3 evidence-based strategies for reducing loneliness and social isolation

The Bottom Line

  • Loneliness and social isolation can have detrimental impacts on our mental and physical health.
  • Strategies such as animal therapy, cognitive–behavioural therapy or psychotherapy, social therapy, exercise, music therapy, reminiscence therapy, or multi-component approaches can reduce loneliness and social isolation in older adults.
  • Features and characteristics of effective strategies include employing a group format, being grounded in theory, incorporating participant feedback, and tailoring to a specific group. 
  • Connect with your healthcare team to discuss strategies to combat loneliness and social isolation, as well as available supports within your community or long-term care setting.    

Family, friends, acquaintances, romantic partners, and more. Throughout our lives, we experience many types of relationships. Humans are “social animals” after all, as the Greek philosopher Aristotle once said. Looking at just some of the impacts of loneliness and social isolation on our health and well-being seemingly validates his claim. Think increased blood pressure, dementia, depression, and death (1-6). However, loneliness and social isolation do not have to become a staple of growing older or a part of our everyday lives. Strategies that can combat them do exist, as do specific features and characteristics of such strategies to watch out for.


Click on the links below to learn more.


1. Animal therapy, exercise, music…

Research shows that several strategies can reduce loneliness and social isolation and increase social support in older adults. Successful strategies include animal therapy, cognitive–behavioural therapy or psychotherapy, social therapy, exercise, music therapy, and multi-component strategies, although their impact varies. Additionally, the effects of these strategies differ for older adults living in the community versus those living in long-term care settings. More research is needed to improve the quality of the current evidence base (7).


2. Reminiscence therapy

Research shows that group reminiscence therapy can improve social isolation and depression in nursing home residents. This strategy, which allows folks to share their personal stories and memories with others, is most valuable when executed by a well-trained program facilitator (8).


3. Features and characteristics of effective strategies

Research shows that several features and characteristics can increase the effectiveness of strategies that aim to reduce loneliness and/or social isolation in older adults. These include using a group-based format, having theory underpin the development of the strategy, incorporating feedback from participants, and targeting the strategy toward a specific group. Newer evidence suggests that for loneliness specifically, incorporating elements around changing negative thinking is optimal. More high-quality research is needed in this area (9).


If you are feeling lonely or experiencing social isolation, know that there are resources you can lean on. Reach out to your healthcare team to discuss what you are feeling and experiencing, as well as potential strategies that you can incorporate or referrals to supports within your community or long-term care setting that address your specific needs. Additionally, the Government of Canada provides links and phone numbers for national, provincial, and territorial mental health resources. These aid with accessing one-on-one counselling with a mental health professional, education, self-directed programming, peer support, and helplines. However, if you are in immediate crisis call 911.


Get the latest content first. Sign up for free weekly email alerts.
Subscribe
Author Details

References

  1. Dickens AP, Richards SH, Greaves CJ, et al. Interventions targeting social isolation in older people: A systematic review. BMC Public Health. 2011; 11:647. doi: 10.1186/1471-2458-11-647. 
  2. Masi CM, Chen HY, Hawkley LC, et al. A meta-analysis of interventions to reduce loneliness. Pers Soc Psychol Rev. 2011; 15(3):219-266. doi: 10.1177/1088868310377394. 
  3. Seeman TE. Social ties and health: The benefits of social integration. Ann Epidemiol1996; 6:442-451. doi: 10.1016/s1047-2797(96)00095-6.
  4. Fratiglioni L, Wang HX, Ericsson K, et al. Influence of social network on occurrence of dementia: A community-based longitudinal study. Lancet. 2000; 355:1315-1319. doi: 10.1016/S0140-6736(00)02113-9.
  5. Government of Canada. Report on the social isolation of seniors, 2013-2014. [Internet] 2023. [cited June 2023]. Available from https://www.canada.ca/en/national-seniors-council/programs/publications-reports/2014/social-isolation-seniors/page05.html 
  6. Hawkley LC, Thisted RA, Masi CM, et al. Loneliness predicts increased blood pressure: Five-year cross-lagged analyses in middle-aged and older adults. Psychol Aging. 2010; 25(1):132-141. doi: 10.1037/a0017805.
  7. Hoang P, King JA, Moore S, et al. Interventions associated with reduced loneliness and social isolation in older adults: A systematic review and meta-analysis. JAMA Netw Open. 2022; 5(10):e2236676. doi: 10.1001/jamanetworkopen.2022.36676.
  8. Franck L, Molyneux N, Parkinson L. Systematic review of interventions addressing social isolation and depression in aged care clients. Qual Life Res. 2016; 25(6):1395-1407. doi: 10.1007/s11136-015-1197-y.
  9. Dickens AP, Richards SH, Greaves CJ, et al. Interventions targeting social isolation in older people: A systematic review. BMC Public Health. 2011; 11:647. doi: 10.1186/1471-2458-11-647. 

DISCLAIMER: These summaries are provided for informational purposes only. They are not a substitute for advice from your own health care professional. The summaries may be reproduced for not-for-profit educational purposes only. Any other uses must be approved by the McMaster Optimal Aging Portal (info@mcmasteroptimalaging.org).

Many of our Blog Posts were written before the COVID-19 pandemic and thus do not necessarily reflect the latest public health recommendations. While the content of new and old blogs identify activities that support optimal aging, it is important to defer to the most current public health recommendations. Some of the activities suggested within these blogs may need to be modified or avoided altogether to comply with changing public health recommendations. To view the latest updates from the Public Health Agency of Canada, please visit their website.