Hostname: page-component-586b7cd67f-tf8b9 Total loading time: 0 Render date: 2024-11-26T15:35:11.987Z Has data issue: false hasContentIssue false

Preventing social isolation in later life: findings and insights from a pilot Queensland intervention study

Published online by Cambridge University Press:  30 May 2012

HELEN BARTLETT*
Affiliation:
Office of the Pro Vice-Chancellor and President, Monash University, Churchill, Victoria, Australia. Formerly at the Australasian Centre on Ageing, University of Queensland, St Lucia, Queensland, Australia.
JENI WARBURTON
Affiliation:
Formerly at the Australasian Centre on Ageing, University of Queensland, St Lucia, Queensland, Australia. John Richards Initiative, Faculty of Health Sciences, La Trobe University, Wodonga, Victoria, Australia.
CHI-WAI LUI
Affiliation:
Formerly at the Australasian Centre on Ageing, University of Queensland, St Lucia, Queensland, Australia. School of Population Health, University of Queensland, St Lucia, Queensland, Australia.
LINDA PEACH
Affiliation:
Formerly at the Australasian Centre on Ageing, University of Queensland, St Lucia, Queensland, Australia. School of Nursing and Midwifery, Monash University, Churchill, Victoria, Australia.
MATTHEW CARROLL
Affiliation:
Office of the Pro Vice-Chancellor and President, Monash University, Churchill, Victoria, Australia.
*
Address for correspondence: Helen Bartlett, Pro Vice-Chancellor & President, Monash University, Gippsland Campus, Northways Road, Churchill, Victoria 3842, Australia. E-mail: [email protected]

Abstract

The isolation of older people is recognised as a major social problem in contemporary Western society. While the risk factors and social or health outcomes of isolation and loneliness in later life are well documented, evidence regarding the effectiveness of programmes aimed at reducing social isolation in older people remains inconclusive. This paper reports on the challenges of attempting to undertake a rigorous evaluation of three demonstration pilot projects targeting older people at risk of social isolation, conducted within different social settings in Queensland, Australia. The demonstration projects were part of the Queensland Cross-Government Project to Reduce Social Isolation in Older People (CGPRSIOP) led by the Office for Seniors within the Queensland Department of Communities. In the absence of good evaluation of programmes aimed at social isolation, this government-run programme incorporated validated psychological measures to evaluate the effectiveness of interventions. While use of these measures suggested some promising results, the focus of this paper is on the methodological and practical challenges associated with utilising evaluation measures in community-based interventions. The detailed consideration of the methodological issues involved in this programme highlights some key lessons and offers new insights into evaluating interventions for reducing social isolation.

Type
Articles
Copyright
Copyright © Cambridge University Press 2012 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Arber, S., Davidson, K. and Ginn, J. (eds) 2003. Gender and Ageing: Changing Roles and Relationships. Open University Press, Maidenhead, UK.Google Scholar
Australasian Evaluation Society 2008. Guidelines for the Ethical Conduct of Evaluations. Australasian Evaluation Society, Canberra. Available online at http://www.aes.asn.au/about/Documents-ongoing/AESGuidlines10.pdf [Accessed 17 October 2011].Google Scholar
Australian Institute of Health and Welfare 2007. Older Australia at a Glance. Fourth edition, Australian Institute of Health and Welfare, Canberra.Google Scholar
Becker, G. 2003. Meanings of place and displacement in three groups of older immigrants. Journal of Aging Studies, 17, 2, 129–49.Google Scholar
Berkman, L. F. 2000. Which influences cognitive function: living alone or being alone? Lancet, 355, 9212, 1291–2.Google Scholar
Berkman, L. F. and Glass, T. 2000. Social integration, social networks, social support and health. In Berkman, L. F. and Kawachi, I. (eds), Social Epidemiology. Oxford University Press, New York, 137–73.Google Scholar
Bosworth, H. B. and Schaie, K. W. 1997. The relationship of social environment, social network and health outcomes in the Seattle longitudinal study: two analytical approaches. Journals of Gerontology: Social Sciences, 52B, 5, 197205.Google Scholar
Cacioppo, J. T., Hawkley, L. C., Crawford, L. E., Ernst, J. M., Burleson, M. H., Kowaleski, M. A., Malarkey, W. B., Van Cauter, E. and Berntson, G. G. 2002. Loneliness and health: potential mechanisms. Psychosomatic Medicine, 64, 3, 407–17.CrossRefGoogle ScholarPubMed
Cattan, M., White, M., Bond, J. and Learmouth, A. 2005. Preventing social isolation and loneliness among older people: a systematic review of health promotion interventions. Ageing & Society, 25, 1, 4167.CrossRefGoogle Scholar
Chappell, N. and Badger, M. 1989. Social isolation and well-being. Journals of Gerontology: Social Sciences, 44, 5, S169–76.CrossRefGoogle ScholarPubMed
Craig, P., Dieppe, P., Macintyre, S., Michie, S., Nazareth, I. and Petticrew, M. 2008. Developing and evaluating complex interventions: the new Medical Research Council guidance. British Medical Journal, 337, a1655.Google Scholar
de Jong Gierveld, J. 2003. Social networks and social well-being of older men and women living alone. In Arber, S., Davidson, K. and Ginn, J. (eds), Gender and Ageing: Changing Roles and Relationships. Open University Press, Maidenhead, UK, 94110.Google Scholar
de Jong Gierveld, J. and Havens, B. 2004. Cross-national comparisons of social isolation and loneliness: introduction and overview. Canadian Journal on Aging, 23, 2, 109–13.Google Scholar
de Jong Gierveld, J. and Kamphuis, F. H. 1985. The development of a Rasch-type loneliness-scale. Applied Psychological Measurement, 9, 3, 289–99.Google Scholar
de Jong Gierveld, J. and van Tilburg, T. 1999. Manual of the Loneliness Scale. Available online at http://home.fsw.vu.nl/tg.van.tilburg/manual_loneliness_scale_1999.html [Accessed 2 November 2010].Google Scholar
Department of Communities 2006. Cross Government Project to Reduce Social Isolation of Older People – Interim Report. Department of Communities, Queensland Government, Brisbane, Australia. Available online at http://www.communityservices.qld.gov.au/seniors/isolation [Accessed 6 December 2010].Google Scholar
Department of Communities 2008. Cross Government Project to Reduce Social Isolation of Older People: Evaluation Report – Phase Four. Department of Communities, Queensland Government, Brisbane, Australia. Available online at http://www.communityservices.qld.gov.au/seniors/isolation [Accessed 6 December 2010].Google Scholar
Department of Communities 2009. Cross Government Project to Reduce Social Isolation of Older People: Best Practice Guidelines. Department of Communities, Queensland Government, Brisbane, Australia. Available online at http://www.communityservices.qld.gov.au/seniors/isolation [Accessed 6 December 2010].Google Scholar
Dickens, A., Richards, S., Greaves, C. and Campbell, J. 2011. Interventions targeting social isolation in older people: a systematic review. BMC Public Health, 11, 647.Google Scholar
Findlay, R. A. 2003. Interventions to reduce social isolation amongst older people: where is the evidence? Ageing & Society, 23, 5, 647–58.Google Scholar
Flood, M. 2005. Mapping Loneliness in Australia. The Australia Institute, Canberra.Google Scholar
Fokkema, T. and Knipscheer, K. 2007. Escape loneliness by going digital: a quantitative and qualitative evaluation of a Dutch experiment in using ECT to overcome loneliness among older adults. Aging and Mental Health, 11, 5, 496504.CrossRefGoogle ScholarPubMed
Fratiglioni, L. 2000. Influence of social network on occurrence of dementia: a community-based longitudinal study. Lancet, 355, 9212, 1315–20.Google Scholar
Gardner, I., Brooke, E., Ozanne, E. and Kendig, H. 1999. Improving Health and Social Isolation in the Australian Veteran Community. Lincoln Gerontology Centre, La Trobe University, Melbourne.Google Scholar
Glei, D. A., Landau, D. A., Goldman, N., Chuang, Y.-L., Rodríguez, G. and Weinstein, M. 2005. Participating in social activities helps preserve cognitive function: an analysis of a longitudinal, population-based study of the elderly. International Journal of Epidemiology, 34, 4, 864–71.Google Scholar
