Volume 10, Issue 1 (June 2024)                   Elderly Health Journal 2024, 10(1): 43-51 | Back to browse issues page


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Nikpeyma N, Negarandeh R, Partovirad M. Comparison of the Effects of Mobile Learning and Traditional Self-care Education on Loneliness and Social Isolation in Community-dwelling Older Adults: Study Protocol of a Three-Arm Randomized Controlled Trial. Elderly Health Journal 2024; 10 (1) :43-51
URL: http://ehj.ssu.ac.ir/article-1-309-en.html
Department of Community Health and Geriatric Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran , Partovirad76@gmail.com
Abstract:   (93 Views)
Introduction: Loneliness and social isolation are common problems in older adults, which has negative effects on health. Increasing self-care ability seems to help. Therefore, the present study will be conducted with the aim of comparing the effects of mobile learning and traditional self-care education on loneliness and social isolation in community-dwelling older adults.
Methods: This three-arm randomized controlled trial will be conducted in Tehran-Iran 2024. The qualified older adults from health centers in Tehran city will be consecutively selected and randomly allocated into three groups: mobile learning (n = 40), traditional education (n = 40), and control (n = 40). The loneliness inventory for older adults, Lubben social network scale, and demographic characteristics will be used to collect information, and completed before, immediately, and 12 weeks after the intervention. The data will be analyzed using descriptive and inferential statistics by SPSS software version 16 at a significance level of p < 0.05.
Conclusion: This clinical trial will determine the most successful and cost-effective approach in reducing loneliness and social isolation in older adults. The results are expected to improve the self-care skills of the older adults, thereby reducing the negative consequences of loneliness and social isolation, including various health issues and mortality rates, in the long run.

Corresponding Author: Mehrnoosh Partovirad
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Type of Study: Research | Subject: General
Received: 2024/03/11 | Accepted: 2024/06/12 | Published: 2024/06/21

References
1. Esmaeili R, Esmaeili M. Quality of life in the elderly: A meta-synthesis. Journal of Research on Religion & Health. 2018; 4(2): 105-6. [Persian]
2. Swift HJ, Steeden B. Exploring representations of old age and aging. Centre for Ageing Better; 2020.
3. Social isolation and loneliness in older adults: Opportunities for the health care system. National Academies of Sciences, Engineering, and Medicine. 2020.
4. Gardiner C, Geldenhuys G, Gott M. Interventions to reduce social isolation and loneliness among older people: an integrative review. Health & Social Care in the Community. 2018 ; 26(2): 147-57.
5. Shamlou R, Nikpeyma N, Pashaeipour S, Sahebi L, Mehrgou Z. Relationship of loneliness and social isolation with self-care ability among older adults. Journal of Psychosocial Nursing and Mental Health Services. 2021; 59(1): 15-20.
6. Coplan RJ, Bowker JC, Nelson LJ, editors. The handbook of solitude: psychological perspectives on social isolation, social withdrawal, and being alone. John Wiley & Sons; 2021.
7. Cudjoe TK, Roth DL, Szanton SL, Wolff JL, Boyd CM, Thorpe Jr RJ. The epidemiology of social isolation: National health and aging trends study. The Journals of Gerontology: Series B. 2020; 75(1): 107-13.
8. Bandari R, Mohammadi Shahboulaghi F, Khankeh H, Ebadi A, Montazeri A. Development and psychometric evaluation of the loneliness inventory for older adults (Lonely): A mixed-methods study. Nursing Open. 2022; 9(6): 2804-13.
9. Perissinotto CM, Cenzer IS, Covinsky KE. Loneliness in older persons: a predictor of functional decline and death. Archives of Internal Medicine. 2012; 172(14): 1078-84.
10. F Corbett C, M Combs E, J Wright P, L Owens O, Stringfellow I, Nguyen T, et al. Virtual home assistant use and perceptions of usefulness by older adults and support person dyads. International Journal of Environmental Research and Public Health. 2021; 18(3): 1113.
11. Verdery AM, Margolis R. Projections of white and black older adults without living kin in the United States, 2015 to 2060. Proceedings of the National Academy of Sciences. 2017; 114(42): 11109-14.
12. Christiansen J, Lund R, Qualter P, Andersen CM, Pedersen SS, Lasgaard M. Loneliness, social isolation, and chronic disease outcomes. Annals of Behavioral Medicine. 2021; 55(3): 203-15.
13. Holt-Lunstad J. Why social relationships are important for physical health: A systems approach to understanding and modifying risk and protection. Annual Review of Psychology. 2018; 69: 437-58.
