Effect of Physical Activity, Social Support, and Skills Training on Late-Life Emotional Health: A Systematic Literature Review and Implications for Public Health Research

Given that emotional health is a critical component of healthy aging, we undertook a systematic literature review to assess whether current interventions can positively affect older adults' emotional health. A national panel of health services and mental health researchers guided the review. El...

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Vydáno v:	Frontiers in Public Health Ročník 2; s. 213
Hlavní autoři:	Snowden, Mark B., Steinman, Lesley E., Carlson, Whitney L., Mochan, Kara N., Abraido-Lanza, Ana F., Bryant, Lucinda L., Duffy, Michael, Knight, Bob G., Jeste, Dilip V., Leith, Katherine H., Lenze, Eric J., Logsdon, Rebecca G., Satariano, William A., Zweiback, Damita J., Anderson, Lynda A.
Médium:	Journal Article
Jazyk:	angličtina
Vydáno:	Switzerland Frontiers Media SA 27.04.2015 Frontiers Media S.A
Témata:	3.1 Primary prevention interventions to modify behaviours or promote wellbeing Aged Aging and promotion of well-being Behavioral and Social Science Clinical Research Good Health and Well Being Health Promotion Health Sciences Health Services and Systems Mental Health Mind and Body older adults Prevention Prevention of disease and conditions Public aspects of medicine Public Health Public Health and Health Services RA1-1270 review aged health promotion mental health review
ISSN:	2296-2565, 2296-2565
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Abstract	Given that emotional health is a critical component of healthy aging, we undertook a systematic literature review to assess whether current interventions can positively affect older adults' emotional health. A national panel of health services and mental health researchers guided the review. Eligibility criteria included community-dwelling older adult (aged ≥ 50 years) samples, reproducible interventions, and emotional health outcomes, which included multiple domains and both positive (well-being) and illness-related (anxiety) dimensions. This review focused on three types of interventions - physical activity, social support, and skills training - given their public health significance and large number of studies identified. Panel members evaluated the strength of evidence (quality and effectiveness). In all, 292 articles met inclusion criteria. These included 83 exercise/physical activity, 25 social support, and 40 skills training interventions. For evidence rating, these 148 interventions were categorized into 64 pairings by intervention type and emotional health outcome, e.g., strength training targeting loneliness or social support to address mood. 83% of these pairings were rated at least fair quality. Expert panelists found sufficient evidence of effectiveness only for skills training interventions with health outcomes of decreasing anxiety and improving quality of life and self-efficacy. Due to limitations in reviewed studies, many intervention-outcome pairings yielded insufficient evidence. Skills training interventions improved several aspects of emotional health in community-dwelling older adults, while the effects for other outcomes and interventions lacked clear evidence. We discuss the implications and challenges in moving forward in this important area.
AbstractList	Given that emotional health is a critical component of healthy aging, we undertook a systematic literature review to assess whether current interventions can positively affect older adults' emotional health.PURPOSEGiven that emotional health is a critical component of healthy aging, we undertook a systematic literature review to assess whether current interventions can positively affect older adults' emotional health.A national panel of health services and mental health researchers guided the review. Eligibility criteria included community-dwelling older adult (aged ≥ 50 years) samples, reproducible interventions, and emotional health outcomes, which included multiple domains and both positive (well-being) and illness-related (anxiety) dimensions. This review focused on three types of interventions - physical activity, social support, and skills training - given their public health significance and large number of studies identified. Panel members evaluated the strength of evidence (quality and effectiveness).METHODSA national panel of health services and mental health researchers guided the review. Eligibility criteria included community-dwelling older adult (aged ≥ 50 years) samples, reproducible interventions, and emotional health outcomes, which included multiple domains and both positive (well-being) and illness-related (anxiety) dimensions. This review focused on three types of interventions - physical activity, social support, and skills training - given their public health significance and large number of studies identified. Panel members evaluated the strength of evidence (quality and effectiveness).In all, 292 articles met inclusion criteria. These included 83 exercise/physical activity, 25 social support, and 40 skills training interventions. For evidence rating, these 148 interventions were categorized into 64 pairings by intervention type and emotional health outcome, e.g., strength training targeting loneliness or social support to address mood. 83% of these pairings were rated at least fair quality. Expert panelists found sufficient evidence of effectiveness only for skills training interventions with health outcomes of decreasing anxiety and improving quality of life and self-efficacy. Due to limitations in reviewed studies, many intervention-outcome pairings yielded insufficient evidence.RESULTSIn all, 292 articles met inclusion criteria. These included 83 exercise/physical activity, 25 social support, and 40 skills training interventions. For evidence rating, these 148 interventions were categorized into 64 pairings by intervention type and emotional health outcome, e.g., strength training targeting loneliness or social support to address mood. 83% of these pairings were rated at least fair quality. Expert panelists found sufficient evidence of effectiveness only for skills training interventions with health outcomes of decreasing anxiety and improving quality of life and self-efficacy. Due to limitations in reviewed studies, many intervention-outcome pairings yielded insufficient evidence.Skills training interventions improved several aspects of emotional health in community-dwelling older adults, while the effects for other outcomes and interventions lacked clear evidence. We discuss the implications and challenges in moving forward in this important area.CONCLUSIONSkills training interventions improved several aspects of emotional health in community-dwelling older adults, while the effects for other outcomes and interventions lacked clear evidence. We discuss the implications and challenges in moving forward in this important area. Given that emotional health is a critical component of healthy aging, we undertook a systematic literature review to assess whether current interventions can positively affect older adults' emotional health. A national panel of health services and mental health researchers guided the review. Eligibility criteria included community-dwelling older adult (aged ≥ 50 years) samples, reproducible interventions, and emotional health outcomes, which included multiple domains and both positive (well-being) and illness-related (anxiety) dimensions. This review focused on three types of interventions - physical activity, social support, and skills training - given their public health significance and large number of studies identified. Panel members evaluated the strength of evidence (quality and effectiveness). In all, 292 articles met inclusion criteria. These included 83 exercise/physical activity, 25 social support, and 40 skills training interventions. For evidence rating, these 148 interventions were categorized into 64 pairings by intervention type and emotional health outcome, e.g., strength training targeting loneliness or social support to address mood. 83% of these pairings were rated at least fair quality. Expert panelists found sufficient evidence of effectiveness only for skills training interventions with health outcomes of decreasing anxiety and improving quality of life and self-efficacy. Due to limitations in reviewed studies, many intervention-outcome pairings yielded insufficient evidence. Skills training interventions improved several aspects of emotional health in community-dwelling older adults, while the effects for other outcomes and interventions lacked clear evidence. We discuss the implications and challenges in moving forward in this important area.
