Interventions to improve the health and wellbeing of older people living alone: a mixed-methods systematic review of effectiveness and accessibility
| Autor: | Emma Renehan, Joanne Enticott, Georgina Johnstone, Rajna Ogrin, Duncan Mortimer, Marissa Dickins, Judy Lowthian |
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| Rok vydání: | 2020 |
| Předmět: |
Gerontology
030506 rehabilitation Health (social science) Social Psychology Scope (project management) business.industry Service design Public Health Environmental and Occupational Health Psychological intervention Scopus MEDLINE CINAHL PsycINFO 03 medical and health sciences 0302 clinical medicine Arts and Humanities (miscellaneous) Intervention (counseling) 030212 general & internal medicine Geriatrics and Gerontology 0305 other medical science business Psychology |
| Zdroj: | Ageing and Society. 41:1587-1636 |
| ISSN: | 1469-1779 0144-686X |
| DOI: | 10.1017/s0144686x19001818 |
| Popis: | The global population is ageing and the likelihood of living alone increases with age. Services are necessary to help older people living alone to optimise health and wellbeing. This systematic review aimed to summarise the effectiveness and accessibility of interventions to improve the health and wellbeing of older people living alone. Relevant electronic databases (CINAHL, MEDLINE, PsycINFO and Scopus) were searched for all years up to August 2018. Studies were included if they involved older people (aged ⩾55 years) living alone, and an intervention with measured health and wellbeing outcomes. All study types were included. The Theory of Access was used to assess interventions across dimensions of accessibility, availability, acceptability, affordability, adequacy and awareness. Twenty-eight studies met the eligibility criteria; 17 studies focused on ageing safely in place and 11 on psychological and social wellbeing. Studies comprised quantitative (N = 19), qualitative (N = 4) and mixed-methods (N = 5) approaches. Dimensions from the Theory of Access were poorly addressed in the studies, particularly those of higher-quality methodology. Studies were heterogeneous, preliminary in scope and lacked consistent study design, methodology or measurement. Services that do not address user accessibility in design or evaluation may be limited in their uptake and impact. It is recommended that dimensions of access and co-creation principles be integrated into service design processes and be evaluated alongside clinical effectiveness. |
| Databáze: | OpenAIRE |
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