SynthesisInternational journal of older people nursing2023
Health effects of social connectedness in older adults living in congregate long-term care settings: A systematic review of quantitative and qualitative evidence.
Synthesis in International journal of older people nursing, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
What it found
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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.
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Who cites it
10 citing papers in PubMed.
- The effect of group poetry reading on meaning in life and subjective vitality in older adults: a clinical trial study.BMC geriatrics · 2026Trial
- A realist review of the contribution of person-centred cultures to the management of depression among older persons in nursing homes.International journal of nursing studies advances · 2026Review
- Expectations regarding transitioning into long-term care, social connectedness, and mental health of older adults.Social psychiatry and psychiatric epidemiology · 2026Observational
- Digital Technologies That Support Meaningful Connections in Care Homes: Scoping Review.Journal of medical Internet research · 2026Article
- Exploring the Role of Appraised Support in Mitigating Reverse Culture Shock Among Cross-Border Retirement Migrants.Healthcare (Basel, Switzerland) · 2026Article
- Patterns of depressive symptoms among older adults living in long-term care homes in China: a latent class analysis.Frontiers in public health · 2026Article
- Family visits among nursing home residents during the COVID-19 pandemic: a cross-sectional study.BMC geriatrics · 2025Article
- Sense of belonging and its positive association with physical activity levels and negative association with sedentary behaviors in residential aged care facilities in COVID-19 pandemic: a longitudinal study.Frontiers in psychology · 2025Article
- Social engagement and cognitive impairment among nursing home residents: The role of sensory impairment.Archives of gerontology and geriatrics · 2024Article
- Well-Being Outcomes from the Delivery ofGerontology & geriatric medicineArticle
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
backgroundThe overall impact of social connectedness on health outcomes in older adults living in nursing homes and assisted living settings is unknown. Given the unclear health impact of social connectedness for older adults in congregate long-term care settings worldwide, a comprehensive systematic review is required to evaluate the overall relationship between social connectedness and health outcomes for them.
objectivesThe purpose of this article was to synthesize the literature regarding the health impact of social connectedness among older adults living in nursing homes or assisted living settings.
methodsUsing PRISMA guidelines, we identified eligible studies from Scopus, MEDLINE, PsycINFO, CINAHL and Cochrane databases (1990-2021). Bias and quality reporting assessment was performed using standardized criteria for cohort, cross sectional and qualitative studies. At each stage, ≥ 2 researchers conducted independent evaluations.
resultsOf the 7350 articles identified, 25 cohort (follow-up range: 1 month-11 years; with two also contributing to cross sectional), 86 cross sectional, eight qualitative and two mixed methods were eligible. Despite different instruments used, many residents living in nursing homes and assisted living settings had reduced social engagement. Quantitative evidence supports a link between higher social engagement and health outcomes most studied (e.g. depression, quality of life). Few studies evaluated important health outcomes (e.g. cognitive and functional decline). Most cohort studies showed that lack of social connectedness accelerated time to death.
conclusionsSocial connectedness may be an important modifiable risk factor for adverse health outcomes for older adults living in nursing homes and assisted living facilities. Most studies were cross sectional and focused on quality of life and mental health outcomes. Longitudinal studies suggest that higher social engagement delays time to death. Evidence regarding other health outcomes important to older adults was scant and requires further longitudinal studies.
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