Öppna mötesplatser för äldre
Fråga och sammanfattning
Hälsofrämjande aktiviteter för äldre är ett prioriterat område. Antalet personer över 80 år i Sverige förväntas öka med 50 procent fram till år 2031. Äldre har som grupp ökad risk att drabbas av fysisk och psykisk ohälsa kopplad till social isolering och skörhet. Öppna mötesplatser (kallas även öppna verksamheter, träffpunkter eller seniorcenter) är platser där äldre utan biståndsbeslut kan få social samvaro, utbildning och fysisk aktivitet.
Fråga
Vilken sammanställd forskning och vetenskapliga studier finns om effekten av besök på öppna mötesplatser för äldre på hälsa, livskvalitet och ensamhet?
Frågeställare: Utredare, Nationellt kompetenscentrum för äldreomsorg, Socialstyrelsen
Sammanfattning
SBU:s upplysningstjänst har efter litteratursökning, relevansgranskning och bedömning av risk för bias redovisat en systematisk översikt i svaret. Författarna till översikten konstaterade att inga studier som utvärderade den enskilda effekten av att besöka en öppen mötesplats för äldre kunde identifieras. Översikten inkluderade dock studier som jämförde olika typer av interventioner som genomfördes på seniorcenter, och utifrån dessa drog författarna slutsatsen att fysiska träningsprogram på seniorcenter gav en viss positiv effekt på muskelstyrka i benen, men ingen eller liten effekt på andra utfallsmått som balans, livskvalitet och funktion i vardagsaktiviteter. Författarnas slutsatser har inte analyserats utifrån svenska förhållanden.
Upplysningstjänsten har även identifierat 26 primärstudier, av vilka fem primärstudier undersökt besökare jämfört med icke-besökare på öppna mötesplatser, och 21 primärstudier berör effekten av en intervention på en öppen mötesplats. Primärstudier granskas inte av Upplysningstjänsten med avseende på risk för bias och därför redovisas inga resultat eller slutsatser från dessa studier i svaret.
Bakgrund
Bakgrund
I Sverige förväntas gruppen äldre över 80 år öka med 50 procent fram till år 2031. Till följd av denna ökning i kombination med pensionsavgångar och minskade födslotal står äldreomsorgen i Sverige inför stora utmaningar i form av personal- och kompetensförsörjning [1]. För att minska belastningen hos äldreomsorgen läggs därför stor vikt på förebyggande arbete för att förbättra äldres hälsa. Äldre som grupp har ökad risk för ohälsa kopplad till ofrivillig ensamhet och skörhet. Det finns koppling mellan ensamhet och social isolering hos äldre och en ökad mortalitet [2].
En öppen mötesplats för äldre medborgare kan tänkas motverka ensamhet genom att skapa ett socialt sammanhang. Många kommuner i Sverige erbjuder öppen verksamhet för äldre. Till exempel fanns redan år 2013 minst en öppen mötesplats per stadsdel i Stockholm. Hur sådana verksamheter drivs och vilka aktiviteter som erbjuds varierar dock mellan kommuner. Vissa av mötesplatserna har samarbete med sjukvård eller socialtjänst medan andra är helt fristående. Vissa mötesplatser har anställd personal och andra drivs enbart av volontärer [3]. Liknande koncept finns och beskrivs i litteratur från Nordamerika och Östasien som viktiga platser i samhället för förebyggande hälsoarbete för äldre människor. De kan bidra med utbildning, social samvaro och meningsfulla aktiviteter. Akademisk forskning kring denna typ av öppna mötesplatser är dock begränsad [4].
Frågeställning och avgränsningar
Upplysningstjänsten har tillsammans med frågeställaren formulerat frågan enligt följande PICO1:
Population: Personer över 65 år i eget boende
Intervention: Besök på öppen mötesplats för äldre (seniorcenter eller liknande mötesplatser öppna för allmänheten, specifikt riktade mot äldre personer) eller deltagande i insats arrangerad på en öppen mötesplats
Control: Inget besök på öppen mötesplats, eller inget deltagande i specifik insats arrangerad på öppen mötesplats
Outcome: Förbättrad hälsa, förbättrad fysisk och kognitiv funktion, minskad ensamhet, ökad livskvalitet
Upplysningstjänsten har gjort sökningar (Bilaga 1) i databaserna Medline (via Ovid), Scopus, Cinahl (via EBSCO), PsycInfo (via EBSCO) samt i INAHTA2:s databas för HTA3-rapporter. Vi har även handsökt publikationer på webbsidor för regionala HTA-organisationer och myndigheter.
Upplysningstjänsten inkluderar artiklar publicerade i vetenskapliga tidskrifter samt systematiska översikter och rapporter från myndigheter och HTA-organisationer, som är publicerade på engelska eller ett av de skandinaviska språken.
1. PICO är en förkortning för patient/population/problem, intervention (insats, behandling)/, comparison/control (jämförelseintervention (insats, behandling)) och outcome (utfallsmått).
2. International Network of Agencies for Health Technology Assessment (INAHTA)
3. Utvärdering av hälso- och sjukvårdens (och i SBU:s fall socialtjänstens) metoder (engelska: Health Technology Assessment)
Bedömning av risk för bias
I en systematisk översikt finns det risk för bias, det vill säga att resultatet blir snedvridet på grund av brister i avgränsning, litteratursökning och hantering av resultatet. Det är därför viktigt att granska metoden i en systematisk översikt. Två utredare bedömde risken för bias i översikterna med stöd av SBU:s granskningsmall för att översiktligt bedöma risken för snedvridning/systematiska fel hos systematiska översikter (Bilaga 5). Granskningsmallen har sex steg och bygger på frågorna i AMSTAR granskningsmall [5]. Om översikten inte uppfyllde kraven listade i de fyra första stegen bedömdes den ha hög risk för bias och granskades inte vidare. En systematisk översikt bedöms ha måttlig risk för bias om den uppfyller alla kraven till och med steg 4, och låg om den uppfyller samtliga steg i SBU:s mall (Bilaga 5 och Faktaruta 2).
Systematiska översikter med måttlig eller låg risk för bias beskrivs i text och tabell. De översikter som bedöms ha hög risk för bias presenteras inte i text och tabell eftersom risken för att resultaten är missvisande bedöms vara för hög.
