Evidence map›Paper›PMID 36175867›Full record

SynthesisBMC geriatrics2022

Community-based mental health and well-being interventions for older adults in low- and middle-income countries: a systematic review and meta-analysis.

Clarissa Giebel, Nipun Shrestha, Siobhan Reilly, Ross G White, Maria Isabel Zuluaga, Gabriel Saldarriaga, Ginger Liu, Dawn Allen, Mark Gabbay

Open access · goldAbstract readMeta-AnalysisSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in BMC geriatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 2 pooled it
5.5field-weighted citation impact, top 3% 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

24 citing papers in PubMed, 2 syntheses or guidelines pooled it, 36 citations in OpenAlex.

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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

9 authors at 5 institutions in 3 countries.

Clarissa GiebelDepartment of Primary Care & Mental Health, University of Liverpool, Liverpool, UK. Clarissa.giebel@liverpool.ac.uk.
Nipun ShresthaNHMRC Clinical Trials Center, University of Sydney, Sydney, Australia.
Siobhan ReillyCentre for Applied Dementia Studies, Bradford University, Bradford, UK.
Ross G WhiteSchool of Psychology, Queen's University Belfast, Belfast, UK.
Maria Isabel ZuluagaNational Faculty of Public Health, Universidad de Antioquia, Medellín, Colombia.
Gabriel SaldarriagaNational Faculty of Public Health, Universidad de Antioquia, Medellín, Colombia.
Ginger LiuNIHR ARC NWC, Liverpool, UK.
Dawn AllenNIHR ARC NWC, Liverpool, UK.
Mark GabbayDepartment of Primary Care & Mental Health, University of Liverpool, Liverpool, UK.
Universidad de Antioquia · COUniversity of Liverpool · GBQueen's University Belfast · GBUniversity of Bradford · GBUniversity of Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMental health support is often scarce in low- and middle-income countries (LMIC), with mental health stigmatised. Older adults are some of the most vulnerable members of society and may require specific types of mental health support. The aim of this mixed-methods systematic review and meta-analysis was to explore the types, components, and efficacy of psychosocial community-based mental health interventions for older adults (aged 60 + years) residing in LMIC.

methodsSix databases were searched in August 2021. Studies published since 2000 were included if they collected primary quantitative or qualitative data on community-based interventions for improving mental health for older adults residing in LMICs, focusing on improving mental health and well-being outcomes. Full texts were screened by two researchers.

resultsFrom 24,378 citations identified, 40 studies met eligibility criteria. Across 12 countries, interventions were categorised into those focusing on (1) Established forms of psychological therapy; (2) Exercise; (3) Education; (4) Social engagement; (5) Multi-component. Most interventions were effective in reducing levels of depression, anxiety, and improving well-being, including reminiscence therapy, different types of socialising, and breathing and laughter exercises. Some interventions reported no benefits and those that did at times failed to report continued benefits at follow-up. Given the variations in intervention type and delivery, cultures, and outcome measures used, underpinning factors of intervention success or failure were difficult to establish.

conclusionsPsychosocial interventions for older adults in LMIC need to be adapted to local contexts depending on culture and population needs. Existing interventions and their components can be used as a foundation to produce adapted and multi-component interventions, to tackle growing and inadequate mental health care provision in LMIC.

trial registrationThe review protocol was registered on PROSPERO [CRD42021271404].

Indexed as

Developing CountriesMental HealthAgedAnxietyEducational StatusHumansPovertyAgeingInterventionsLMICMental healthTherapy

Identifiers

PMID36175867
PMCPMC9520120
OpenAlexW4297536612

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.