An evaluation of the effectiveness of a community mentoring service for socially isolated older people: a controlled trial.
An evaluation of the effectiveness of a community mentoring service for socially isolated older people: a controlled trial.
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DOI：
10.1186/1471-2458-11-218
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发表时间：
2011-04-08
影响因子：
4.5
通讯作者：
Campbell JL
中科院分区：
文献类型：
--
作者：
Dickens AP;Richards SH;Hawton A;Taylor RS;Greaves CJ;Green C;Edwards R;Campbell JL
社会孤立影响到很大一部分老年人，并与健康状况不佳有关。目前针对社会孤立的干预措施的有效性的证据基础是穷人，并为此目的的辅导的潜在效用，以前没有严格评估。本研究的目的是探讨以社区为基础的辅导服务的有效性，以改善心理健康，社会参与和身体健康的社会孤立的老年人。这项前瞻性对照试验将指导服务客户（干预组）样本与通过全科诊所招募的匹配对照组进行了比较。每组195名参与者的心理健康和社会活动得分相匹配。在基线和6个月随访时进行评估。主要结局为简明健康调查量表v2（SF-12）心理健康成分评分（MCS）。次要结局包括SF-12身体健康成分评分（PCS）、EuroQol EQ-5D、老年抑郁评分（GDS-10）、社会活动、社会支持和发病率。我们没有发现任何证据表明指导在测量健康状况，社会活动和抑郁症的广泛参与者结果中是有益的。随访时，在主要结局（p = 0.48）和大多数次要结局中未观察到统计学显著的组间差异。事实证明，确定合适的干预组和对照组参与者配对具有挑战性。这项试验的结果没有提供实质性的证据支持使用社区辅导作为缓解老年人社会孤立的有效手段。还需要进一步的证据来证明以社区为基础的针对社会孤立的干预措施的有效性。当使用非随机设计时，在从社区样本中招募合适的匹配者方面存在相当大的挑战。SCIE Research Register for Social Care 105923
Social isolation affects a significant proportion of older people and is associated with poor health outcomes. The current evidence base regarding the effectiveness of interventions targeting social isolation is poor, and the potential utility of mentoring for this purpose has not previously been rigorously evaluated. The purpose of this study was to examine the effectiveness of a community-based mentoring service for improving mental health, social engagement and physical health for socially isolated older people. This prospective controlled trial compared a sample of mentoring service clients (intervention group) with a matched control group recruited through general practice. One hundred and ninety five participants from each group were matched on mental wellbeing and social activity scores. Assessments were conducted at baseline and at six month follow-up. The primary outcome was the Short Form Health Survey v2 (SF-12) mental health component score (MCS). Secondary outcomes included the SF-12 physical health component score (PCS), EuroQol EQ-5D, Geriatric Depression Score (GDS-10), social activity, social support and morbidities. We found no evidence that mentoring was beneficial across a wide range of participant outcomes measuring health status, social activity and depression. No statistically significant between-group differences were observed at follow-up in the primary outcome (p = 0.48) and in most secondary outcomes. Identifying suitable matched pairs of intervention and control group participants proved challenging. The results of this trial provide no substantial evidence supporting the use of community mentoring as an effective means of alleviating social isolation in older people. Further evidence is needed on the effectiveness of community-based interventions targeting social isolation. When using non-randomised designs, there are considerable challenges in the recruitment of suitable matches from a community sample. SCIE Research Register for Social Care 105923
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影响因子：
168.9
作者：
Christensen, Kaare;Doblhammer, Gabriele;Rau, Roland;Vaupel, James W.
通讯作者：
Vaupel, James W.
影响因子：
2.2
作者：
DATH, P;KATONA, P;CORNELIUS, K
通讯作者：
CORNELIUS, K
影响因子：
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作者：
Bouman, Ans;van Rossum, Erik;Knipschild, Paul
通讯作者：
Knipschild, Paul
影响因子：
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作者：
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通讯作者：
Stamler, J
影响因子：
6.7
作者：
Coull, AJ;Taylor, VH;Hargreaves, AD
通讯作者：
Hargreaves, AD