Primärstudier bedöms inte för risk för bias av SBU:s upplysningstjänst eftersom det ställer krav på sakkunskap inom forskningsområdet. Det är därför möjligt att flera av de relevanta primärstudier som inkluderats i svaret kan ha högre risk för bias än de studier som SBU inkluderar i andra rapporter.
Resultat från sökningen och bedömning av risk för bias
Upplysningstjänstens litteratursökning genererade totalt 5 380 artiklar efter dubblettkontroll. Ett flödesschema för urvalsprocessen visas i Bilaga 2. Två utredare på SBU läste alla artikelsammanfattningar och bedömde att 31 systematiska översikter och 48 artiklar från primärstudier kunde vara relevanta för frågan. Dessa artiklar lästes i fulltext av två utredare och de artiklar som inte var relevanta för frågan exkluderades. Exkluderade artiklar finns listade i Bilaga 3.
Två utredare på Upplysningstjänsten bedömde risken för bias i de två systematiska översikter som var relevanta för frågan och en av dessa bedömdes ha låg risk för bias [6]. Resultat och slutsats från denna översikt redovisas nedan. Den andra översikten bedömdes ha hög risk för bias och redovisas inte i text och tabell [7]. Upplysningstjänstens bedömning av risk för bias redovisas i Bilaga 4.
I svaret ingår en lista med 26 artiklar från primärstudier som är relevanta för frågan men som inte bedömts med avseende på risk för bias.
Systematiska översikter
SBU:s upplysningstjänst inkluderade en systematisk översikt med låg för bias i svaret (Tabell 1).
Håvelsrud och medarbetare publicerade år 2011 en systematisk översikt om effekten av aktiviteter som erbjuds på seniorcenter [6]. Översikten utfördes på uppdrag av det norska Helsedirektoratet, och syftade till att undersöka hälsoeffekterna för äldre som använder äldrecenter.
Författarna fann inga studier som jämförde hälsoeffekten av att besöka äldrecenter jämfört med att inte besöka äldrecenter. Däremot fann författarna studier som utvärderade effekten av deltagande i olika aktiviteter som erbjöds på seniorcenter, och jämför dem med ingen eller annan aktivitet på seniorcenter. I nio studier undersöktes olika program för fysisk träning eller fysisk träning i kombination med kostvägledning. Skillnaderna mellan de olika interventionerna var stora, och kontrollinterventionerna var annan typ av träning, deltagande i andra typer av aktiviteter som diskussionsgrupper eller ingen intervention. Sammanfattningsvis gav träningsprogrammen en liten positiv effekt på muskelstyrka i benen, men ingen eller liten effekt på andra utfallsmått som balans, livskvalitet och funktion i vardagsaktiviteter. Översikten inkluderade även fyra studier som inkluderade olika typer av föreläsningar och hantverksinterventioner, med olika utfallsmått.
De inkluderade studierna bedömdes av översiktsförfattarna hålla låg eller mycket låg kvalitet.
Resultaten har inte analyserats utifrån svenska förhållanden.
SBU har inte gjort någon syntes eller evidensgradering av resultaten. Det är möjligt att översiktsförfattarnas bedömning av de ingående primärstudierna och evidensgradering av resultaten kan avvika från de bedömningar som SBU skulle göra vid framtagandet av en systematisk översikt.
Att underlag saknas eller har mycket låg tillförlitlighet ska inte tolkas som att insatsen saknar effekt. Det betyder däremot att det behövs forskning för att förbättra kunskapsläget.
| Authors' conclusion: ”Despite broad inclusion criteria related to study design we found no studies that measured the effect of the use of senior centres, but predominantely the effects of participation in physical exercise programs conducted at senior centres. Physical exercise programs for elderly may improve balance and increase muscle strength in the legs. It is uncertain whether physical exercise has effect on quality of life, endurance or activities of daily living (ADL). It is uncertain whether seniors who participate in creative activities are more satisfied compared to those who participate in other activities at the senior centre.” |
||
| Included studies | Population, Intervention, Control | Outcome and Results |
|---|---|---|
| Håvelsrud et al, 2011 [6] Effekten av aktivitetstilbud på eldresenter |
||
| 13 included studies: 6 RCT1 cross-over 6 non-randomized controlled studies Setting: USA: 9 studies Brazil, Japan, Korea, Taiwan: 1 studie each |
Population: Elderly over 67 years living at home Intervention: Attending a senior centre, engagement in activities provided in the context of a senior centre. Control: No use of senior centre or use of other alternative preventive health measures offered in the context of senior centre |
No studies measured the effect of senior centre use compared to no use Physical activity at senior centre vs. no intervention or other interventions at the centre Self-reported health (2 studies, n=330): Inconclusive results Balance (4 studies, n=413) Small or no effect Muscle strength (5 studies, n=312) Some increase in leg strength Endurance (3 studies, n=213) Small or no effectA ctivities of daily living (2 studies, n=207) Small or no effect |
SBU:s upplysningstjänst inkluderade en systematisk översikt med hög risk för bias [7]. Resultat och slutsatser presenteras inte i text och tabell eftersom risken för att resultaten är missvisande bedöms vara för hög.
Primärstudier
SBU:s upplysningstjänst identifierade 26 relevanta artiklar från primärstudier som inte ingår i den inkluderade översikten [8-33]. För dessa har inte risken för bias bedömts och av det skälet finns inte resultat eller slutsatser beskrivna i text eller tabell. Fem artiklar berör jämförelser mellan besök eller inte besök på öppen mötesplats [8] [9] [10] [11] [12], och 21 artiklar berör interventioner på öppna mötesplatser [13-33]. Exempel på interventioner har varit fysiska träningsprogram, kognitiva träningsprogram och nutritionsutbildningar.
Vetenskapliga kunskapsluckor
Enligt SBU:s modell innebär en vetenskaplig kunskapslucka att det saknas evidens för vilken sammanvägd effekt en metod eller insats har, det vill säga kunskap från en systematisk översikt (Faktaruta 3).
