The Impact of Psychosocial Interventions on Older Adults in the Community Experiencing Social Isolation: An Integrative Review.

Saved in:
Bibliographic Details
Title: The Impact of Psychosocial Interventions on Older Adults in the Community Experiencing Social Isolation: An Integrative Review.
Authors: Keane AM; School of Nursing and Midwifery, Health Research Institute, University of Limerick, Limerick, Ireland., Bright AM; School of Nursing and Midwifery, Health Research Institute, University of Limerick, Limerick, Ireland., Greenan L; School of Nursing and Midwifery, Health Research Institute, University of Limerick, Limerick, Ireland., Grealish A; School of Nursing and Midwifery, Health Research Institute, University of Limerick, Limerick, Ireland.; Florence Nightingale Faculty of Nursing, Midwifery & Palliative Care, King's College London, London, UK.
Source: International journal of mental health nursing [Int J Ment Health Nurs] 2025 Dec; Vol. 34 (6), pp. e70186.
Publication Type: Journal Article; Review
Language: English
Journal Info: Publisher: Blackwell Pub Country of Publication: Australia NLM ID: 101140527 Publication Model: Print Cited Medium: Internet ISSN: 1447-0349 (Electronic) Linking ISSN: 14458330 NLM ISO Abbreviation: Int J Ment Health Nurs Subsets: MEDLINE
Imprint Name(s): Publication: Carlton, Vic. : Wiley-Blackwell : Blackwell Pub.
Original Publication: Carlton, Vic. : Blackwell Pub., c2002-
MeSH Terms: Social Isolation*/psychology , Psychosocial Intervention*/methods, Humans ; Aged
Abstract: The older adult population aged 65 years and over is growing rapidly and social isolation among this population has been recognised as a significant public health concern. High rates of physical, emotional and cognitive comorbid conditions are commonly linked among older adults with social isolation. As the older adult population increases, the need for psychosocial interventions will increase in order for health services to serve this ageing population. The aim of this review was to explore and evaluate the effectiveness of psychosocial interventions implemented in community settings to reduce social isolation in older adults. Whittemore and Knafl's five-stage integrative review framework guided this review as it facilitates the inclusion and integration of diverse methodological approaches to experimental research. Five electronic databases (CINAHL, Medline, Web of Science, PsycINFO and Embase) were systematically searched and reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Of the 14 989 studies retrieved from database search, seven studies met the inclusion criteria and were synthesised using narrative synthesis. Ten types of psychosocial interventions for older adults with social isolation were identified that can be delivered by healthcare professionals. The positive impact of these on social isolation, and comorbidities such as depression and anxiety has been demonstrated. In addition, we identified the useful components of these interventions and the experiences of older adults and healthcare professionals in delivering psychosocial interventions, thereby highlighting the key elements that contribute to successful outcomes. Findings strongly suggest the need for enhanced support structures and greater integration of psychosocial approaches into routine community care for older adults. Therefore, training for healthcare professionals to provide psychosocial interventions to older adults in the community is needed.
(© 2025 The Author(s). International Journal of Mental Health Nursing published by John Wiley & Sons Australia, Ltd.)
