Evidence map›Paper›PMID 35431543›Full record

SynthesisClinical interventions in aging2022

Do Interventions Reducing Social Vulnerability Improve Health in Community Dwelling Older Adults? A Systematic Review.

Jasmine Mah, Kenneth Rockwood, Susan Stevens, Janice Keefe, Melissa K Andrew

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Clinical interventions in aging, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 pooled it
9.4field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 1 synthesis or guideline pooled it, 62 citations in OpenAlex.

  1. Pooled it
  2. Effect of a cash transfer intervention on memory decline and dementia probability in older adults in rural South Africa.Proceedings of the National Academy of Sciences of the United States of America · 2024
    Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Contextualizing Age-Friendly Care Within Social Drivers of Health.Journal of the American Geriatrics Society · 2026
    Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. How well do social frailty indices predict incident dementia in older adults?The journals of gerontology. Series B, Psychological sciences and social sciences · 2025
    Article
  16. Article
  17. Article
  18. Article
  19. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Jasmine MahDepartment of Medicine, Dalhousie University, Halifax, NS, Canada.ORCID 0000-0003-4391-4286
Kenneth RockwoodDivision of Geriatric Medicine, Dalhousie University, Halifax, NS, Canada.ORCID 0000-0002-6674-995X
Susan StevensDepartment of Family Studies and Gerontology, Mount Saint Vincent University, Halifax, NS, Canada.
Janice KeefeDepartment of Family Studies and Gerontology, Mount Saint Vincent University, Halifax, NS, Canada.
Melissa K AndrewDivision of Geriatric Medicine, Dalhousie University, Halifax, NS, Canada.
Dalhousie University · CAMount Saint Vincent University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Social vulnerability occurs when individuals have been relatively disadvantaged by the social determinants of health. Complex interventions that reduce social vulnerability have the potential to improve health in older adults but robust evidence is lacking. Objective: To identify, appraise and synthesize evidence on the effectiveness of complex interventions targeting reduction in social vulnerability for improving health related outcomes (mortality, function, cognition, subjective health and healthcare use) in older adults living in the community. Methods: A mixed methods systematic review was conducted. Five databases and targeted grey literature were searched for primary studies of all study types according to predetermined criteria. Data were extracted from each distinct intervention and quality was assessed using the Mixed Methods Appraisal Tool. Effectiveness data were synthesized using vote counting by direction of effect, combining p values and Albatross plots. Results: Across 38 included studies, there were 34 distinct interventions categorized as strengthening social supports and communities, helping older adults and their caregivers navigate health and social services, enhancing neighbourhood and built environments, promoting education and providing economic stability. There was evidence to support positive influences on function, cognition, subjective health, and reduced hospital utilization. The evidence was mixed for non-hospital healthcare utilization and insufficient to determine effect on mortality. Conclusion: Despite high heterogeneity and varying quality of studies, attention to reducing an older adult's social vulnerability assists in improving older adults' health.

Indexed as

Independent LivingSocial VulnerabilityAgedCaregiversEducational StatusHumansSocial Supportcomplex interventionsolder adultssocial determinantssocial frailty

Identifiers

PMID35431543
PMCPMC9012306
OpenAlexW4223605412

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.