SBU:s upplysningstjänst har efter litteratursökning identifierat en systematisk översikt med låg risk för bias, som visar på en kunskapslucka. Dock identifierades 26 primärstudier som tillkommit efter att översikten publicerades. För att besvara Upplysningstjänstens fråga behövs en välgjord och ny systematisk översikt som identifierar alla relevanta primärstudier och väger samman resultaten.
Projektgrupp
Detta svar är sammanställt av Lisa Andersson (utredare), Emma Palmqvist Wojda (utredare), Sara Fundell (projektadministratör), Irene Edebert (produktsamordnare), Anna Christensson (intern sakkunnig) samt Pernilla Östlund (avdelningschef) vid SBU.
Referenser
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- Karp A, Wånell SE. Gemenskap ger hälsa. Stockholm: Äldrecentrum; 2013. [accessed Oct 31 2023]. Available from: https://aldrecentrum.se/enskilt-dokument/gemenskap-ger-halsa-om-forebyggande-arbete-i-enskede-arsta-vantor/.
- Kadowaki L, Mahmood A. Senior Centres in Canada and the United States: A Scoping Review. Can J Aging. 2018;37(4):420-41. Available from: https://doi.org/10.1017/S0714980818000302.
- Shea BJ, Hamel C, Wells GA, Bouter LM, Kristjansson E, Grimshaw J, et al. AMSTAR is a reliable and valid measurement tool to assess the methodological quality of systematic reviews. J Clin Epidemiol. 2009;62(10):1013-20. Available from: https://doi.org/10.1016/j.jclinepi.2008.10.009.
- Havelsrud K, Thuve Dahm K, Sletsjoe H, Merete Reinar L. The Effect of Activities Offered at Senior Centres. Oslo: Norwegian Knowledge Centre for the Health Services (NIPH); 2011. Rapport fra Kunnskapssenteret Nr 07–2011. [accessed Oct 31 2023]. Available from: https://www.fhi.no/en/publ/2011/the-effect-of-activity-in-the-elderly/.
- Song M, Seo K, Choi S, Choi J, Ko H, Lee SJ. Seniors centre-based health intervention programmes in the United States and South Korea: A systematic review. Int J Nurs Pract. 2017;23(5). Available from: https://doi.org/10.1111/ijn.12568.
- Hikichi H, Kondo N, Kondo K, Aida J, Takeda T, Kawachi I. Effect of a community intervention programme promoting social interactions on functional disability prevention for older adults: propensity score matching and instrumental variable analyses, JAGES Taketoyo study. J Epidemiol Community Health. 2015;69(9):905-10. Available from: https://doi.org/10.1136/jech-2014-205345.
- Ichida Y, Hirai H, Kondo K, Kawachi I, Takeda T, Endo H. Does social participation improve self-rated health in the older population? A quasi-experimental intervention study. Soc Sci Med. 2013;94:83-90. Available from: https://doi.org/10.1016/j.socscimed.2013.05.006.
- Kim HS, Harada K, Miyashita M, Lee EA, Park JK, Nakamura Y. Use of senior center and the health-related quality of life in Korean older adults. J Prev Med Public Health. 2011;44(4):149-56. Available from: https://doi.org/10.3961/jpmph.2011.44.4.149.
- Lee SH, Kim YB. Which type of social activities may reduce cognitive decline in the elderly?: a longitudinal population-based study. BMC Geriatr. 2016;16(1):165. Available from: https://doi.org/10.1186/s12877-016-0343-x.
- Marquet O, Maciejewska M, Delclos-Alio X, Vich G, Schipperijn J, Miralles-Guasch C. Physical activity benefits of attending a senior center depend largely on age and gender: a study using GPS and accelerometry data. BMC Geriatr. 2020;20(1):134. Available from: https://doi.org/10.1186/s12877-020-01527-6.
- Beck C, Fausett JK, Krukowski RA, Cornell CE, Prewitt TE, Lensing S, et al. A randomized trial of a community-based cognitive intervention for obese senior adults. J Aging Health. 2013;25(1):97-118. Available from: https://doi.org/10.1177/0898264312467374.
- Benavent-Caballer V, Rosado-Calatayud P, Segura-Orti E, Amer-Cuenca JJ, Lison JF. The effectiveness of a video-supported group-based Otago exercise programme on physical performance in community-dwelling older adults: a preliminary study. Physiotherapy. 2016;102(3):280-6. Available from: https://doi.org/10.1016/j.physio.2015.08.002.
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- Cheng CP, Chiu-Wa Lam L, Cheng ST. The Effects of Integrated Attention Training for Older Chinese Adults With Subjective Cognitive Complaints: A Randomized Controlled Study. J Appl Gerontol. 2018;37(10):1195-214. Available from: https://doi.org/10.1177/0733464816684622.