14. Holt-Lunstad J, Smith TB, Baker M, Harris T, Stephenson D. Loneliness and social isolation as risk factors for mortality: a meta-analytic review. Perspectives on Psychological Science. 2015; 10(2): 227-37.
15. Fleisch Marcus A, Illescas AH, Hohl BC, Llanos AA. Relationships between social isolation, neighborhood poverty, and cancer mortality in a population-based study of US adults. PloS One. 2017; 12(3): 1-13.
16. Rico-Uribe LA, Caballero FF, Martín-María N, Cabello M, Ayuso-Mateos JL, Miret M. Association of loneliness with all-cause mortality: A meta-analysis. PloS One. 2018; 13(1): 1-21.
17. Biddle KD, Uquillas FD, Jacobs HI, Zide B, Kirn DR, Rentz DM, et al. Social engagement and amyloid-β-related cognitive decline in cognitively normal older adults. The American Journal of Geriatric Psychiatry. 2019; 27(11): 1247-56.
18. Valtorta NK, Kanaan M, Gilbody S, Ronzi S, Hanratty B. Loneliness and social isolation as risk factors for coronary heart disease and stroke: systematic review and meta-analysis of longitudinal observational studies. Heart. 2016; 102(13): 1009-16.
19. Cheung G, Edwards S, Sundram F. Death wishes among older people assessed for home support and long-term aged residential care. International Journal of Geriatric Psychiatry. 2017; 32(12): 1371-80.
20. Heuser C, Howe J. The relation between social isolation and increasing suicide rates in the elderly. Quality in Ageing and Older Adults. 2022; 20(1): 2-9.
21. Greig F, Perera G, Tsamakis K, Stewart R, Velayudhan L, Mueller C. Loneliness in older adult mental health services during the COVID-19 pandemic and before: Associations with disability, functioning and pharmacotherapy. International Journal of Geriatric Psychiatry. 2022; 37(1): 1-8.
22. Manemann SM, Chamberlain AM, Roger VL, Griffin JM, Boyd CM, Cudjoe TK, et al. Perceived social isolation and outcomes in patients with heart failure. Journal of the American Heart Association. 2018; 7(11): 1-7.
23. World Health Organization. WHO guideline on self-care interventions for health and well-being, 2022 revision: executive summary [Internet]. 2021. Available from: https://www.who.int/publications/i/item/9789240052192
24. Chan A, Matchar DB, Tsao MA, Harding S, Chiu CT, Tay B, et al. Self-Care for Older People (SCOPE): A cluster randomized controlled trial of self-care training and health outcomes in low-income elderly in Singapore. Contemporary Clinical Trials. 2015; 41: 313-24.
25. Callaghan DM. The influence of growth on spiritual self-care agency in an older adult population. Journal of Gerontological Nursing. 2006; 32(9): 43-51.
26. Wang LY, Chang PC, Shih FJ, Sun CC, Jeng C. Self-care behavior, hope, and social support in Taiwanese patients awaiting heart transplantation. Journal of Psychosomatic Research. 2006; 61(4): 485-91.
27. Vizeshfar F, Ghelbash Z. Effect of a self-care training program using smartphones on general health, nutrition status, and sleep quality in the elderly. Psychogeriatrics. 2021; 21(6): 910-9.
28. Velligan DI, Diamond P, Mueller J, Li X, Maples N, Wang M, et al. The short-term impact of generic versus individualized environmental supports on functional outcomes and target behaviors in schizophrenia. Psychiatry Research. 2009; 168(2): 94-101.
29. Hugenholtz NI, de Croon EM, Smits PB, van Dijk FJ, Nieuwenhuijsen K. Effectiveness of e-learning in continuing medical education for occupational physicians. Occupational Medicine. 2008; 58(5): 1-3.
30. Sha'bani H. Instructional skills (Vol.I): nethods and techniques of teaching. 34th. SAMT; 2020.
31. Papi S, Abolfathi Momtaz Y, Foroughan M, Mohammadi Shahboulaghi F, Araban M, Ramezani T. Comparing the effect of face-to-face education and e-learning on the physical activity of the elderly. Journal of Holistic Nursing and Midwifery. 2021; 31(1): 35-43.
32. Tavakkoli Oskuei M, Barzanjeh Atri S, Davoodi A, Van Son C, Asghari-Jafarabadi M, Hosseinzadeh M. Evaluation of a self-care education program for older adults in Iran using a lifestyle improvement model. International Journal of Older People Nursing. 2022; 17(1): 1-11.
33. Barzegar R, Dehghan Zadeh H, Moghadam Zadeh A. From electronic learning to mobile learning: theoretical principles. Interdisciplinary Interdisciplinary Journal of Virtual Learning in Medical Sciences. 2012; 3(2): 35-41. [Persian]
34. Brown T. The role of m-learning in the future of e-learning in Africa. Proceedings of the21st ICDE World Conference; 2003 Jun; Hong Kong, China.
