Interventions in ambulatory healthcare settings to reduce social isolation among adults aged 18-64: a systematic review
Social isolation is linked to all-cause and premature mortality, poor chronic disease management, and mental health concerns. While more young and middle-aged adults are experiencing this condition, most studies focus on interventions for older adults. This study synthesized data from 75 articles addressing social isolation in adults aged 18-64 within ambulatory healthcare settings to inform future intervention design.
The results showed that group interventions delivered in primary care and health centers reduce social isolation and loneliness. Digital tools such as phone apps or video calls enhance intervention flexibility and efficacy. Effective interventions also address mental health through cognitive behavioural therapy-based approaches. Additionally, psychoeducational programs for chronic conditions showed effectiveness in social isolation outcome measures.
