The effectiveness of e-Interventions on reducing social isolation in older persons: A systematic review of systematic reviews

Chipps, Jennifer; Jarvis, Mary Ann; Ramlall, Suvira

doi:10.1177/1357633x17733773

Cited by 98 publications

(108 citation statements)

References 49 publications

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“…Social support and social connectedness may be related to the frequency of both offline and online social contact between older adults who met entirely online . The findings complement recent literature, suggesting computer‐mediated communication may provide favourable social outcomes for older adults, including positive well‐being, through a buffering process . Further research employing a longitudinal design would help to clarify the causal elements, that is, whether computer‐mediated communication and associated social support can help protect against life stressors such as driving cessation in older age, which may lead to loneliness and changes to perceived self‐efficacy …”

Section: Discussionsupporting

confidence: 68%

“…Empirical evidence supporting the potential benefits of computer‐mediated communication among older adult population, while theoretically promising, is mixed . The present paper extends previous reviews of this area, which have primarily focused on the social impact of teaching computer‐mediated communication to older adults, by quantitatively investigating the relationship between computer‐mediated communication and social support and connectedness. The specific aims were to (a) identify and examine the ways in which previous research has measured the relationship between computer‐mediated communication and social function in community‐dwelling older adults, and (b) examine the magnitude of the relationship between computer‐mediated communication and social function.…”

Section: Introductionmentioning

confidence: 70%

“…Scopus citation searching of identified studies was also conducted, with one additional study identified through this process. Finally, a reference check of related meta‐analyses and systematic reviews was performed . This review is registered on the PROSPERO database for systematic reviews (CRD 42018092153).…”

Section: Methodsmentioning

confidence: 99%

“…For example, video conferencing has been shown to be more successful than social media platforms (eg Facebook) in offering a sense that the people communicating are actually “together”, reflecting differences in how “social” the channel is . For some people, computer‐mediated support may even enhance social well‐being and reduce loneliness by facilitating interpersonal relationships . This includes older adults, who are online in increasing numbers .…”

Section: Introductionmentioning

confidence: 99%

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Computer‐mediated communication and social support among community‐dwelling older adults: A systematic review of cross‐sectional data

2019

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Objective To systematically assess the relationship between computer‐mediated communication and social function in older adults aged 55 or older. Methods Embase, PsycINFO and PubMed were searched (database inception to December 2018). Where available, effect sizes (correlation r) with 95% confidence intervals and P values were calculated for individual studies. Of 4,139 eligible articles retrieved, 17 studies involving a pooled sample of 17,640 participants were included. Results Frequent computer‐mediated communication was significantly, albeit weakly, associated with higher levels of social support and connectedness (r range = 0.08 to 0.33, P < 0.05). One discrepant negative relationship was noted (r = −0.16, 95% CI [−0.30, −0.02], P = 0.03), involving a distinct sample of gamers. Conclusions Computer‐mediated communication is related to amount of social functioning in older adults, although the causal nature of this relationship requires further longitudinal investigation. Sample confounds (eg socio‐economic status and successful ageing) may limit the interpretation of these findings.

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Section: Discussionsupporting

confidence: 68%

Section: Introductionmentioning

confidence: 70%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Computer‐mediated communication and social support among community‐dwelling older adults: A systematic review of cross‐sectional data

2019

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“…Tindakan keperawatan klien isolasi sosial yaitu dengan cara membantu klien mengidentifikasi penyebab, manfaat mempunyai teman,kerugian tidak mempunyai teman, latihan berkenalan dengan orang lain secara bertahap (Keliat & Akemat, 2010). Beberapa studi telah dilakukan untuk mengatasi masalah isolasi sosial dengan memberikan berbagai intervensi keperawatan yaitu Social Affiliation Enhancement Tasks,SocializationEnhancement, Social Network Intervention, Behavior Modification: socialskills, e-Intervention, Terapi Aktivitas Kelompok Sosialisai (TAKS), Strategies Against Stigma and Discrimination (SASD), Psychoeducation Social Skills Training (SST), dan Cognitive Behavioral Therapy (CBT) (Kopelowicz & Liberman, 2003;Li, et al, 2010;Gomes & Miguel, 2012;Tarzian, et al, 2013;Bulechek,Bulechek, et al, 2013;McCarthy, et al, 2017;Chipps, Jarvis & Ramlall, 2017).…”