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Bilaga 1 Dokumentation av sökstrategier
Medline via OvidSP 27 Sept 2023
| Search terms | Items found | |
|---|---|---|
| Population: | ||
| 1. | Aged/ | 3 413 309 |
| 2. | Geriatrics/ | 31 431 |
| 3. | (aged or elder* or senior* or (old* adj3 (age* or people or adult* or population* or person*))).ab,bt,kf,ti. | 1 258 145 |
| 4. | 1 or 2 or 3 | 4 149 492 |
| Intervention: | ||
| 5. | Senior Centers/ | 112 |
| 6. | Community Networks/ | 7193 |
| 7. | (non pharmacological or senior activit* or citizen assistance or ((recreation* or social) adj3 group*) or ((senior* or activity* or recreation* or social or open or meet*) adj3 cent*) or (community adj5 (cent* or intervention* or prevention or integration))).ab,bt,kf,ti. | 97 207 |
| 8. | 5 or 6 or 7 | 103 634 |
| Study types: systematic reviews and meta-analysis | ||
| 9. | ((Systematic Review/ or Meta-Analysis/ or Cochrane Database Syst Rev.ja. or ((systematic adj4 review) or "meta analys*" or metaanalys*).ti,bt,ab.) not (editorial/ or letter/ or case reports/)) | |
| Combined sets: | ||
| 10. | 4 and 8 | 24 453 |
| 11. | 9 and 10 | 896 |
| Final result | ||
| 12. | 896 | |
Medline via OvidSP 27 Sept 2023
| / = Term from the MeSH controlled vocabulary; .sh = Term from the MeSH controlled vocabulary; exp = Term from MeSH including terms found below this term in the MeSH hierarchy; .ti,ab = Title or abstract; .tw = Title or abstract; .kf = Keywords; .kw = Keywords, exact; .bt = Book title. NLM Bookshelf.; .pt = Publication type; .ja = Journal abbreviation; .af = All fields; adjn = Adjacent. Proximity operator retrieving adjacent words, adj3 retrieves records with search terms within two terms from each other.; * or $ = Truncation; “ “ = Citation Marks; searches for an exact phrase | ||
| Search terms | Items found | |
|---|---|---|
| Population: | ||
| 1. | Aged/ | 3 413 309 |
| 2. | Geriatrics/ | 31 431 |
| 3. | (elderly or senior* or healthy aging or ((older or old) adj2 (adult* or person* or people or population)) or (old adj2 age)).ab,bt,kf,ti. | 538 539 |
| 4. | 1 or 2 or 3 | 3 625 356 |
| Intervention: | ||
| 5. | Senior Centers/ | 112 |
| 6. | (senior activit* or senior* centre* or senior* center* or old* adult* centre* or old* adult* center*).ab,bt,kf,ti. | 888 |
| 7. | 5 or 6 | 924 |
| 8. | Community Networks/ | 7193 |
| 9. | (community centre* or community center* or community hub* or meeting point* or open centre* or open center* or open meet* or open space*).ab,bt,kf,ti. | 4563 |
| 10. | 8 or 9 | 11 727 |
| Combined sets: | ||
| 11. | 4 and 10 | 1849 |
| 12. | 7 or 11 | 2750 |
| Final result | ||
| 13. | 2 750 | |
Scopus via scopus.com 27 Sept 2023
| Search terms | Items found | |
|---|---|---|
| Population: | ||
| 1. | TITLE-ABS-KEY (Aged OR elder* OR eldest OR geriatri* OR (old* W/1 age*) OR senior* OR (older W/2 people) OR (older W/1 adult*) OR (older W/2 population*) OR (older W/1 person*)) | 6 664 819 |
| Intervention: | ||
| 2. | TITLE-ABS-KEY ("non*pharmacological" OR "senior activit*" OR "citizen assistance" OR ((recreation* OR social) W/2 group) OR ((senior OR activit* OR recreation* OR social OR open OR meet*) W/2 cent*) OR (community W/4 (cent* OR intervention* OR prevention OR integration))) | 222 957 |
| Study types: systematic reviews and meta-analysis | ||
| 3. | TITLE-ABS-KEY ( ( systematic W/2 review ) OR "meta analy*" OR metaanaly* ) AND (EXCLUDE (DOCTYPE, “le”) OR EXCLUDE (DOCTYPE, “ed”) OR EXCLUDE (DOCTYPE, “ch”) OR EXCLUDE (DOCTYPE, “cp”)) | 656 582 |
| Combined sets: | ||
| 4. | 1 AND 2 | 41 125 |
| 5. | 3 AND 4 | 1012 |
| Final result | ||
| 6. | 1012 | |
Scopus via scopus.com 27 Sept 2023
| TITLE-ABS-KEY = Title, abstract or keywords (including indexed keywords and author keywords); ALL = All fields; W/n = Within. Proximity operator retrieving terms within n words from each other.; PRE/n = Precedes by. Proximity operator, the first term in the search must precede the second by n words. LIMIT-TO (X) = Includes only results of specified type, e.g., publication type or time range. DOCTYPE = Publication type; “re” = review; “le” = letter; “ed” = editorial; “ch” = book chapter; “cp” = conference proceedings; * = Truncation; “ “ = Citation Marks; searches for an exact phrase | ||
| Search terms | Items found | |
|---|---|---|
| Population: | ||
| 1. | TITLE-ABS-KEY ( ( ( elderly OR senior* OR "healthy aging" OR ( ( older OR old ) W/1 ( adult* OR person* OR people OR population ) ) OR ( old W/1 age ) ) ) ) | 1 250 068 |
| Intervention: | ||
| 2. | TITLE-ABS-KEY ( ( "community centre*" OR "community center*" OR "community hub*" OR "meeting point*" OR "open centre*" OR "open center*" OR "open meet*" OR "open space*" ) ) | 23 735 |
| 3. | TITLE-ABS-KEY ( "senior activit*" OR "senior* centre*" OR "senior* center*" OR "old* adult* centre*" OR "old* adult* center*" ) | 1484 |
| Combined sets: | ||
| 4. | 1 AND 2 | 1081 |
| 5. | 3 OR 4 | 2528 |
| Final result | ||
| 6. | 2528 | |
CINAHL via EBSCO 27 Sept 2023
Title: Senior centers (systematic reviews)
| Search terms | Items found | |
|---|---|---|
| Population: | ||
| 1. | TI ( aged OR geriatric OR elder* OR senior* OR (old* n2 (people OR person* OR adult* OR population*)) ) OR AB ( aged OR geriatric OR elder* OR senior* OR (old* n2 (people OR person* OR adult* OR population*)) ) OR SU ( aged OR geriatric OR elder* OR senior* OR (old* n2 (people OR person* OR adult* OR population*)) ) | 1 192 839 |
| Intervention: | ||
