Activities for the prevention of loneliness of the older adults living in nursing homes

A systematic literature review

Authors

  • Nataša Mlinar Reljić University of Maribor, Faculty of Health Sciences, Žitna ulica 15, 2000 Maribor, Slovenia https://orcid.org/0000-0003-1148-0831
  • Mateja Lavbič Community Health Center Celje, Gregorčičeva ulica 5, Celje, Slovenia https://orcid.org/0009-0005-8587-9345
  • Zvonka Fekonja University of Maribor, Faculty of Health Sciences, Žitna ulica 15, 2000 Maribor, Slovenia https://orcid.org/0000-0002-4224-8843
  • Sergej Kmetec University of Maribor, Faculty of Health Sciences, Žitna ulica 15, 2000 Maribor, Slovenia

DOI:

https://doi.org/10.14528/snr.2023.57.3.3201

Keywords:

loneliness, residential care, elderly

Abstract

Introduction: Loneliness is an international public healthcare issue. It causes painful and distressing feelings of emotional or social isolation and is related to mental health problems. Loneliness is often present in older adults, even in those living in nursing homes. In this review, we want to present activities aimed at reducing loneliness of the older adults in nursing homes.
Methods: A systematic literature review was conducted. Search with key words in the English language was conducted in international databases: PubMed, CINAHL, and SAGE. The search process and selection of included articles are presented in the flowchart. The included articles were critically evaluated using the Joanna Briggs Institutes tool and the collected data were analyzed using the method of thematic analysis.
Results: 20 articles were included in the final analysis. Main two themes were selected. The first theme "activities for loneliness prevention" reflects two subthemes: physical and social activities. The second theme "effects of activities on loneliness prevention" presents the physical, psychological, and social effects of activities on preventing loneliness.
Discussion and conclusion: The most effective activities for reducing loneliness are those that have been guided and directed: physical exercises, arts and crafts, gardening, debate clubs, laughter therapy and reminiscence therapy.

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References

Aromataris, E., & Munn, Z. (2017). Joanna Briggs Institute reviewers' manual (2011 ed.). The Joanna Briggs Institute. Retrieved March 30, 2022 from https://reviewersmanual.joannabriggs.org/

Arrieta, H., Rezola-Pardo, C., Kortajarena, M., Hervás, G., Gil, J., Yanguas, J. J. … Rodriguez-Larrad, A. (2020). The impact of physical exercise on cognitive and affective functions and serum levels of brain-derived neurotrophic factor in nursing home residents: A randomized controlled trial. Maturitas, 131, 72–77. https://doi.org/10.1016/j.maturitas.2019.10.014 PMid:31787150

Banks, M. R., Willoughby, L. M., & Banks, W. A. (2008). Animal-assisted therapy and loneliness in nursing homes: Use of robotic versus living dogs. Journal of the American Medical Directors Association, 9(3), 173–177. https://doi.org/10.1016/j.jamda.2007.11.007 PMid:18294600

Barbosa Neves, B., & Baecker, R. (2022). Mixing methods and sciences: A longitudinal cross-disciplinary mixed methods study on technology to address social isolation and loneliness in later life. Journal of Mixed Methods Research, 16(1), 88–113. https://doi.org/10.1177/1558689820977646

Barbosa Neves, B., Franz, R., Judges, R., Beermann, C., & Baecker, R. (2019). Can digital technology enhance social connectedness among older adults: A feasibility study. Journal of Applied Gerontology, 38(1), 49–72. https://doi.org/10.1177/0733464817741369 PMid:29166818

Bettany-Saltikov, J. (2012). How to do a systematic literature review in nursing: A step by step guide. Open University Press. Brady, S., D'Ambrosio, L. A., Felts, A., Rula, E. Y., Kell, K. P., & Coughlin, J. F. (2020). Reducing isolation and loneliness through membership in a fitness program for older adults: Implications for health. Journal of Applied Gerontology, 39(3), 301–310. https://doi.org/10.1177/0733464818807820 PMid:30392420; PMCid:PMC7005930

Braun, V., & Clarke, V. (2021). Thematic analysis. Analysing qualitative data in psychology. Sage Publications. Chiang, K. J., Chu, H., Chang, H. J., Chung, M. H., Chen, C. H., Chiou, H. Y., & Chou, K. R. (2010). The effects of reminiscence therapy on psychological well-being, depression, and loneliness among the institutionalized aged. International Journal of Geriatric Psychiatry, 25(4), 380–388. https://doi.org/10.1002/gps.2350 PMid:19697299

Chu, H. Y., Chen, M. F., Tsai, C. C., Chan, H. S., & Wu, T. L. (2019). Efficacy of a horticultural activity program for reducing depression and loneliness in older residents of nursing homes in Taiwan. Geriatric Nursing, 40(4), 386–391. https://doi.org/10.1016/j.gerinurse.2018.12.012 PMid:30792050