References: BMC Public Health. 2011 Aug 15;11:647. (PMID: 21843337)
Cochrane Database Syst Rev. 2018 Mar 01;3:CD001120. (PMID: 29493789)
J Affect Disord. 2019 Feb 15;245:653-667. (PMID: 30445391)
BMJ. 2021 Mar 29;372:n71. (PMID: 33782057)
J Prim Prev. 2012 Jun;33(2-3):137-52. (PMID: 22766606)
Int J Environ Res Public Health. 2024 May 23;21(6):. (PMID: 38928911)
J Health Soc Behav. 2009 Mar;50(1):31-48. (PMID: 19413133)
J Adv Nurs. 2005 Dec;52(5):546-53. (PMID: 16268861)
Aging Clin Exp Res. 2025 Jan 21;37(1):29. (PMID: 39836319)
Perspect Psychol Sci. 2015 Mar;10(2):227-37. (PMID: 25910392)
Pers Soc Psychol Rev. 2011 Aug;15(3):219-66. (PMID: 20716644)
Int J Environ Res Public Health. 2022 Feb 25;19(5):. (PMID: 35270358)
J Adv Nurs. 2009 Jun;65(6):1342-52. (PMID: 19291185)
Proc Natl Acad Sci U S A. 2013 Apr 9;110(15):5797-801. (PMID: 23530191)
Lancet Psychiatry. 2020 Feb;7(2):162-172. (PMID: 31948935)
Int J Ment Health Nurs. 2025 Dec;34(6):e70186. (PMID: 41332020)
Antioxid Redox Signal. 2018 Mar 20;28(9):837-851. (PMID: 28903579)
Heliyon. 2023 Dec 06;10(1):e23379. (PMID: 38148800)
Health Soc Care Community. 2018 Jul;26(4):e552-e559. (PMID: 29582501)
Int J Qual Stud Health Well-being. 2023 Dec;18(1):2223868. (PMID: 37327403)
Clin Nurs Res. 2023 Sep;32(7):1021-1030. (PMID: 37345951)
Qual Life Res. 2011 Dec;20(10):1727-36. (PMID: 21479777)
BMJ. 2014 Mar 07;348:g1687. (PMID: 24609605)
Acta Psychiatr Scand. 1983 Jun;67(6):361-70. (PMID: 6880820)
Psychol Aging. 2006 Mar;21(1):140-51. (PMID: 16594799)
J Aging Health. 2012 Dec;24(8):1346-63. (PMID: 23006425)
Heart. 2016 Jul 1;102(13):1009-16. (PMID: 27091846)
Aging Ment Health. 2005 Nov;9(6):517-25. (PMID: 16214699)
BMC Public Health. 2020 Feb 14;20(1):129. (PMID: 32054474)
J Am Heart Assoc. 2022 Aug 16;11(16):e026493. (PMID: 35924775)
PLoS One. 2021 Feb 17;16(2):e0247139. (PMID: 33596273)
Am J Public Health. 2013 Nov;103(11):2056-62. (PMID: 24028260)
BMC Geriatr. 2020 Sep 21;20(1):356. (PMID: 32958076)
Nurs Older People. 2005 Mar 1;17(1):40. (PMID: 27736564)
Gerontologist. 2006 Aug;46(4):503-13. (PMID: 16921004)
Health Soc Care Community. 2018 Mar;26(2):147-157. (PMID: 27413007)
Qual Health Res. 2016 Dec;26(14):2024-2034. (PMID: 26935720)
Health Soc Care Community. 2020 Sep;28(5):1488-1503. (PMID: 32185842)
Health Soc Care Community. 2017 May;25(3):799-812. (PMID: 26712585)
Contributed Indexing: Keywords: community mental health; mental health; older adults; psychosocial interventions; social isolation
Entry Date(s): Date Created: 20251203 Date Completed: 20251203 Latest Revision: 20251206
Update Code: 20251206
PubMed Central ID: PMC12673195
DOI: 10.1111/inm.70186
PMID: 41332020
Database: MEDLINE
Description
Abstract:The older adult population aged 65 years and over is growing rapidly and social isolation among this population has been recognised as a significant public health concern. High rates of physical, emotional and cognitive comorbid conditions are commonly linked among older adults with social isolation. As the older adult population increases, the need for psychosocial interventions will increase in order for health services to serve this ageing population. The aim of this review was to explore and evaluate the effectiveness of psychosocial interventions implemented in community settings to reduce social isolation in older adults. Whittemore and Knafl's five-stage integrative review framework guided this review as it facilitates the inclusion and integration of diverse methodological approaches to experimental research. Five electronic databases (CINAHL, Medline, Web of Science, PsycINFO and Embase) were systematically searched and reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Of the 14 989 studies retrieved from database search, seven studies met the inclusion criteria and were synthesised using narrative synthesis. Ten types of psychosocial interventions for older adults with social isolation were identified that can be delivered by healthcare professionals. The positive impact of these on social isolation, and comorbidities such as depression and anxiety has been demonstrated. In addition, we identified the useful components of these interventions and the experiences of older adults and healthcare professionals in delivering psychosocial interventions, thereby highlighting the key elements that contribute to successful outcomes. Findings strongly suggest the need for enhanced support structures and greater integration of psychosocial approaches into routine community care for older adults. Therefore, training for healthcare professionals to provide psychosocial interventions to older adults in the community is needed.<br /> (© 2025 The Author(s). International Journal of Mental Health Nursing published by John Wiley & Sons Australia, Ltd.)
ISSN:1447-0349
DOI:10.1111/inm.70186