| 2. | TI ( ( "non pharmacological" OR "senior activit*" OR "citizen assistance" OR ((recreation* OR social) N2 group) OR ((senior OR activit* OR recreation* OR social OR open OR meet*) N2 cent*) OR (community N4 (cent* OR intervention* OR prevention OR integration))) ) ) OR AB ( ( "non pharmacological" OR "senior activit*" OR "citizen assistance" OR ((recreation* OR social) N2 group) OR ((senior OR activit* OR recreation* OR social OR open OR meet*) N2 cent*) OR (community N4 (cent* OR intervention* OR prevention OR integration))) ) ) OR SU ( ( "non pharmacological" OR "senior activit*" OR "citizen assistance" OR ((recreation* OR social) N2 group) OR ((senior OR activit* OR recreation* OR social OR open OR meet*) N2 cent*) OR (community N4 (cent* OR intervention* OR prevention OR integration))) ) ) | 52 763 |
| 3. | (MM "Senior Centers") | 77 |
| 4. | (MM "Community Networks") | 1410 |
| 5. | 2 OR 3 OR 4 | 53 961 |
| Study types: systematic reviews and meta-analysis | ||
| 6. | ((TI((systematic N3 review) OR "meta analys*" OR metaanalys*) OR AB((systematic N3 review) OR "meta analys*" OR metaanalys*) OR SU((systematic N3 review) OR "meta analys*" OR metaanalys*)) OR (PT "Systematic Review" OR PT "meta analysis")) NOT (MH "Case Studies" OR PT "Commentary" OR PT "Editorial" OR PT "Letter") | |
| Combined sets: | ||
| 7. | 1 AND 5 | 14661 |
| 8. | 6 AND 7 | 673 |
| Final result | ||
| 9. | 673 | |
CINAHL via EBSCO 27 Sept 2023
| TI = Title; AB = Abstract; SU = Keyword, exact or part (including all other fields for indexed and author keywords); MH = Exact subject heading, indexed keywords; TX = All text; PT = Publication type; Nn = Near. Proximity operator retrieving terms within n words from each other.; * = Truncation; “ “ = Citation Marks; searches for an exact phrase | ||
| Search terms | Items found | |
|---|---|---|
| Population: | ||
| 1. | TI ( (elderly OR senior* OR "healthy aging" OR ((older OR old) N1 (adult* OR person* OR people OR population)) OR (old N1 age)) ) OR SU ( (elderly OR senior* OR "healthy aging" OR ((older OR old) N1 (adult* OR person* OR people OR population)) OR (old N1 age)) ) OR AB ( (elderly OR senior* OR "healthy aging" OR ((older OR old) N1 (adult* OR person* OR people OR population)) OR (old N1 age)) ) | 299 907 |
| Intervention: | ||
| 2. | AB ( "community centre*" OR "community center*" OR "community hub*" OR "meeting point*" OR "open centre*" OR "open center*" OR "open meet*" OR "open space*" ) OR SU ( "community centre*" OR "community center*" OR "community hub*" OR "meeting point*" OR "open centre*" OR "open center*" OR "open meet*" OR "open space*" ) OR TI ( "community centre*" OR "community center*" OR "community hub*" OR "meeting point*" OR "open centre*" OR "open center*" OR "open meet*" OR "open space*" ) | 2002 |
| 3. | TI ( "senior activit*" OR "senior* centre*" OR "senior* center*" OR "old* adult* centre*" OR "old* adult* center*" ) OR AB ( "senior activit*" OR "senior* centre*" OR "senior* center*" OR "old* adult* centre*" OR "old* adult* center*" ) OR SU ( "senior activit*" OR "senior* centre*" OR "senior* center*" OR "old* adult* centre*" OR "old* adult* center*" ) | 805 |
| Combined sets: | ||
| 4. | 1 AND 2 | 419 |
| 5. | 3 OR 4 | 1256 |
| Final result | ||
| 6. | 1256 | |
PSYCINFO via EBSCO 27 Sept 2023
| Search terms | Items found | |
|---|---|---|
| Population: | ||
| 1. | TI ( aged OR geriatric OR elder* OR senior* OR (old* n2 (people OR person* OR adult* OR population*)) ) OR AB ( aged OR geriatric OR elder* OR senior* OR (old* n2 (people OR person* OR adult* OR population*)) ) OR SU ( aged OR geriatric OR elder* OR senior* OR (old* n2 (people OR person* OR adult* OR population*)) ) | 758 394 |
| Intervention: | ||
| 2. | TI ( ( "non pharmacological" OR "senior activit*" OR "citizen assistance" OR ((recreation* OR social) N2 group) OR ((senior OR activit* OR recreation* OR social OR open OR meet*) N2 cent*) OR (community N4 (cent* OR intervention* OR prevention OR integration))) ) ) OR AB ( ( "non pharmacological" OR "senior activit*" OR "citizen assistance" OR ((recreation* OR social) N2 group) OR ((senior OR activit* OR recreation* OR social OR open OR meet*) N2 cent*) OR (community N4 (cent* OR intervention* OR prevention OR integration))) ) ) OR SU ( ( "non pharmacological" OR "senior activit*" OR "citizen assistance" OR ((recreation* OR social) N2 group) OR ((senior OR activit* OR recreation* OR social OR open OR meet*) N2 cent*) OR (community N4 (cent* OR intervention* OR prevention OR integration))) ) ) | 72 669 |
| Study types: systematic reviews and meta-analysis | ||
| 3. | TI((systematic n3 review) OR "meta analys*" OR metaanalys*) OR AB((systematic n3 review) OR "meta analys*" OR metaanalys*) OR SU((systematic n3 review) OR "meta analys*" OR metaanalys*) OR (MR "Systematic Review" OR MR "meta analysis") | |
| Combined sets: | ||
| 4. | 1 AND 2 | 13 057 |
| 5. | 3 AND 4 | 312 |
| Final result | ||
| 6. | 312 | |
PSYCINFO via EBSCO 27 Sept 2023
| TI = Title; AB = Abstract; SU = Keyword, exact or part (including all other fields for indexed and author keywords); DE = Exact keyword; TX = All text; MR = Methodology; Nn = Near. Proximity operator retrieving terms within n words from each other.; * = Truncation; “ “ = Citation Marks; searches for an exact phrase | ||
| Search terms | Items found | |
|---|---|---|
| Population: | ||
| 1. | TI ( (elderly OR senior* OR "healthy aging" OR ((older OR old) N1 (adult* OR person* OR people OR population)) OR (old N1 age)) ) OR SU ( (elderly OR senior* OR "healthy aging" OR ((older OR old) N1 (adult* OR person* OR people OR population)) OR (old N1 age)) ) OR AB ( (elderly OR senior* OR "healthy aging" OR ((older OR old) N1 (adult* OR person* OR people OR population)) OR (old N1 age)) ) | 188 074 |
| Intervention: | ||
| 2. | AB ( "community centre*" OR "community center*" OR "community hub*" OR "meeting point*" OR "open centre*" OR "open center*" OR "open meet*" OR "open space*" ) OR SU ( "community centre*" OR "community center*" OR "community hub*" OR "meeting point*" OR "open centre*" OR "open center*" OR "open meet*" OR "open space*" ) OR TI ( "community centre*" OR "community center*" OR "community hub*" OR "meeting point*" OR "open centre*" OR "open center*" OR "open meet*" OR "open space*" ) | 2752 |
| 3. | TI ( "senior activit*" OR "senior* centre*" OR "senior* center*" OR "old* adult* centre*" OR "old* adult* center*" ) OR AB ( "senior activit*" OR "senior* centre*" OR "senior* center*" OR "old* adult* centre*" OR "old* adult* center*" ) OR SU ( "senior activit*" OR "senior* centre*" OR "senior* center*" OR "old* adult* centre*" OR "old* adult* center*" ) | 807 |
| Combined sets: | ||
| 4. | 1 AND 2 | 305 |
| 5. | 3 OR 4 | 1097 |
| Final result | ||
| 6. | 1097 | |
Bilaga 2 Flödesschema för urval av artiklar
Bilaga 3 Exkluderade artiklar
Artiklar som exkluderats efter fulltextläsning på grund av bristande relevans
| Excluded articles | Reason for exclusion |
|---|---|
| Systematic reviews | |
| Adekpedjou R, Léon P, Dewidar O, Al-Zubaidi A, Jbilou J, Kaczorowski J, et al. Effectiveness of interventions to address different types of vulnerabilities in community-dwelling older adults: An umbrella review. Campbell Syst Rev. 2023;19(2). Available from: https://doi.org/10.1002/cl2.1323. | Wrong study design |
| Medical Advisory Secretariat. Social isolation in community-dwelling seniors: an evidence-based analysis. Ont Health Technol Assess Ser. 2008;8(5):1-49. | Unclear setting |
| Bajraktari S, Sandlund M, Zingmark M. Health-promoting and preventive interventions for community-dwelling older people published from inception to 2019: a scoping review to guide decision making in a Swedish municipality context. Arch Public Health. 2020;78(1). Available from: https://doi.org/10.1186/s13690-020-00480-5. | Wrong study design |
| Balis LE, Strayer Iii T, Ramalingam NP, Wilson M, Harden SM. Open-access physical activity programs for older adults: A pragmatic and systematic review. Gerontologist. 2020;59(4):E268-E78. Available from: https://doi.org/10.1093/geront/gnx195. | Unclear setting |
| Björkgren M, Borg F, Tan K, Laxåback G, Nygård L. Introducing Progressive Strength Training Program in Singapore's Elder Care Settings. Front Med. 2021;8. Available from: https://doi.org/10.3389/fmed.2021.515898. | Wrong publication type |
| Björnwall A, Sydner YM, Koochek A, Neuman N. Eating alone or together among community-living older people—a scoping review. Int J Environ Res Public Health. 2021;18(7). Available from: https://doi.org/10.3390/ijerph18073495. | Wrong study design |
| Cohen-Mansfield J, Perach R. Interventions for Alleviating Loneliness among Older Persons: A Critical Review. American Journal of Health Promotion. 2015;29(3):e109-e125. https://doi.org/10.4278/ajhp.130418-LIT-182. | Wrong setting |
| Dingle GA, Sharman LS, Haslam C, Donald M, Turner C, Partanen R, et al. The effects of social group interventions for depression: Systematic review. J Affective Disord. 2021;281:67-81. Available from: https://doi.org/10.1016/j.jad.2020.11.125. | Wrong population |
| dos Santos Gomes ACM, de Araújo Medeiros K, Maciel Soares AK, Alves Barbosa Costa RdR, Leal Vieira KF, Rufino de Lucena AL. QUALITY OF LIFE AMONG ELDERLY PARTICIPANTS IN SOCIAL CENTERS: AN INTEGRATIVE REVIEW. Revista de Pesquisa: Cuidado é Fundamental. 2020;12(1):579-85. Available from: https://doi.org/0.9789/2175-5361.rpcfo.v12.8834. | Wrong publication type |
| Farrance C, Tsofliou F, Clark C. Adherence to community based group exercise interventions for older people: A mixed-methods systematic review. Prev Med. 2016;87:155-66. Available from: https://doi.org/10.1016/j.ypmed.2016.02.037. | Wrong outcome |
| Forsman AK, Nordmyr J, Wahlbeck K. Psychosocial interventions for the promotion of mental health and the prevention of depression among older adults. Health Promot Int. 2011;26:i85-i107. Available from: https://doi.org/10.1093/heapro/dar074. | Wrong intervention |
| Franck L, Molyneux N, Parkinson L. Systematic review of interventions addressing social isolation and depression in aged care clients. Qual Life Res 2016:25, 1395–1407. https://doi.org/10.1007/s11136-015-1197-y. | Wrong setting |
| Gardiner C, Geldenhuys G, Gott M. Interventions to reduce social isolation and loneliness among older people: an integrative review. Health Soc Care Community. 2018;26(2):147-57. Available from: https://doi.org/10.1111/hsc.12367. | Wrong setting |
| Gaugler JE, Zmora R, Peterson CM, Mitchell LL, Jutkowitz E, Duval S. What interventions keep older people out of nursing homes? A systematic review and meta-analysis. J Am Geriatr Soc. 2023. Available from: https://doi.org/10.1111/jgs.18522. | Wrong setting |
| Gwyther H, Bobrowicz-Campos E, Luis Alves Apostolo J, Marcucci M, Cano A, Holland C. A realist review to understand the efficacy and outcomes of interventions designed to minimise, reverse or prevent the progression of frailty. Health psychol. 2018;12(4):382-404. Available from: https://dx.doi.org/10.1080/17437199.2018.1488601. | Wrong setting |
| Hagan R, Manktelow R, Taylor BJ, Mallett J. Reducing loneliness amongst older people: a systematic search and narrative review. Aging Ment Health. 2014;18(6):683-93. Available from: https://doi.org/10.1080/13607863.2013.87512. | Wrong setting |
| Ibrahim AF, Tan MP, Teoh GK, Muda SM, Chong MC. Health Benefits of Social Participation Interventions among Community-Dwelling Older Persons: A Review Article. Exp Aging Res. 2022;48(3):234-60. Available from: https://doi.org/10.1080/0361073X.2021.1939563. | Wrong setting |