Duyan, V., Şahin-Kara, G., Camur Duyan, G., Özdemir, B., & Megahead, H. A. (2017). The effects of group work with institutionalized elderly persons. research on Social Work Practice, 27(3), 366–374. https://doi.org/10.1177/1049731516654572

Ercan-Sahin, N., & Nuran Emiroglu, O. (2018). Quality of life of nursing home residents before and after reminiscence therapy. Educational Gerontology, 44(2/3), 99–107. https://doi.org/10.1080/03601277.2017.1415115

Fakoya, O. A., McCorry, N. K., & Donnelly, M. (2020). Loneliness and social isolation interventions for older adults: A scoping review of reviews. BMC Public Health, 20(1), 1–14. https://doi.org/10.1186/s12889-020-8251-6 PMid:32054474; PMCid:PMC7020371

Gardiner, C., Geldenhuys, G., & Gott, M. (2018). Interventions to reduce social isolation and loneliness among older people: An integrative review. Health and Social Care in the Community, 26(2), 147–157. https://doi.org/10.1111/hsc.12367 PMid:27413007

Gardiner, C., Laud, P., Heaton, T., & Gott, M. (2020). What is the prevalence of loneliness amongst older people living in residential and nursing care homes: A systematic review and meta-analysis. Age and Ageing, 49(5), 748–757. https://doi.org/10.1093/ageing/afaa049 PMid:32396600

Gasteiger, N., Loveys, K., Law, M., & Broadbent, E. (2021). Friends from the future: A scoping review of research into robots and computer agents to combat loneliness in older people. Clinical Interventions in Aging, 16, 941–971. https://doi.org/10.2147/CIA.S282709 PMid:34079242; PMCid:PMC8163580

Gerst-Emerson, K., & Jayawardhana, J. (2015). Loneliness as a public health issue: The impact of loneliness on health care utilization among older adults. American Journal of Public Health, 105(5), 1013–1019. https://doi.org/10.2105/AJPH.2014.302427 PMid:25790413; PMCid:PMC4386514

Heidari, M., Borujeni, M. G., Rezaei, P., Abyaneh, S. K., & Heidari, K. (2020). Effect of laughter therapy on depression and quality of life of the elderly living in nursing homes. Malaysian Journal of Medical Sciences, 27(4), 119–129. https://doi.org/10.21315/mjms2020.27.4.11 PMid:32863751; PMCid:PMC7444838

Henkel, L. A., Kris, A., Birney, S., & Krauss, K. (2017). The functions and value of reminiscence for older adults in longterm residential care facilities. Memory, 25(3), 425–435. https://doi.org/10.1080/09658211.2016.1182554 PMid:27161334

Hunter, B., & Smith, P. (2007). Emotional labour: Just another buzz word. International Journal of Nursing Studies, 44(6), 859–861. https://doi.org/10.1016/j.ijnurstu.2006.12.015 PMid:17367794

Kuru Alıcı, N., Zorba Bahceli, P., & Emiroğlu, O. N. (2018). The preliminary effects of laughter therapy on loneliness and death anxiety among older adults living in nursing homes: A nonrandomised pilot study. International Journal of Older People Nursing, 13(4), 1–9. https://doi.org/10.1111/opn.12206 PMid:30004172

Mann, R., Rabiee, P., Birks, Y., & Wilberforce, M. (2020). Identifying Loneliness and Social Isolation in Care Home Residents with Sight Loss: Lessons from Using the De Jong Gierveld Scale. Journal of Long-Term Care, 2020, 167–173. https://doi.org/10.31389/jltc.39

Matto, H. C., Tompkins, C. J., Ihara, E. S., Inoue, M., & Byrd, A. (2015). Results from a music, imagery, and movement treatment intervention in a long-term care facility. Families in Society, 96(4), 277–283. https://doi.org/10.1606/1044-3894.2015.96.32

Moher, D., Shamseer, L., Clarke, M., Ghersi, D., Liberati, A., Petticrew, M., Shekelle, P., & Stewart, L. A. (2015). Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015: Elaboration and explanation. BMJ, 349, 1–25. https://doi.org/10.1136/bmj.g7647 PMid:25555855

Page, M., McKenzie, J., Bossuyt, P., Boutron, I., Hoffmann, T., Mulrow, C. … Moher, D. (2021). PRISMA 2020 statement: Updated guidelines for reporting systematic reviews and meta analyses. BMJ, 372, Article 71. https://doi.org/10.1136/bmj.n71 PMid:33782057; PMCid:PMC8005924

Paolantonio, P., Cavalli, S., Biasutti, M., Pedrazzani, C., & Williamon, A. (2020). Art for ages: The effects of group music making on the wellbeing of nursing home residents. Frontiers in Psychology, 11, 1–14. https://doi.org/10.3389/fpsyg.2020.575161 PMid:33329220; PMCid:PMC7732664

Plattner, L., Brandstötter, C., & Paal, P. (2022). Loneliness in nursing homes - experience and measures for amelioration: A literature review. Zeitschrift fur Gerontologie und Geriatrie, 55(1), 5–10. https://doi.org/10.1007/s00391-021-01881-z PMid:33856531; PMCid:PMC8789688

Pluye, P., Robert, E., Cargo, M., Bartlett, G., O'Cathain, A., riffiths, F. … Rousseau, M. C. (2011). Proposal: A Mixed Methods Appraisal Tool for systematic mixed studies reviews. Retrieved May 4, 2022 from http://mixedmethodsappraisaltoolpublic.pbworks.com.

