adults’ SNS Use: Social Strain Mediates the Relations Between Older Adults’ SNS Use With Friends and Well-Being Outcomes

Psychological aspects of rehabilitation nutrition: A position paper by the Japanese Association of Rehabilitation Nutrition (secondary publication)

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