Premium
多因素干预降低居住在社区的老年人被社会孤立以及孤独感的有效性:一项随机临床试验。研究方案
Author(s) -
HernándezAscanio José,
Pérulade Torres Luis Ángel,
RoldánVillalobos Ana,
Pérulade Torres José Carlos,
RichRuiz Manuel
Publication year - 2020
Publication title -
journal of advanced nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.948
H-Index - 155
eISSN - 1365-2648
pISSN - 0309-2402
DOI - 10.1111/jan.14230
Subject(s) - loneliness , social isolation , psychological intervention , randomized controlled trial , intervention (counseling) , quality of life (healthcare) , medicine , isolation (microbiology) , gerontology , mental health , social support , psychology , clinical psychology , nursing , psychiatry , social psychology , surgery , microbiology and biotechnology , biology
Aims This study aims to evaluate the effectiveness of a multicomponent intervention in non‐institutionalized older people. This effectiveness will be assessed in terms of reducing social isolation and loneliness and improving Health‐Related Quality of Life. Background The concern for social isolation and loneliness in non‐institutionalized older adults has increased in recent decades. In addition, their relationship with numerous negative health outcomes is amply demonstrated. Design A mixed‐method design including a cluster randomized controlled clinical trial and an exploratory qualitative study with focus groups was used. Method Each study group consists of 57 subjects. The experimental group will be subjected to a multicomponent intervention comprising six domiciliary face‐to‐face sessions and five telephone calls that will be interspersed. Interventions will be conducted by healthcare professionals and volunteers. The control group will not be subjected to any systematized intervention. We are going to consider social isolation, loneliness, and Quality of Life as the primary outcomes. However, the factors that influence both primary outcomes and the feasibility of the intervention in clinical practice will also be assessed. Discussion Despite the negative influence of social isolation and loneliness on clinical outcomes is widely evidenced, few early detection programs are available, especially interventions at the community setting. This study will examine the effectiveness of the intervention in the Spanish community setting. At the same time, this study will identify the feasibility of this intervention in Primary Care clinical practice. Impact Substantial evidence indicates the detrimental health impact of social isolation and loneliness, particularly on mental wellness. Knowing that mental disorders are associated with high economic cost, this project would have strong clinical implication to inform nursing practice on managing social isolation and loneliness. The findings may also inform primary health policy setting in Spain and the wider European countries.