Interventions in ambulatory healthcare settings to reduce social isolation among adults aged 18-64: a systematic review.

Autor:	Anchuri K; Upstream Lab, MAP Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, Unity Health Toronto, Toronto, Canada.; Dalla Lana School of Public Health, University of Toronto, Toronto, Canada.; Department of Family and Community Medicine, St. Michael's Hospital, Toronto, Canada., Steiner L; Upstream Lab, MAP Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, Unity Health Toronto, Toronto, Canada.; Dalla Lana School of Public Health, University of Toronto, Toronto, Canada., Rabet R; Upstream Lab, MAP Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, Unity Health Toronto, Toronto, Canada., Craig-Neil A; Upstream Lab, MAP Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, Unity Health Toronto, Toronto, Canada., San Antonio E; Upstream Lab, MAP Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, Unity Health Toronto, Toronto, Canada., Ogundele SO; Upstream Lab, MAP Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, Unity Health Toronto, Toronto, Canada., Seabrook M; Upstream Lab, MAP Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, Unity Health Toronto, Toronto, Canada.; Institute for Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, Canada., Pope C; Dalla Lana School of Public Health, University of Toronto, Toronto, Canada., Dai S; Dalla Lana School of Public Health, University of Toronto, Toronto, Canada., Schuler A; Department of Family and Community Medicine, St. Michael's Hospital, Toronto, Canada., Ziegler C; Library Services, Unity Health Toronto, St. Michael's Hospital, Toronto, Canada., Pinto AD; Upstream Lab, MAP Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, Unity Health Toronto, Toronto, Canada andrew.pinto@utoronto.ca.; Dalla Lana School of Public Health, University of Toronto, Toronto, Canada.; Department of Family and Community Medicine, St. Michael's Hospital, Toronto, Canada.; Institute for Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, Canada.; Department of Family and Community Medicine, Faculty of Medicine, University of Toronto, Toronto, Canada.
Jazyk:	angličtina
Zdroj:	BJGP open [BJGP Open] 2024 May 17. Date of Electronic Publication: 2024 May 17.
DOI:	10.3399/BJGPO.2023.0119
Abstrakt:	Background: Social isolation is associated with increased all-cause and premature mortality, poor chronic disease management, and mental health concerns. Limited research exists on interventions addressing social isolation among individuals under 65 despite its increasing prevalence among young and middle-aged adults. Aim: To identify interventions from the extant literature that address social isolation and loneliness in ambulatory healthcare settings in adults aged 18-64, and to identify elements of successful studies for future intervention design. Design & Setting: Systematic review of interventions targeting social isolation in community-dwelling adults aged 18-64 within ambulatory healthcare settings. Method: A search strategy was developed to identify relevant articles in the following databases: Ovid MEDLINE, Embase, EBM Reviews, Scopus, CINAHL and PsychInfo. Data were extracted on study design and setting, intervention type, outcome related to social isolation/loneliness and scale of measure used. Results: 25,078 citations were identified and underwent title and abstract screening. 75 articles met our inclusion criteria and were synthesised, including an assessment of bias. Effective interventions were delivered in community health settings, incorporated a group component, and used digital technologies. They also addressed the association between mental health and social isolation using CBT approaches and enhanced self-management and coping strategies for chronic conditions through psycho-educational interventions. Conclusion: Future research should prioritise adults living in low- and middle-income countries, racialized individuals, as well as those with fewer educational opportunities. There is also a need to advance research in primary care settings, where longitudinal patient-provider relationships would facilitate the success of interventions. (Copyright © 2024, The Authors.)
Databáze:	MEDLINE
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