Interventions for alleviating loneliness among older persons: a critical review

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Cohen-Mansfield, Jiska and Perach, Rotem. 2015. Interventions for alleviating loneliness among older persons: a critical review. American Journal of Health Promotion: AJHP, 29(3), e109-125. ISSN 0890-1171 [Article]

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Official URL: http://journals.sagepub.com/doi/10.4278/ajhp.13041...

Abstract or Description

OBJECTIVES

Loneliness is common among older persons and has been associated with health and mental health risks. This systematic review examines the utility of loneliness interventions among older persons.

DATA SOURCE

Thirty-four intervention studies were used. STUDY INCLUSION CRITERIA: The study was conducted between 1996 and 2011, included a sample of older adults, implemented an intervention affecting loneliness or identified a situation that directly affected loneliness, included in its outcome measures the effects of the intervention or situation on loneliness levels or on loneliness-related measures (e.g., social interaction), and included in its analysis pretest-posttest comparisons.

DATA EXTRACTION

Studies were accessed using the databases PsycINFO, MEDLINE, ScienceDirect, AgeLine, PsycBOOKS, and Google Scholar for the years 1996-2011.

DATA SYNTHESIS

Interventions were classified based on population, format, and content and were evaluated for quality of design and efficacy.

RESULTS

Twelve studies were effective in reducing loneliness according to the review criteria, and 15 were evaluated as potentially effective. The findings suggest that it is possible to reduce loneliness by using educational interventions focused on social networks maintenance and enhancement.

CONCLUSIONS

Multiple approaches show promise, although flawed design often prevents proper evaluation of efficacy. The value of specific therapy techniques in reducing loneliness is highlighted and warrants a wider investigation. Studies of special populations, such as the cognitively impaired, are also needed.

Item Type:

Article

Identification Number (DOI):

https://doi.org/10.4278/ajhp.130418-LIT-182

Keywords:

Loneliness, Social Isolation, Review, Intervention, Older Persons, Manuscript format: literature review, Research purpose: descriptive, Study design: content analysis, Outcome measure: loneliness, social support, Setting: community and nursing homes, Health focus: social health, spiritual health, Strategy: education, skill building/behavior change, Target population age: seniors

Departments, Centres and Research Units:

Psychology

Dates: