Social capital interventions targeting older people and their impact on health: a systematic review

Coll‐Planas, Laura; Nyqvist, Fredrica; Puig, Teresa; Urrútia, Gerard; Solà, Iván; Monteserín, Rosa

doi:10.1136/jech-2016-208131

Cited by 100 publications

(86 citation statements)

References 66 publications

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“…SC-based interventions show promising beneficial results on mental health [13, 14, 58, 76]. Its potential still needs to be confirmed by robust trial designs with appropriate allocation concealment, double blinding of participants to ensure generalization of these results.…”

Section: Discussionmentioning

confidence: 99%

“…All of them were cross-sectional, and no mental health outcomes were considered. A more recent systematic review, published in July 2017 by Coll-Planas et al, [58] searched for the impact of SC interventions on health outcomes in older populations. Although it did not focus only on mental health assessments and the included population were older than 65 years old, their results support the positive potential of SC interventions on population’s mental health.…”

Section: Introductionmentioning

confidence: 99%

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Mental health impact of social capital interventions: a systematic review

Flores

Fuhr

Bayer

et al. 2017

Soc Psychiatry Psychiatr Epidemiol

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Purpose Mental disorders are a major contributor to the global burden of disease and disability, and can be extremely costly at both individual and community level. Social capital, (SC) defined as an individual’s social relationships and participation in community networks, may lower the risk of mental disorders while increasing resilience capacity, adaptation and recovery. SC interventions may be a cost-effective way of preventing and ameliorating these conditions. However, the impact of these SC interventions on mental health still needs research. Methods We conducted a systematic review of SC-based interventions to investigate their effect on mental health outcomes from controlled, quasi-experimental studies or pilot trials. We searched twelve academic databases, three clinical trials registries, hand-searched references and contacted field experts. Studies’ quality was assessed with the Cochrane Risk of Bias tools for randomized and non-randomized studies. Results Seven studies were included in the review, published between 2006 and 2016. There was substantial heterogeneity in the definitions of both SC and mental disorders among the studies, preventing us from calculating pooled effect sizes. The interventions included community engagement and educative programs, cognitive processing therapy and sociotherapy for trauma survivors, and neighbourhood projects. Conclusions There are paucity of SC interventions investigating the effect on mental health outcomes. This study showed that both SC scores and mental health outcomes improved over time but there was little evidence of benefit compared to control groups in the long term. Further high-quality trials are needed, especially among adverse populations to assess sustainability of effect.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Mental health impact of social capital interventions: a systematic review

Flores

Fuhr

Bayer

et al. 2017

Soc Psychiatry Psychiatr Epidemiol

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“…Although the evidence derived from these observational studies yielded mixed results, a more recent work by Coll-Planas et al (2017) highlighted the potential of SC interventions to reach comprehensive health effects. Although the evidence derived from these observational studies yielded mixed results, a more recent work by Coll-Planas et al (2017) highlighted the potential of SC interventions to reach comprehensive health effects.…”

Section: So Cial C Apital Interventi On Smentioning

confidence: 99%

“…Although the evidence derived from these observational studies yielded mixed results, a more recent work by Coll-Planas et al (2017) highlighted the potential of SC interventions to reach comprehensive health effects. Despite the need for higher quality research, this review can be used as an evidence base to support SC interventions from a public health perspective, including people with neurological disease (Coll-Planas et al, 2017). The included studies were very heterogeneous preventing a meta-analysis, and the risk of bias was high or unclear for all but eight trials.…”

Section: So Cial C Apital Interventi On Smentioning

confidence: 99%

Social capital: Implications for neurology

2018

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Social capital (SC) is a broad term that encompasses the many resources derived from social connections. The contemporary study of SC in public health has deep roots in the related fields of sociology, economics, and politics. Its multidisciplinary nature and the varying potential ways it could affect individuals have resulted in different but overlapping models to approach SC in the health field. There are currently no standardized measures of SC, and even more challenging its impact on health outcomes seems to vary according to the level of analysis. Despite the accumulating evidence that supports a protective effect of SC on mental and physical health, and mortality, not enough attention has been paid to the potential drawbacks of SC. The role of SC in neurological disease is just beginning to be explored. Concerted efforts are needed to ensure that empirical evidence on SC could be properly translated into interventions for health‐promoting purposes. In this paper, we review the current state of scientific knowledge on the subject of SC, with a focus on its application in the field of neurology.

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“…social or other meaningful activities). Second, it can affect capacity, or motivation, to problem solve and manage the activities of daily living (Benbow & Bhattacharyya, ; Coll‐Planas et al, ; Hjelle, Tuntland, Forland, & Alvsvag, ; Lee, ; Mlinac & Feng, ; Storeng, Sund, & Krokstad, ). Given that older age increases the risk of poor mental health, and the associations between mental health and other core outcomes, work to further understand the extent, and how, reablement affects mental health outcomes appears highly pertinent.…”

Section: Discussionmentioning

confidence: 99%

Outcomes of reablement and their measurement: Findings from an evaluation of English reablement services

Beresford

Mayhew

Duarte

et al. 2019

Health Soc Care Community

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Reablement – or restorative care – is a central feature of many western governments’ approaches to supporting and enabling older people to stay in their own homes and minimise demand for social care. Existing evidence supports this approach although further research is required to strengthen the certainty of conclusions being drawn. In countries where reablement has been rolled out nationally, an additional research priority – to develop an evidence base on models of delivery – is emerging. This paper reports a prospective cohort study of individuals referred to three English social care reablement services, each representing a different model of service delivery. Outcomes included healthcare‐ and social care–related quality of life, functioning, mental health and resource use (service costs, informal carer time, out‐of‐pocket costs). In contrast with the majority of other studies, self‐report measures were the predominant source of outcomes and resource use data. Furthermore, no previous evaluation has used a global measure of mental health. Outcomes data were collected on entry to the service, discharge and 6 months post discharge. A number of challenges were encountered during the study and insufficient individuals were recruited in two research sites to allow a comparison of service models. Findings from descriptive analyses of outcomes align with previous studies and positive changes were observed across all outcome domains. Improvements observed at discharge were, for most, retained at 6 months follow‐up. Patterns of change in functional ability point to the importance of assessing functioning in terms of basic and extended activities of daily living. Findings from the economic evaluation highlight the importance of collecting data on informal carer time and also demonstrate the viability of collecting resource use data direct from service users. The study demonstrates challenges, and value, of including self‐report outcome and resource use measures in evaluations of reablement.

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Social capital interventions targeting older people and their impact on health: a systematic review

Abstract: Our review highlights the lack of evidence and the diversity among trials, while supporting the potential of social capital interventions to reach comprehensive health effects in older adults.

Cited by 100 publications

References 66 publications

Mental health impact of social capital interventions: a systematic review

Mental health impact of social capital interventions: a systematic review

Social capital: Implications for neurology

Outcomes of reablement and their measurement: Findings from an evaluation of English reablement services

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