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Digital Connections with Loved Ones

Impact on social isolation shows small or no effect with moderate cost and low evidence quality.

Highlights

  • Evidence: Limited research directly measures the impact of digital connections with loved ones on social isolation and loneliness in older adults.
     
  • Effectiveness: Some reductions in loneliness were observed, but these were not statistically significant.
     
  • Implementation: Effective delivery includes assessing individual needs, providing training and support, maintaining regular engagement, and ensuring access to digital tools for all participants.
     
  • Future Research: More randomized trials with larger sample sizes, longer interventions, longer follow-up, and focus on equity-seeking groups are needed.

Study Publication Year: 2021

Evidence Currency: Published 5 years ago (at the 5-year mark)


Access the complete peer-reviewed article below for detailed methodology, participant characteristics, intervention components, and outcome measures.

Shah 2021 (pdf)Download

What is it?


Digital connections with loved ones are programs that use technology to help older adults stay socially connected, support memory and thinking, and receive personalized reminders. These interventions use tools such as video calls, online social platforms, and simplified computer systems to encourage communication and engagement. Programs lasted between 3 and 12 months.


The digital tools used in these programs include devices and applications such as computers, tablets, iPads, smartphones, internet platforms, video calls, messaging services, online groups, social media, sensors, and social robots. Examples include video calls through platforms like MSN Messenger or Skype; group interactions through WhatsApp groups offering low-intensity cognitive behavioural therapy; social internet-based activity (SIBA) programs that encourage participation in online social activities; the PRISM (Personal Reminder Information and Social Management) system; and EasyPC, a simplified touch-screen computer platform designed for ease of use.


Is it effective?

How much does it cost?

How much does it cost?

Some decreases in loneliness were seen with this intervention, but the changes were not statistically significant at the different follow-up time points.


The study included adults aged 18 and older from six countries: Taiwan, the Netherlands, Sweden, the United States, the United Kingdom, and South Africa.

How much does it cost?

How much does it cost?

How much does it cost?

On average, the cost of digital connections is likely medium.


These programs use common digital tools such as social media, video-calling platforms (e.g., Skype, Zoom), and messaging apps (e.g., WhatsApp). Many of these services are free or have low subscription fees and can be used on devices like smartphones, tablets, or computers that participants may already own. The main requirement is internet access, which is widely available and generally affordable.

How strong is the evidence?

Our confidence in the estimated reduction in social isolation and loneliness is very low.


There was higher certainty in the results at 3 and 6 months after the intervention, but very low certainty at 4 months. This uncertainty is due to publication bias and imprecision.


Given this low level of certainty, the findings should be interpreted with caution, and additional high-quality research may be needed to confirm the results.

How can you implement it well?

To implement this intervention effectively, consider the following strategies:


Assess individual needs: Start with an initial assessment to choose digital tools and platforms that match each participant’s needs and preferences.


Provide training and ongoing support: Offer clear training for participants and caregivers on how to use the technology, along with continued technical support to help resolve any issues.


Facilitate regular engagement: Schedule regular video calls and online activities using video and messaging platforms (e.g., Skype or WhatsApp) to support consistent social interaction.


Ensure accessibility: Choose user-friendly tools with simple interfaces, such as EasyPC, so participants with different levels of digital experience can use the technology comfortably.

Equity Considerations

Expected to Work Differently for Specific Populations (Program Logic)

Expected to Work Differently for Specific Populations (Program Logic)

Expected to Work Differently for Specific Populations (Program Logic)

The review did not discuss equity in how this intervention was implemented. However, the level of digital skills needed may mean that older adults require additional training and simpler tools to participate fully.


People living in low-resource areas or with lower incomes may have limited access to devices or internet services, and may need extra support to take part.


Programs should also be offered in multiple languages to serve diverse populations effectively. This includes providing training and support in participants’ preferred languages and considering cultural preferences in social activities.

Tailoring for Vulnerable Populations (Program Delivery)

Expected to Work Differently for Specific Populations (Program Logic)

Expected to Work Differently for Specific Populations (Program Logic)

Participants in the meta-analysis were not screened for loneliness. Because of this, it is unclear whether the results would be the same for people who are already experiencing loneliness.

Analysis for Different Vulnerable Populations (Analysis)

Expected to Work Differently for Specific Populations (Program Logic)

Analysis for Different Vulnerable Populations (Analysis)

The review did not analyze results across PROGRESS+ factors. This was due to the small number of included studies and the limited data available on loneliness across participants’ demographic characteristics.

Click Here to Learn About PROGRESS+

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