35. Ha SK, Lee HS, Park HY. Twelve smartphone applications for health management of older adults during the COVID-19 pandemic. International Journal of Environmental Research and Public Health. 2021; 18(19): 1-13.
36. McGarrigle L, Todd C. Promotion of physical activity in older people using mHealth and eHealth technologies: rapid review of reviews. Journal of Medical Internet Research. 2020; 22(12): e22201.
37. Ammar A, Bouaziz B, Trabelsi K, Glenn J, Zmijewski P, Müller P, et al. Applying digital technology to promote active and healthy confinement lifestyle during pandemics in the elderly. Biology of Sport. 2021; 38(3): 391-6.
38. Safdari R, Shams Abadi AR, Pahlevany Nejad S. Improve health of the elderly people with M-health and technology. Iranian Journal of Ageing. 2018; 13(3): 288-99. [Persian]
39. Asgary A, Khaghanizadeh M. Multimedia method of education. Education Strategies in Medical Sciences. 2010; 2(4): 173-6. [Persian]
40. Buck H, Pinter A, Poole E, Boehmer J, Foy A, Black S, et al. Evaluating the older adult experience of a web-based, tablet-delivered heart failure self-care program using gerontechnology principles. Geriatric Nursing. 2017; 38(6): 537-41.
41. Eysenbach G, Consort-Ehealth Group. CONSORT-EHEALTH: improving and standardizing evaluation reports of Web-based and mobile health interventions. Journal of Medical Internet Research. 2011; 13(4): e1923.
42. Lubben J, Blozik E, Gillmann G, Iliffe S, von Renteln Kruse W, Beck JC, et al. Performance of an abbreviated version of the Lubben Social Network Scale among three European community-dwelling older adult populations. The Gerontologist. 2006; 46(4): 503-13.
43. Tavakoli HT, Lashkardoost H, Khankolabi M, Asghari D, Hekmatara E, Nabavi SH. Validity and reliability of persian version of lubben social netwok-6 scale in elderly adult. Journal of North Khorasan University of Medical Sciences. 2020; 12(2): 1-6. [Persian]
44. Freedman A, Nicolle J. Social isolation and loneliness: The new geriatric giants: Approach for primary care. Canadian Family Physician Medecin. 2020; 66(3): 176-82.
45. Kohn JN, Lobo JD, Troyer EA, Wilson KL, Ang G, Walker AL, et al. Tai chi or health education for older adults with hypertension: effects on mental health and psychological resilience to COVID-19. Aging & Mental Health. 2022: 27(3): 1-9.
46. Papi S, Sahaf R, Rassafiani M, Foroughan M, Mohammadi F, Araban M, et al. Investigating the effect of different educational methods in preventing disease in elderly people: review of interventional studies in Iran. Disease and Diagnosis. 2018; 7(2): 48-60. [Persian]
47. Jansen-Kosterink SM, Bergsma J, Francissen A, Naafs A. The first evaluation of a mobile application to encourage social participation for community-dwelling older adults. Health and Technology. 2020; 10(5): 1107-13.
48. Wong AK, Wong FK, Chang KK. A proactive mobile health application program for promoting self-care health management among older adults in the community: study protocol of a three-arm randomized controlled trial. Gerontology. 2020; 66(5): 506-13.
49. Langeard A, Bigot L, Maffiuletti NA, Moussay S, Sesboüé B, Quarck G, et al. Non-inferiority of a home-based videoconference physical training program in comparison with the same program administered face-to-face in healthy older adults: the MOTION randomized controlled trial. Age and Ageing. 2022; 51(3): 1-8.
50. Naghibi A, Alizadeh M, Faghrzadeh H, Sharifi F, Rezaei Rad M, Yosefi R, et al. Efficacy of the two educational methods: traditional and electronic techniques in the training of nutritional aspect to healthy life style in elderly. Iranian Journal of Diabetes and Metabolism Disorders. 2014; 13(1): 9-20. [Persian]
51. Chan AW, Tetzlaff JM, Gøtzsche PC, Altman DG, Mann H, Berlin JA, et al. SPIRIT 2013 explanation and elaboration: guidance for protocols of clinical trials. British Medical Journal. 2013;346. 1-43.
52. Liu N, Yin J, Tan SS, Ngiam KY, Teo HH. Mobile health applications for older adults: a systematic review of interface and persuasive feature design. Journal of the American Medical Informatics Association. 2021; 28(11): 2483-501.

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