Abstract：
BACKGROUND: Social isolation is associated with increased all-cause and premature mortality, poor chronic disease management, and mental health concerns. Limited research exists on interventions addressing social isolation among individuals under 65 despite its increasing prevalence among young and middle-aged adults.
OBJECTIVE: To identify interventions from the extant literature that address social isolation and loneliness in ambulatory healthcare settings in adults aged 18-64, and to identify elements of successful studies for future intervention design.
METHODS: Systematic review of interventions targeting social isolation in community-dwelling adults aged 18-64 within ambulatory healthcare settings.
METHODS: A search strategy was developed to identify relevant articles in the following databases: Ovid MEDLINE, Embase, EBM Reviews, Scopus, CINAHL and PsychInfo. Data were extracted on study design and setting, intervention type, outcome related to social isolation/loneliness and scale of measure used.
RESULTS: 25,078 citations were identified and underwent title and abstract screening. 75 articles met our inclusion criteria and were synthesised, including an assessment of bias. Effective interventions were delivered in community health settings, incorporated a group component, and used digital technologies. They also addressed the association between mental health and social isolation using CBT approaches and enhanced self-management and coping strategies for chronic conditions through psycho-educational interventions.
CONCLUSIONS: Future research should prioritise adults living in low- and middle-income countries, racialized individuals, as well as those with fewer educational opportunities. There is also a need to advance research in primary care settings, where longitudinal patient-provider relationships would facilitate the success of interventions.
OBJECTIVE: To identify interventions from the extant literature that address social isolation and loneliness in ambulatory healthcare settings in adults aged 18-64, and to identify elements of successful studies for future intervention design.
METHODS: Systematic review of interventions targeting social isolation in community-dwelling adults aged 18-64 within ambulatory healthcare settings.
METHODS: A search strategy was developed to identify relevant articles in the following databases: Ovid MEDLINE, Embase, EBM Reviews, Scopus, CINAHL and PsychInfo. Data were extracted on study design and setting, intervention type, outcome related to social isolation/loneliness and scale of measure used.
RESULTS: 25,078 citations were identified and underwent title and abstract screening. 75 articles met our inclusion criteria and were synthesised, including an assessment of bias. Effective interventions were delivered in community health settings, incorporated a group component, and used digital technologies. They also addressed the association between mental health and social isolation using CBT approaches and enhanced self-management and coping strategies for chronic conditions through psycho-educational interventions.
CONCLUSIONS: Future research should prioritise adults living in low- and middle-income countries, racialized individuals, as well as those with fewer educational opportunities. There is also a need to advance research in primary care settings, where longitudinal patient-provider relationships would facilitate the success of interventions.
摘要：
背景：社会隔离与全因死亡率和过早死亡率的增加有关，慢性病管理不善，和心理健康问题。尽管65岁以下的年轻人和中年人的患病率越来越高，但关于解决65岁以下个人社会隔离的干预措施的研究有限。
目的：从现有文献中确定解决18-64岁成人门诊医疗环境中社会隔离和孤独感的干预措施，并确定未来干预设计的成功研究要素。
方法：在门诊医疗机构中，针对社区居住的18-64岁成年人的社会隔离的干预措施的系统评价。
方法：开发了一种搜索策略，以识别以下数据库中的相关文章：OvidMEDLINE，Embase,EBM评论,Scopus,CINAHL和PsychInfo。数据提取了研究设计和设置，干预类型,结果与社会隔离/孤独感和使用的衡量标准有关。
结果：确定了25,078篇引文，并进行了标题和摘要筛选。75篇文章符合我们的纳入标准，并进行了综合，包括对偏见的评估。在社区卫生环境中提供了有效的干预措施，合并了一个组组件，并使用数字技术。他们还使用CBT方法解决了心理健康与社会隔离之间的联系，并通过心理教育干预措施增强了慢性病的自我管理和应对策略。
结论：未来的研究应该优先考虑生活在低收入和中等收入国家的成年人，种族化的个体，以及受教育机会较少的人。还需要推进初级保健机构的研究，纵向的患者-提供者关系将促进干预的成功。
目的：从现有文献中确定解决18-64岁成人门诊医疗环境中社会隔离和孤独感的干预措施，并确定未来干预设计的成功研究要素。
方法：在门诊医疗机构中，针对社区居住的18-64岁成年人的社会隔离的干预措施的系统评价。
方法：开发了一种搜索策略，以识别以下数据库中的相关文章：OvidMEDLINE，Embase,EBM评论,Scopus,CINAHL和PsychInfo。数据提取了研究设计和设置，干预类型,结果与社会隔离/孤独感和使用的衡量标准有关。
结果：确定了25,078篇引文，并进行了标题和摘要筛选。75篇文章符合我们的纳入标准，并进行了综合，包括对偏见的评估。在社区卫生环境中提供了有效的干预措施，合并了一个组组件，并使用数字技术。他们还使用CBT方法解决了心理健康与社会隔离之间的联系，并通过心理教育干预措施增强了慢性病的自我管理和应对策略。
结论：未来的研究应该优先考虑生活在低收入和中等收入国家的成年人，种族化的个体，以及受教育机会较少的人。还需要推进初级保健机构的研究，纵向的患者-提供者关系将促进干预的成功。
