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중장년층의 사회적 고립 중재에 대한 체계적 고찰

A Systematic Review of Interventions Targeting Social Isolation Among Middle-Aged Adults

박혜연|양현|신지원
대한신경계작업치료학회 (Korean Society for Neurological Occupational Therapy)|2024.11|재활치료과학 (Therapeutic Science for Rehabilitation)|제13권 제4호|pp. 9-23

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참고문헌

키워드

외로움Systematic review체계적 고찰Loneliness사회적 고립Social isolation중장년층Social participation사회 참여Middle aged adults

초록

목적 : 본 연구는 중장년층을 대상으로 한 사회적 고립 완화 중재 프로그램을 체계적으로 분석함으로써, 다양한 연령층을 대상으로 사회적 고립 연구의 기반을 마련하고자 한다. 연구방법 : 2014년 1월 1일부터 2024년 1월 1일까지 PubMed, EMBASE, CINAHL의 데이터베이스를 통해 (“Social isolation” OR “Loneliness” OR “Ostracism” OR “Social Alienation” OR “Social Deprivation” OR “Cultural Deprivation” OR “Psychosocial Deprivation”) AND (“adults” OR “grown-ups” OR “grownup” OR “grownups” OR “adult”) AND (“program” OR “intervention”)을 주요 용어로 하여 검색하였다. 최종적으로 7편의 연구를 추출하여 분석하였다. 결과 : 7편 중 6편의 연구가 근거수준 I에 해당하는 무작위 통제 실험연구였다. 연구대상자는 여성의 비율이 높았고, 평가도구는 UCLA Loneliness Scale, Version 3 (UCLA-LS-3)가 가장 많이 사용되었으며, 중재 유형은 인터넷 기반 온라인 형태가 가장 많았다. 종속변수인 외로움은 6편의 연구 중 1편의 연구를 제외하고 중재 후 통계적으로 유의한 외로움의 감소를 보였다. 결론 : 본 연구를 바탕으로 사회적 고립 중재 연구의 필요성을 확인하고 ,다양한 연령대의 대상자를 위한 효과적인 사회적 고립 중재 연구가 진행될 수 있도록 기초적인 근거자료가 될 것으로 기대된다.

Abstract

Objective : The study aim was to systematically analyze intervention programs designed to alleviate social isolation among middle-aged adults. The goal was to lay the foundation for research on social isolation across various age groups. Methods : A comprehensive search was conducted in PubMed, EMBASE, and CINAHL databases from January 1, 2014, to January 1, 2024, using such keywords as “Social isolation,” “Loneliness,” “Ostracism,” “Social alienation,” “Social deprivation,” “Cultural deprivation,” and “Psychosocial deprivation,” combined with “adults,” “grown-ups,” and “program” or “intervention.” Seven studies were selected for analysis. Results : Six of the seven studies were randomized controlled trials with Level I evidence. The majority of participants were females, and the UCLA-LS-3 was the most commonly used assessment tool. Internet-based online interventions were the most frequently used program type. All but one study demonstrated a statistically significant reduction in loneliness after the intervention. Conclusion : This study underscores the need for continued research on social isolation intervention and provides foundational evidence for the development of effective programs targeting diverse age groups.

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