| Jadczak AD, Makwana N, Luscombe-Marsh N, Visvanathan R, Schultz TJ. Effectiveness of exercise interventions on physical function in community-dwelling frail older people: an umbrella review of systematic reviews. JBI Database System Rev Implement Rep. 2018;16(3):752-75. Available from: https://doi.org/10.11124/JBISRIR-2017-003551. | Wrong study design |
| Kadowaki L, Mahmood A. Senior Centres in Canada and the United States: A Scoping Review. Can J Aging. 2018;37(4):420-41. Available from: https://doi.org/10.1017/S0714980818000302. | Wrong study design |
| Lee SH, Lee H, Yu S. Effectiveness of Social Support for Community-Dwelling Elderly with Depression: A Systematic Review and Meta-Analysis. Healthcare (Basel). 2022;10(9). Available from: https://doi.org/10.3390/healthcare10091598. | Wrong setting |
| Li J, Erdt M, Chen L, Cao Y, Lee SQ, Theng YL. The social effects of exergames on older adults: Systematic review and metric analysis. J Med Internet Res. 2018;20(6). Available from: https://doi.org/10.2196/10486. | Wrong setting |
| Li J, Zhou X, Wang Q. Interventions to reduce loneliness among Chinese older adults: A network meta-analysis of randomized controlled trials and quasi-experimental studies. Appl Psychol Health Well Being. 2023;15(1):238-58. Available from: https://doi.org/10.1111/aphw.12375. | Wrong setting |
| Lim SER, Cox NJ, Tan QY, Ibrahim K, Roberts HC. Volunteer-led physical activity interventions to improve health outcomes for community-dwelling older people: a systematic review. Aging Clin Exp Res. 2021;33(4):843-53. Available from: https://doi.org/10.1007/s40520-020-01556-6. | Wrong setting |
| Pani-Harreman KE, van Duren JMA, Kempen GIJM, Bours GJJW. The conceptualisation of vital communities related to ageing in place: a scoping review. Eur J Ageing. 2022;19(1):49-62. Available from: https://doi.org/10.1007/s10433-021-00622-w. | Wrong intervention |
| Shvedko A, Whittaker AC, Thompson JL, Greig CA. Physical activity interventions for treatment of social isolation, loneliness or low social support in older adults: A systematic review and meta-analysis of randomised controlled trials. Psychol Sport Exerc. 2018;34:128-37. Available from: https://doi.org/10.1016/j.psychsport.2017.10.003. | Wrong setting |
| Stojanovic J, Collamati A, Mariusz D, Onder G, La Milia DI, Ricciardi W, et al. Decreasing loneliness and social isolation among the older people: Systematic search and narrative review. Epidemiol Biostat Public Health. 2017;14(2). Available from: https://doi.org/10.2427/12408. | Wrong setting |
| Tcymbal A, Abu-Omar K, Hartung V, Bußkamp A, Comito C, Rossmann C, et al. Interventions simultaneously promoting social participation and physical activity in community living older adults: A systematic review. Front Public Health. 2022;10. Available from: https://doi.org/10.3389/fpubh.2022.1048496. | Wrong setting |
| Ubert T, Forberger S, Gansefort D, Zeeb H, Brand T. Community capacity building for physical activity promotion among older adults—a literature review. Int J Environ Res Public Health. 2017;14(9). Available from: https://doi.org/10.3390/ijerph14091058. | Wrong combination of intervention and study type |
| Ukawa S, Tamakoshi A, Sakamoto A. [A systematic review of intervention programs for frail elderly people enrolled in the Japanese social long-term care insurance system]. Nihon Koshu Eisei Zasshi. 2015;62(1):3-19. Available from: https://doi.org/10.11236/jph.62.1_3. | Wrong language |
| Primary studies | |
| Ashida S, Heaney C. Social networks and participation in social activities at a New Senior Center: Reaching out to older adults who could benefit the most. Act Adapt Aging. 2008;32(1):40-58. Available from: https://doi.org/10.1080/01924780802039261. | Wrong study design |
| Boen H, Dalgard OS, Johansen R, Nord E. Socio-demographic, psychosocial and health characteristics of Norwegian senior centre users: a cross-sectional study. Scand J Public Health. 2010;38(5):508-17. Available from: https://doi.org/10.1177/1403494810370230. | Wrong study design |
| Bøen H. Characteristics of senior centre users - and the impact of a group Programme on social support and late-life depression. Nor Epidemiol. 2012;22(2):261-9. Available from: https://doi.org/10.5324/nje.v22i2.1574. | Wrong study design |
| Choi MJ, Sohng KY. The Effects of Floor-seated Exercise Program on Physical Fitness, Depression, and Sleep in Older Adults: A Cluster Randomized Controlled Trial. Int J Gerontol. 2018;12(2):116-21. Available from: https://doi.org/10.1016/j.ijge.2017.06.003. | Wrong intervention |
| Dare J, Wilkinson C, Marquis R, Donovan RJ. "The people make it fun, the activities we do just make sure we turn up on time." Factors influencing older adults' participation in community-based group programmes in Perth, Western Australia. Health Soc Care Community. 2018;26(6):871-81. Available from: https://dx.doi.org/10.1111/hsc.12600 | Wrong study design |
| de Farias ML, Luza LP, de Sousa BA, Zampirolo ER. Balance, functional mobility and quality of life in elderly participants and non-participants of a community center. Sci Med. 2017;27(4). Available from: https://doi.org/10.15448/1980-6108.2017.4.27400. | Wrong language |
| Dunstan DW, Vulikh E, Owen N, Jolley D, Shaw J, Zimmet P. Community center-based resistance training for the maintenance of glycemic control in adults with type 2 diabetes. Diabetes Care. 2006;29(12):2586-91. Available from: https://doi.org/10.2337/dc06-1310. | Wrong population |
| Kelly R. The Effect of Adult Day Program Attendance on Emergency Room Registrations, Hospital Admissions, and Days in Hospital: A Propensity-Matching Study. Gerontologist. 2017;57(3):552-62. Available from: https://dx.doi.org/10.1093/geront/gnv145. | Wrong intervention |