Polit, D. F., & Beck, C. T. (2021). Essentials of Nursing Research: Appraising Evidence for Nursing Practice (11th ed.). Wolters Kluwer Health.

Prieto-Flores, M. E., Fernandez-Mayoralas, G., Forjaz, M. J., Rojo-Perez, F., & Martinez-Martin, P. (2011). Residential satisfaction, sense of belonging and loneliness among older adults living in the community and in care facilities. Health and Place, 17(6), 1183–1190. https://doi.org/10.1016/j.healthplace.2011.08.012 PMid:21924944

Quan, N. G., Lohman, M. C., Resciniti, N. V., & Friedman, D. B. (2020). A systematic review of interventions for loneliness among older adults living in long-term care facilities. Aging and Mental Health, 24(12), 1945–1955. https://doi.org/10.1080/13607863.2019.1673311 PMid:31602993

Robins, L. M., Hill, K. D., Finch, C. F., Clemson, L., & Haines, T. (2018). The association between physical activity and social isolation in community-dwelling older adults. Aging and Mental Health, 22(2), 175–182. https://doi.org/10.1080/13607863.2016.1242116 PMid:27736192

Simard, J., & Volicer, L. (2020). Loneliness and isolation in long-term care and the COVID-19 pandemic. Journal of the American Medical Directors Association, 21(7), 966–967. https://doi.org/10.1016/j.jamda.2020.05.006 PMid:32505516; PMCid:PMC7205644

Teixeira, S. M. A., Coelho, J. C. F., Sequeira, C. A. da C., Lluch i Canut, M. T., & Ferré-Grau, C. (2019). The effectiveness of positive mental health programs in adults: A systematic review. Health and Social Care in the Community, 27(5), 1126–1134. https://doi.org/10.1111/hsc.12776 PMid:31144395

Theurer, A. K., Stone, I. R., Suto, J. M., Timonen, V., Brown, G. S., & Mortenson, W. Ben. (2021). The Impact of peer mentoring on loneliness, depression, and social engagement in long-term care. Journal of Applied Gerontology, 40(9), 1144–1152. https://doi.org/10.1177/0733464820910939 PMid:32228275

Theurer, K., Wister, A., Sixsmith, A., Chaudhury, H., & Lovegreen, L. (2014). The development and evaluation of mutual support groups in long-term care Homes. Journal of Applied Gerontology, 33(4), 387–415. https://doi.org/10.1177/0733464812446866 PMid:24781963

Trybusińska, D., & Saracen, A. (2019). Loneliness in the context of quality of life of nursing home residents. Open Medicine (Poland), 14(1), 354–361. https://doi.org/10.1515/med-2019-0035 PMid:31157300 PMCid:PMC6534106

Tsai, H. H., Tsai, Y. F., Wang, H. H., Chang, Y. C., & Chu, H. H. (2010). Videoconference program enhances social support, loneliness, and depressive status of elderly nursing home residents. Aging and Mental Health, 14(8), 947–954. https://doi.org/10.1080/13607863.2010.501057 PMid:21069600

Tse, M. M. Y., Tang, S. K., Wan, V. T. C., & Vong, S. K. S. (2014). The effectiveness of physical exercise training in pain, mobility, and psychological well-being of older persons living in nursing homes. Pain Management Nursing, 15(4), 778–788. https://doi.org/10.1016/j.pmn.2013.08.003 PMid:24361207

Westerhof, G. J., Korte, J., Eshuis, S., & Bohlmeijer, E. T. (2018). Precious memories: A randomized controlled trial on the effects of an autobiographical memory intervention delivered by trained volunteers in residential care homes. Aging and Mental Health, 22(11), 1494–1501. https://doi.org/10.1080/13607863.2017.1376311 PMid:28929782

Wu, L.-F., & Koo, M. (2016). Randomized controlled trial of a six-week spiritual reminiscence intervention on hope, life satisfaction, and spiritual well-being in elderly with mild and moderate dementia. International Journal of Geriatric Psychiatry, 31(2), 120–127. https://doi.org/10.1002/gps.4300 PMid:25965388

Yang, K. (2018). Longitudinal loneliness and its risk factors among older people in England. Critical Studies on Security, 37(1), 12–21. https://doi.org/10.1017/S0714980817000526 PMid:29291754

Published

2023-07-19

How to Cite

Mlinar Reljić, N., Lavbič, M., Fekonja, Z., & Kmetec, S. (2023). Activities for the prevention of loneliness of the older adults living in nursing homes: A systematic literature review. Slovenian Nursing Review, 57(3), 184–193. https://doi.org/10.14528/snr.2023.57.3.3201

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Review article

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