Social Participation, Loneliness and Depression

Burroughs, Heather; Wilkie, Ross

doi:10.1007/978-3-319-29492-6_6

Cited by 5 publications

(2 citation statements)

References 44 publications

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“…Kalantari and his research teams also reported a negative association that was statistically significant (Kalantari, 2014). Nyqvist et al reported the lack of social capacity is associated with the development of sense of loneliness (Nyqvist, Victor, Forsman, & Cattan, 2016), that is, as social participation increases, sense of loneliness may decrease (Burroughs & Wilkie, 2016; Due, Sandholdt, & Waldorff, 2017; Newall et al., 2009; Shankar, McMunn, Demakakos, Hamer, & Steptoe, 2017). The lack of association may have been due to the small sample size.…”

Section: Discussionmentioning

confidence: 99%

Social participation and loneliness among older adults in Yazd, Iran

Rezaeipandari

Ravaei

Bahrevar

et al. 2020

Health Soc Care Community

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Active involvement in social life is known to be a factor in successful aging (Rowe & Kahn, 1997). Social participation is a form of social interaction that includes activities with friends, family and/or other individuals (Couton & Gaudet, 2008), talking over the phone, doing religious activities, attending cultural events and going to exercise groups (Vogelsang, 2016). Additionally, social participation has the potential to positively affect older adults' health benefits by reducing cognitive decline and bettering the quality of life (Stevens

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Section: Discussionmentioning

confidence: 99%

Social participation and loneliness among older adults in Yazd, Iran

Rezaeipandari

Ravaei

Bahrevar

et al. 2020

Health Soc Care Community

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“…[59][60][61] It has been argued that creativity plays an important role in later life and has positive implications for health and well-being and the maintenance of social networks by older people. [62][63][64][65] Creative activity has also been shown to provide therapeutic benefits, 66 further evidenced by the rise in community-based 'art for health' across the UK. 67 A report from the Baring Foundation 68 argues that the arts are an effective way to tackle loneliness, offering opportunities to connect and contribute, and to develop friendships and a sense of being valued, so that resilience is enhanced.…”

Section: Rationale For the Notepad Studymentioning

confidence: 99%

Non-traditional support workers delivering a brief psychosocial intervention for older people with anxiety and depression: the NOTEPAD feasibility study

Burroughs

Bartlam

Bullock

et al. 2019

Health Serv Deliv Res

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BackgroundAnxiety and depression often coexist in older people. These disorders are often underdiagnosed and undertreated, and are associated with increased use of health and social care services, and raised mortality. Barriers to diagnosis include the reluctance of older people to present to their general practitioner (GP) with mood symptoms because of the stigma they perceive about mental health problems, and because the treatments offered are not acceptable to them.ObjectivesTo refine a community-based psychosocial intervention for older people with anxiety and/or depression so that it can be delivered by non-traditional providers such, as support workers (SWs), in the third sector. To determine whether or not SWs can be trained to deliver this intervention to older people with anxiety and/or depression. To test procedures and determine if it is feasible to recruit and randomise patients, and to conduct a process evaluation to provide essential information to inform a randomised trial.DesignThree phases, all informed by a patient and public involvement and engagement group. Qualitative work with older people and third-sector providers, plus a consensus group to refine the intervention, training, SW manuals and patient participant materials (phase 1). Recruitment and training of SWs (phase 2). Feasibility study to test recruitment procedures and assess fidelity of delivery of the intervention; and interviews with study participants, SWs and GPs to assess acceptability of the intervention and impact on routine care (phase 3).SettingNorth Staffordshire, in collaboration with Age UK North Staffordshire.InterventionA psychosocial intervention, comprising one-to-one contact between older people with anxiety and/or depression and a SW employed by Age UK North Staffordshire, based on the principles of behavioural activation (BA), with encouragement to participate in a group activity.ResultsInitial qualitative work contributed to refinement of the psychosocial intervention. Recruitment (and retention) of the SWs was possible; the training, support materials and manual were acceptable to them, and they delivered the intervention as intended. Recruitment of practices from which to recruit patients was possible, but the recruitment target (100 patients) was not achieved, with 38 older adults randomised. Retention at 4 months was 86%. The study was not powered to demonstrate differences in outcomes. Older people in the intervention arm found the sessions with SWs acceptable, although signposting to, and attending, groups was not valued by all participants. GPs recognised the need for additional care for older people with anxiety and depression, which they could not provide. Participation in the study did not have an impact on routine care, other than responding to the calls from the study team about risk of self-harm. GPs were not aware of the work done by SWs with patients.LimitationsTarget recruitment was not achieved.ConclusionsSupport workers recruited from Age UK employees can be recruited and trained to deliver an intervention, based on the principles of BA, to older people with anxiety and/or depression. The training and supervision model used in the study was acceptable to SWs, and the intervention was acceptable to older people.Future workFurther development of recruitment strategies is needed before this intervention can be tested in a fully powered randomised controlled trial.Trial registrationCurrent Controlled Trials ISRCTN16318986.FundingThis project was funded by the National Institute for Health Research (NIHR) Health Services and Delivery Research programme and will be published in full inHealth Services and Delivery Research; Vol. 7, No. 25. See the NIHR Journals Library website for further project information.

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