Section: Pendahuluanunclassified

Studi Kasus: Asuhan Keperawatan Pada Klien Isolasi Sosial Pasca Pasung

Fadly¹,

Hargiana²

2018

FHJ

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AbstrakIsolasi sosial merupakan keadaan dimana seorang individu mengalami penurunan bahkan sama sekali tidak mampu berinteraksi dengan orang lain di sekitarnya. Tujuanstudi kasus ini adalah untuk menganalisis tentang asuhan keperawatan isolasi sosial pasca pasung pada Tn. P dengan skizofrenia paranoid. Proses asuhan keperawatan dilakukan berdasarkan standar asuhan keperawatan generalis selama enam hari rawat pada tanggal 7-12 Mei 2018 pada Tn. P dengan usia 32 tahun dan berjenis kelamin laki-laki. Hasil didapatkan masalah keperawatan utama adalah isolasi sosial. Implementasi keperawatan berfokus pada kemampuan klien membina hubungan saling percaya dan meningkatkan kemampuan klien berinteraksi secara bertahap. Intervensi keperawatan memberikan dampak yang positif kepada klien dilihat dengan penurunan tanda dan gejala isolasi sosial pada aspek kognitif, afektif, fisiologis dan sosial, namun belum tampak penurunan pada aspek perilaku. Faktor yang menyebabkan klien sulit membina hubungan dengan perawat yaitu faktor internal dimana klien memiliki penilaian negatif terhadap diri sendiri, orang lain dan lingkungan dan faktor eksternal dimana klien menganggap perawat sebagai stressor yang membahayakan. Rencana tindak lanjut pelayanan keperawatan diharapkan dapat dimaksimalkan baik secara individu, keluarga, kelompok dan komunitas. Kata Kunci: isolasi sosial, skizofrenia paranoid, standar asuhan keperawatan Abstract Social isolation is characterized by decline or loss inability to interact with others. This paper aimed to analyze the nursing care of social isolation on Mr. P with schizophrenia paranoid. The nursing care process is based on the standard of generalist nursing care which provided for six days from May 7 th throughout 12 th 2018 on Mr. P aged 32 years male. Main nursing problem was social isolation. Nursing intervention was emphasized on client's ability to establish mutual relationship and improve client's communication skills gradually. Nursing interventions affected client positively as manifested gy decreased signs and symptoms of social isolation on the cognitive, affective, physiological and social aspects, but there had not been a decline in behavioral aspects. Client's barriers in establishing relationship with nurses were internal factors in which clients had negative judgments about themselves, others and the environment and external factors where clients considered the nurse as a threatening stressor. Nursing care follow-up plans are expected to be maximized for individually, family, group and community.

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Interventions Associated With Reduced Loneliness and Social Isolation in Older Adults

et al. 2022

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ImportanceLoneliness and social isolation are public health concerns faced by older adults due to physical, cognitive, and psychosocial changes that develop with aging. Loneliness and social isolation are associated with increased morbidity and mortality.ObjectiveTo evaluate interventions, targeting older adults, associated with a reduction in loneliness and social isolation.Data SourcesOVID, CINAHL, CENTRAL, Embase, PsychINFO, Web of Science, and Scopus were searched from inception to March 2020.Study SelectionPeer-reviewed randomized clinical trials measuring loneliness and social isolation or support in adults aged 65 years or older. Only English language articles were included.Data Extraction and SynthesisTwo independent reviewers screened studies, extracted data, and assessed risk of bias. Random-effects models were performed to pool the overall effect size by intervention. Statistical heterogeneity was evaluated with the I2 statistic and by estimating prediction intervals. Data were analyzed from November 2021 to September 2022.Main Outcomes and MeasuresQuantitative measures of loneliness, social isolation, or social support based on an effect size of standardized mean differences.ResultsSeventy studies were included in the systematic review (8259 participants); 44 studies were included in the loneliness meta-analysis (33 in the community with 3535 participants; 11 in long-term care with 1057 participants), with participants’ ages ranging from 55 to 100 years. Study sizes ranged from 8 to 741 participants. Interventions included animal therapy, psychotherapy or cognitive behavioral therapy, multicomponent, counseling, exercise, music therapy, occupational therapy, reminiscence therapy, social interventions, and technological interventions. Most interventions had a small effect size. Animal therapy in long-term care, when accounting for studies with no active controls, had the largest effect size on loneliness reduction (−1.86; 95% CI, −3.14 to −0.59; I2 = 86%) followed by technological interventions (videoconferencing) in long-term care (−1.40; 95% CI, −2.37 to −0.44; I2 = 70%).Conclusions and RelevanceIn this study, animal therapy and technology in long-term care had large effect sizes, but also high heterogeneity, so the effect size’s magnitude should be interpreted with caution. The small number of studies per intervention limits conclusions on sources of heterogeneity. Overall quality of evidence was very low. Future studies should consider measures of social isolation in long-term care and identify the contextual components that are associated with a reduction in loneliness.

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The effectiveness of e-Interventions on reducing social isolation in older persons: A systematic review of systematic reviews

Cited by 98 publications

References 49 publications

Computer‐mediated communication and social support among community‐dwelling older adults: A systematic review of cross‐sectional data

Computer‐mediated communication and social support among community‐dwelling older adults: A systematic review of cross‐sectional data

Studi Kasus: Asuhan Keperawatan Pada Klien Isolasi Sosial Pasca Pasung

Interventions Associated With Reduced Loneliness and Social Isolation in Older Adults

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