| Kim K, Burnette D, An S, Lee M, Cho S. Geographic proximity to neighborhood resources and depression among older adults in South Korea. Aging Ment Health. 2022;26(1):26-32. Available from: https://doi.org/10.1080/13607863.2020.1851352. | Wrong intervention |
| Kohn MJ, Belza B, Petrescu-Prahova M, Miyawaki CE, Hohman KH. Participant Variation by Delivery Site Type in an Evidence-Based Physical Activity Program. J Aging Phys Activity. 2015;23(3):401-8. Available from: https://doi.org/10.1123/japa.2013-0252. | Wrong study design |
| Kvalsvik F, Øgaard T, Jensen Ø. Environmental factors that impact the eating behavior of home-living older adults. Int J Nurs Stud Adv. 2021;3. Available from: https://doi.org/10.1016/j.ijnsa.2021.100046. | Wrong study design |
| Langoni CdS, Resende TdL, Barcellos AB, Cecchele B, Knob MS, Silva TdN, et al. Effect of Exercise on Cognition, Conditioning, Muscle Endurance, and Balance in Older Adults With Mild Cognitive Impairment: A Randomized Controlled Trial. J Geriatr Phys Ther. 2019;42(2):E15-E22. Available from: https://doi.org/10.1519/JPT.0000000000000191. | Wrong setting |
| Moon S, Park J, Yang S. The Effects of Therapeutic Singing on Vocal Functions of the Elderly: A Study on Korean Elderly. J Voice. 2022;36(3):437 e1- e9. Available from: https://doi.org/10.1016/j.jvoice.2020.06.007. | Wrong outcome |
| Ng PEM, Nicholas SO, Wee SL, Yau TY, Chan A, Chng I, et al. Implementation and effectiveness of a multi-domain program for older adults at risk of cognitive impairment at neighborhood senior centres. Sci Rep. 2021;11(1):3787. Available from: https://dx.doi.org/10.1038/s41598-021-83408-5. | No separate reporting of relevant population |
| Park YH, Song M, Cho BL, Lim JY, Song W, Kim SH. The effects of an integrated health education and exercise program in community-dwelling older adults with hypertension: a randomized controlled trial. Patient Educ Couns. 2011;82(1):133-7. Available from: https://doi.org/10.1016/j.pec.2010.04.002. | Wrong intervention |
| Pelssers J, Delecluse C, Opdenacker J, Kennis E, Van Roie E, Boen F. "Every step counts!": effects of a structured walking intervention in a community-based senior organization. J Aging Phys Act. 2013;21(2):167-85. Available from: https://doi.org/10.1123/japa.21.2.167. | Wrong population |
| Rios JCS, Hua FY, Safons MP. Posture-focused self-management programme improves pain and function in older people with chronic low back pain: a randomised controlled trial. Int J Ther Rehabil. 2020;27(4):1-10. Available from: https://doi.org/10.12968/ijtr.2018.0082. | Wrong population |
| Suzuki T, Shimada H, Makizako H, Doi T, Yoshida D, Tsutsumimoto K, et al. Effects of multicomponent exercise on cognitive function in older adults with amnestic mild cognitive impairment: A randomized controlled trial. BMC Neurology. 2012;12. Available from: https://doi.org/10.1186/1471-2377-12-128 | Wrong setting |
| Teri L, McCurry SM, Logsdon RG, Gibbons LE, Buchner DM, Larson EB. A Randomized Controlled Clinical Trial of the Seattle Protocol for Activity in Older Adults. J Am Geriatr Soc. 2011;59(7):1188-96. Available from: https://doi.org/10.1111/j.1532-5415.2011.03454.x. | No separate reporting of relevant setting |
| Thom JM, Nelis SM, Cooney JK, Hindle JV, Jones IR, Clare L. Promotion of Healthy Aging Within a Community Center Through Behavior Change: Health and Fitness Findings From the AgeWell Pilot Randomized Controlled Trial. J Aging Phys Activity. 2021;29(1):80-8. Available from: https://doi.org/10.1123/japa.2019-0396. | Wrong population |
| Vogt S, Mielck A, Berger U, Grill E, Peters A, Döring A, et al. Neighborhood and healthy aging in a German city: distances to green space and senior service centers and their associations with physical constitution, disability, and health-related quality of life. Eur J Ageing. 2015;12(4):273-83. Available from: https://doi.org/10.1007/s10433-015-0345-0. | Wrong study design |
| Wu G, Keyes L, Callas P, Ren X, Bookchin B. Comparison of telecommunication, community, and home-based Tai Chi exercise programs on compliance and effectiveness in elders at risk for falls. Arch Phys Med Rehabil. 2010;91(6):849-56. Available from: https://dx.doi.org/10.1016/j.apmr.2010.01.024. | Wrong intervention |
Bilaga 4 Risk för bias hos relevanta systematiska översikter
| * ROB = Risk of Bias. The risk of bias of included systematic reviews is appraised using an assessment tool based on AMSTAR revised by SBU. The assessment tool is comprised of six steps based on the items in AMSTAR. Systematic reviews that did not meet the requirements in steps one to three were not assessed further. A systematic review is of moderate risk of bias if it fulfills all the requirements up to step four. For low risk of bias, steps five and six must also be fulfilled | ||
| Publication | RoB* | Comment |
|---|---|---|
| Song M, Seo K, Choi S, Choi J, Ko H, Lee SJ. Seniors centre-based health intervention programmes in the United States and South Korea: A systematic review. Int J Nurs Pract. 2017;23(5). Available from: https://doi.org/10.1111/ijn.12568. | High | Insufficient literature search strategy – risk of biased study identification |
| Havelsrud K, Thuve Dahm K, Sletsjoe H, Merete Reinar L. The Effect of Activities Offered at Senior Centres. Oslo: Norwegian Knowledge Centre for the Health Services (NIPH); 2011. Rapport fra Kunnskapssenteret Nr 07–2011. [accessed Oct 31 2023]. Available from: https://www.fhi.no/en/publ/2011/the-effect-of-activity-in-the-elderly/. | Low | |
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