Ip, D., Lui, C. W. and Chui, W. H. 2007. Veiled entrapment: a study of social isolation of older Chinese migrants in Brisbane, Queensland. Ageing & Society, 27, 5, 719–38.CrossRefGoogle Scholar
Kawachi, I. and Berkman, L. F. 2001. Social ties and mental health. Journal of Urban Health, 78, 3, 458–67.Google Scholar
Koenig, H. G., Westlund, R. E., George, L. K., Hughes, D. C., Blazer, D. G. and Hybels, C. 1993. Abbreviating the Duke Social Support Index for use in chronically ill elderly individuals. Psychosomatics, 34, 1, 61–9.Google Scholar
Lee, L. Y. K., Lee, D. T. F. and Woo, J. 2010. The psychosocial effect of Tai Chi on nursing home residents. Journal of Clinical Nursing, 19, 7/8, 927–38.Google Scholar
Moffatt, S. and Scambler, G. 2008. Can welfare-rights advice targeted at older people reduce social exclusion? Ageing & Society, 28, 6, 875–99.Google Scholar
Moren-Cross, J. L. and Lin, N. 2006. Social networks and health. In Binstock, R. H. and George, L. K. (eds), Handbook of Aging and the Social Sciences. Sixth edition, Elsevier, New York, 111–26.CrossRefGoogle Scholar
Owen, T. 2007. Working with socially isolated older people. British Journal of Community Nursing, 12, 3, 115–6.Google Scholar
Podsakoff, P. M., MacKenzie, S. B., Lee, J. Y. and Podsakoff, N. P. 2003. Common method biases in behavioral research: a critical review of the literature and recommended remedies. Journal of Applied Psychology, 88, 5, 879903.CrossRefGoogle ScholarPubMed
Powers, J. R., Goodger, B. and Byles, J. E. 2004. Assessment of the abbreviated Duke Social Support Index in a cohort of older Australians. Australasian Journal on Ageing, 23, 2, 71–6.Google Scholar
Rao, V., Warburton, J. and Bartlett, H. 2006. Health and social needs of older Australians from culturally and linguistically diverse backgrounds: issues and implications. Australasian Journal of Ageing, 25, 4, 174–9.Google Scholar
Roehner, B. M. 2007. Driving Forces in Physical, Biological and Socio-economic Phenomena: A Network Science Investigation of Social Bonds and Interactions. Cambridge University Press, New York.Google Scholar
Routasalo, P. E., Savikko, N., Tilvis, R. S., Strandberg, T. E. and Pitkälä, K. H. 2006. Social contacts and their relationship to loneliness among aged people – a population-based study. Gerontology, 52, 3, 181–7.Google Scholar
Rowland, D. 2007. Ethnicity and ageing. In Borowski, A., Encel, S. and Ozanne, E. (eds), Longevity and Social Change in Australia. UNSW Press, Sydney, 117–1.Google Scholar
Sansoni, J., Marosszeky, N., Sansoni, E. and Fleming, G. 2010. Final Report: Effective Assessment of Social Isolation. Centre for Health Service Development, University of Wollongong, Australia. Available online at http://www.dadhc.nsw.gov.au/NR/rdonlyres/08E45F97-0A09-4915-9FE4-AB6E1CC4243E/5388/SocialIsolationFinalReport.pdf [Accessed 16 December 2010].Google Scholar
Shapira, N., Barak, A. and Gal, I. 2007. Promoting older adults’ well-being through Internet training and use. Aging and Mental Health, 11, 5, 477–84.Google Scholar
Steed, L., Boldy, D., Grenade, L. and Iredell, H. 2007. The demographics of loneliness among older people in Perth, Western Australia. Australasian Journal on Ageing, 26, 2, 81–6.CrossRefGoogle Scholar
Tse, M. M. Y. 2010. Therapeutic effects of an indoor gardening programme for older people living in nursing homes. Journal of Clinical Nursing, 19, 7/8, 949–58.CrossRefGoogle ScholarPubMed
Upham, L. and Cowling, S. 2006. A Scan of Disadvantage in Queensland. The Centre for Social Justice, UnitingCare Queensland, Brisbane, Australia.Google Scholar
van Tilburg, T. and de Leeuw, E. 1991. Stability of scale quality under various data collection procedures: a mode comparison on the De Jong-Gierveld Loneliness Scale. International Journal of Public Opinion Research, 3, 1, 6985.Google Scholar
Victor, C. R., Scambler, S. J., Bowling, A. and Bond, J. 2005. The prevalence of, and risk factors for, loneliness in later life: a survey of older people in Great Britain. Ageing & Society, 25, 3, 357–75.Google Scholar
Vinson, T. 2007. Dropping Off the Edge: The Distribution of Disadvantage in Australia. Jesuit Social Services, Richmond, Victoria, Australia.Google Scholar
Wandersman, A. and Florin, P. 2003. Community interventions and effective prevention. American Psychologist, 58, 6/7, 441–8.Google Scholar
Warburton, J. and Lui, C. 2007. Social Isolation and Loneliness Among Older People: A Literature Review. Australasian Centre on Ageing, The University of Queensland, Brisbane, Australia.Google Scholar
Winningham, R. G. and Pike, N. L. 2007. A cognitive intervention to enhance institutionalized older adults’ social support networks and decrease loneliness. Aging and Mental Health, 11, 6, 716–21.Google Scholar
Yeh, S.-C. J. and Liu, Y.-Y. 2003. Influence of social support on cognitive function in the elderly. BMC Health Services Research, 3, 9, 19.Google Scholar
Yu, W. K. 2000. Chinese Older People: A Need for Social Inclusion in Two Communities. Joseph Rowntree Foundation, York, UK.Google Scholar
Zunzunegui, M. V., Alvarado, B. E., Del Ser, T. and Otero, A. 2003. Social networks, social integration, and social engagement determine cognitive decline in community-dwelling Spanish older adults. Journals of Gerontology: Social Sciences, 58, 2, S93100.Google Scholar