Author	Eric J. Lenze Kara N. Mochan Damita J. Zweiback Rebecca G. Logsdon Katherine H. Leith Dilip V. Jeste Lucinda L. Bryant Lynda A. Anderson Bob G. Knight William A. Satariano Michael Duffy Mark Snowden Lesley Steinman Whitney L. Carlson Ana F. Abraído-Lanza
AuthorAffiliation	6 Department of Community and Behavioral Health, Colorado School of Public Health, University of Colorado Denver , Aurora, CO , USA 11 Department of Psychiatry, Washington University School of Medicine , St Louis, MO , USA 4 Adolescent Medicine, Seattle Children’s , Seattle, WA , USA 12 Department of Psychosocial and Community Health, University of Washington School of Nursing , Seattle, WA , USA 7 Department of Educational Psychology, Counseling Psychology Program, Texas A&M University , College Station, TX , USA 14 Division of Chronic Disease and Injury Prevention, Michigan Department of Community Health , Lansing, MI , USA 10 College of Social Work, University of South Carolina , Columbia, SC , USA 1 Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine , Seattle, WA , USA 5 Department of Sociomedical Sciences, Columbia University Mailman School of Public Health , New York, NY , USA 8 Davis School of Gerontology and Department of Psychology, University
AuthorAffiliation_xml	– name: 4 Adolescent Medicine, Seattle Children’s , Seattle, WA , USA – name: 14 Division of Chronic Disease and Injury Prevention, Michigan Department of Community Health , Lansing, MI , USA – name: 1 Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine , Seattle, WA , USA – name: 9 Sam and Rose Stein Institute for Research on Aging and Department of Psychiatry, University of California San Diego , San Diego, CA , USA – name: 10 College of Social Work, University of South Carolina , Columbia, SC , USA – name: 12 Department of Psychosocial and Community Health, University of Washington School of Nursing , Seattle, WA , USA – name: 13 School of Public Health, University of California Berkeley , Berkeley, CA , USA – name: 7 Department of Educational Psychology, Counseling Psychology Program, Texas A&M University , College Station, TX , USA – name: 2 Health Promotion Research Center, University of Washington , Seattle, WA , USA – name: 11 Department of Psychiatry, Washington University School of Medicine , St Louis, MO , USA – name: 8 Davis School of Gerontology and Department of Psychology, University of Southern California , Los Angeles, CA , USA – name: 3 University of Washington School of Nursing with Environmental Health Focus , Seattle, WA , USA – name: 16 National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention , Atlanta, GA , USA – name: 6 Department of Community and Behavioral Health, Colorado School of Public Health, University of Colorado Denver , Aurora, CO , USA – name: 5 Department of Sociomedical Sciences, Columbia University Mailman School of Public Health , New York, NY , USA – name: 15 Healthy Aging Council and Health Equity Council, National Association of Chronic Disease Directors , Atlanta, GA , USA – name: 17 Rollins School of Public Health, Emory University , Atlanta, GA , USA
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Copyright	Copyright © 2015 Snowden, Steinman, Carlson, Mochan, Abraido-Lanza, Bryant, Duffy, Knight, Jeste, Leith, Lenze, Logsdon, Satariano, Zweiback and Anderson. 2015
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Snippet	Given that emotional health is a critical component of healthy aging, we undertook a systematic literature review to assess whether current interventions can...
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SubjectTerms	3.1 Primary prevention interventions to modify behaviours or promote wellbeing Aged Aging and promotion of well-being Behavioral and Social Science Clinical Research Good Health and Well Being Health Promotion Health Sciences Health Services and Systems Mental Health Mind and Body older adults Prevention Prevention of disease and conditions Public aspects of medicine Public Health Public Health and Health Services RA1-1270 review
Title	Effect of Physical Activity, Social Support, and Skills Training on Late-Life Emotional Health: A Systematic Literature Review and Implications for Public Health Research
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