Skip to main content
main-content

01.12.2018 | Research | Ausgabe 1/2018 Open Access

Systematic Reviews 1/2018

What is the impact on health and wellbeing of interventions that foster respect and social inclusion in community-residing older adults? A systematic review of quantitative and qualitative studies

Zeitschrift:
Systematic Reviews > Ausgabe 1/2018
Autoren:
S. Ronzi, L. Orton, D. Pope, N. K. Valtorta, N. G. Bruce
Wichtige Hinweise

Electronic supplementary material

The online version of this article (https://​doi.​org/​10.​1186/​s13643-018-0680-2) contains supplementary material, which is available to authorized users.

Abstract

Background

Many interventions have been developed to promote respect and social inclusion among older people, but the evidence on their impacts on health has not been synthesised. This systematic review aims to appraise the state of the evidence across the quantitative and qualitative literature.

Methods

Eligible studies published between 1990 and 2015 were identified by scanning seven bibliographic databases using a pre-piloted strategy, searching grey literature and contacting experts. Studies were included if they assessed the impact (quantitatively) and/or perceived impact (qualitatively) of an intervention promoting respect and social inclusion on the physical or mental health of community-residing people aged 60 years and older. Titles and abstracts were screened for eligibility by one reviewer. A second reviewer independently screened a 10% random sample. Full texts were screened for eligibility by one reviewer, with verification by another reviewer. Risk of bias was assessed using standardised tools. Findings were summarised using narrative synthesis, harvest plots and logic models to depict the potential pathways to health outcomes.

Results

Of the 27,354 records retrieved, 40 studies (23 quantitative, 6 qualitative, 11 mixed methods) were included. All studies were conducted in high and upper middle-income countries. Interventions involved mentoring, intergenerational and multi-activity programmes, dancing, music and singing, art and culture and information-communication technology. Most studies (n = 24) were at high or moderate risk of bias. Music and singing, intergenerational interventions, art and culture and multi-activity interventions were associated with an overall positive impact on health outcomes. This included depression (n = 3), wellbeing (n = 3), subjective health (n = 2), quality of life (n = 2), perceived stress and mental health (n = 2) and physical health (n = 2). Qualitative studies offered explanations for mediating factors (e.g. improved self-esteem) that may lead to improved health outcomes and contributed to the assessment of causation.

Conclusions

Whilst this review suggests that some interventions may positively impact on the health outcomes of older people, and identified mediating factors to health outcomes, the evidence is based on studies with heterogeneous methodologies. Many of the interventions were delivered as projects to selected groups, raising important questions about the feasibility of wider implementation and the potential for population-wide benefits.

Systematic review registration

PROSPERO registration number CRD42014010107
Zusatzmaterial
Additional file 1: PRISMA 2009 checklist. PRISMA 2009 checklist. (DOC 66 kb)
13643_2018_680_MOESM1_ESM.doc
Additional file 2: Search strategy database(s): Ovid MEDLINE(R) and Ovid OLDMEDLINE(R). Search strategy MEDLINE. (DOCX 14 kb)
13643_2018_680_MOESM2_ESM.docx
Additional file 3: Overview of the health outcomes and scales used to assess the interventions on respect and social inclusion (34 studies in total). Overview of the health outcomes and scales used to assess the interventions on respect and social inclusion. (DOCX 20 kb)
13643_2018_680_MOESM3_ESM.docx
Additional file 7: Item-level risk of bias (RoB) assessment for qualitative studies using tools adapted from Harden et al. [ 62] and Mays and Pope [ 63]. Item-level risk of bias (RoB) assessment for qualitative studies. (DOCX 23 kb)
Literatur
Über diesen Artikel

Weitere Artikel der Ausgabe 1/2018

Systematic Reviews 1/2018 Zur Ausgabe