Interventions that have potential to help older adults living with social frailty: a systematic scoping review.

Geriatrics Information communication technology Older adults Scoping review Self-management Social frailty

Journal

BMC geriatrics
ISSN: 1471-2318
Titre abrégé: BMC Geriatr
Pays: England
ID NLM: 100968548

Informations de publication

Date de publication:
15 Jun 2024
Historique:
received: 22 09 2023
accepted: 20 05 2024
medline: 16 6 2024
pubmed: 16 6 2024
entrez: 15 6 2024
Statut: epublish

Résumé

The impact of social frailty on older adults is profound including mortality risk, functional decline, falls, and disability. However, effective strategies that respond to the needs of socially frail older adults are lacking and few studies have unpacked how social determinants operate or how interventions can be adapted during periods requiring social distancing and isolation such as the COVID-19 pandemic. To address these gaps, we conducted a scoping review using JBI methodology to identify interventions that have the best potential to help socially frail older adults (age ≥65 years). We searched MEDLINE, CINAHL (EPSCO), EMBASE and COVID-19 databases and the grey literature. Eligibility criteria were developed using the PICOS framework. Our results were summarized descriptively according to study, patient, intervention and outcome characteristics. Data synthesis involved charting and categorizing identified interventions using a social frailty framework.  RESULTS: Of 263 included studies, we identified 495 interventions involving ~124,498 older adults who were mostly female. The largest proportion of older adults (40.5%) had a mean age range of 70-79 years. The 495 interventions were spread across four social frailty domains: social resource (40%), self-management (32%), social behavioural activity (28%), and general resource (0.4%). Of these, 189 interventions were effective for improving loneliness, social and health and wellbeing outcomes across psychological self-management, self-management education, leisure activity, physical activity, Information Communication Technology and socially assistive robot interventions. Sixty-three interventions were identified as feasible to be adapted during infectious disease outbreaks (e.g., COVID-19, flu) to help socially frail older adults. Our scoping review identified promising interventions with the best potential to help older adults living with social frailty.

Sections du résumé

BACKGROUND BACKGROUND
The impact of social frailty on older adults is profound including mortality risk, functional decline, falls, and disability. However, effective strategies that respond to the needs of socially frail older adults are lacking and few studies have unpacked how social determinants operate or how interventions can be adapted during periods requiring social distancing and isolation such as the COVID-19 pandemic. To address these gaps, we conducted a scoping review using JBI methodology to identify interventions that have the best potential to help socially frail older adults (age ≥65 years).
METHODS METHODS
We searched MEDLINE, CINAHL (EPSCO), EMBASE and COVID-19 databases and the grey literature. Eligibility criteria were developed using the PICOS framework. Our results were summarized descriptively according to study, patient, intervention and outcome characteristics. Data synthesis involved charting and categorizing identified interventions using a social frailty framework.  RESULTS: Of 263 included studies, we identified 495 interventions involving ~124,498 older adults who were mostly female. The largest proportion of older adults (40.5%) had a mean age range of 70-79 years. The 495 interventions were spread across four social frailty domains: social resource (40%), self-management (32%), social behavioural activity (28%), and general resource (0.4%). Of these, 189 interventions were effective for improving loneliness, social and health and wellbeing outcomes across psychological self-management, self-management education, leisure activity, physical activity, Information Communication Technology and socially assistive robot interventions. Sixty-three interventions were identified as feasible to be adapted during infectious disease outbreaks (e.g., COVID-19, flu) to help socially frail older adults.
CONCLUSIONS CONCLUSIONS
Our scoping review identified promising interventions with the best potential to help older adults living with social frailty.

Identifiants

pubmed: 38879489
doi: 10.1186/s12877-024-05096-w
pii: 10.1186/s12877-024-05096-w
doi:

Types de publication

Journal Article Systematic Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

521

Subventions

Organisme : CIHR
ID : 172657
Pays : Canada

Informations de copyright

© 2024. The Author(s).

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Auteurs

Monika Kastner (M)

North York General Hospital, Toronto, Ontario, Canada. monika.kastner@utoronto.ca.
Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada. monika.kastner@utoronto.ca.
Department of Family and Community Medicine, University of Toronto, Toronto, Ontario, Canada. monika.kastner@utoronto.ca.

Isabella Herrington (I)

North York General Hospital, Toronto, Ontario, Canada.

Julie Makarski (J)

North York General Hospital, Toronto, Ontario, Canada.

Krystle Amog (K)

Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada.

Tejia Bain (T)

North York General Hospital, Toronto, Ontario, Canada.

Vianca Evangelista (V)

North York General Hospital, Toronto, Ontario, Canada.

Leigh Hayden (L)

North York General Hospital, Toronto, Ontario, Canada.

Alexa Gruber (A)

North York General Hospital, Toronto, Ontario, Canada.

Justin Sutherland (J)

North York General Hospital, Toronto, Ontario, Canada.

Amy Sirkin (A)

North York General Hospital, Toronto, Ontario, Canada.

Laure Perrier (L)

Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada.

Ian D Graham (ID)

University of Ottawa, Ottawa, Ontario, Canada.

Michelle Greiver (M)

North York General Hospital, Toronto, Ontario, Canada.
Department of Family and Community Medicine, University of Toronto, Toronto, Ontario, Canada.

Joan Honsberger (J)

North York General Hospital, Toronto, Ontario, Canada.

Mary Hynes (M)

North York General Hospital, Toronto, Ontario, Canada.

Charlie Macfarlane (C)

North York General Hospital, Toronto, Ontario, Canada.

Leela Prasaud (L)

North York General Hospital, Toronto, Ontario, Canada.

Barbara Sklar (B)

North York General Hospital, Toronto, Ontario, Canada.

Margo Twohig (M)

North York General Hospital, Toronto, Ontario, Canada.

Barbara Liu (B)

Sunnybrook Hospital, Toronto, Ontario, Canada.

Sarah Munce (S)

Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada.
The KITE Research Institute, Toronto Rehabilitation Institute, University Health Network, Toronto, Ontario, Canada.

Sharon Marr (S)

Division of Geriatric Medicine, Department of Medicine, McMaster University, Hamilton, Ontario, Canada.

Braden O'Neill (B)

St. Michael's Hospital, Unity Health, Toronto, Ontario, Canada.

Alexandra Papaioannou (A)

Division of Geriatric Medicine, Department of Medicine, McMaster University, Hamilton, Ontario, Canada.

Bianca Seaton (B)

North York General Hospital, Toronto, Ontario, Canada.

Sharon E Straus (SE)

St. Michael's Hospital, Unity Health, Toronto, Ontario, Canada.
Department of Medicine, University of Toronto, Toronto, Ontario, Canada.

Katie Dainty (K)

North York General Hospital, Toronto, Ontario, Canada.
Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada.

Jayna Holroyd-Leduc (J)

University of Calgary, Calgary, Alberta, Canada.

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