Effect of physical activity, social support, and skills training on late-life emotional health: a systematic literature review and implications for public health research

doi:10.3389/fpubh.2014.00213

. 2015 Apr 27:2:213.

doi: 10.3389/fpubh.2014.00213. eCollection 2014.

Effect of physical activity, social support, and skills training on late-life emotional health: a systematic literature review and implications for public health research

Affiliations

¹ Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine , Seattle, WA , USA.
² Health Promotion Research Center, University of Washington , Seattle, WA , USA.
³ University of Washington School of Nursing with Environmental Health Focus , Seattle, WA , USA ; Adolescent Medicine, Seattle Children's , Seattle, WA , USA.
⁴ Department of Sociomedical Sciences, Columbia University Mailman School of Public Health , New York, NY , USA.
⁵ Department of Community and Behavioral Health, Colorado School of Public Health, University of Colorado Denver , Aurora, CO , USA.
⁶ Department of Educational Psychology, Counseling Psychology Program, Texas A&M University , College Station, TX , USA.
⁷ Davis School of Gerontology and Department of Psychology, University of Southern California , Los Angeles, CA , USA.
⁸ Sam and Rose Stein Institute for Research on Aging and Department of Psychiatry, University of California San Diego , San Diego, CA , USA.
⁹ College of Social Work, University of South Carolina , Columbia, SC , USA.
¹⁰ Department of Psychiatry, Washington University School of Medicine , St Louis, MO , USA.
¹¹ Department of Psychosocial and Community Health, University of Washington School of Nursing , Seattle, WA , USA.
¹² School of Public Health, University of California Berkeley , Berkeley, CA , USA.
¹³ Division of Chronic Disease and Injury Prevention, Michigan Department of Community Health , Lansing, MI , USA ; Healthy Aging Council and Health Equity Council, National Association of Chronic Disease Directors , Atlanta, GA , USA.
¹⁴ National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention , Atlanta, GA , USA ; Rollins School of Public Health, Emory University , Atlanta, GA , USA.

PMID: 25964921
PMCID: PMC4410348
DOI: 10.3389/fpubh.2014.00213

Effect of physical activity, social support, and skills training on late-life emotional health: a systematic literature review and implications for public health research

Mark B Snowden et al. Front Public Health. 2015.

. 2015 Apr 27:2:213.

doi: 10.3389/fpubh.2014.00213. eCollection 2014.

Authors

Affiliations

¹ Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine , Seattle, WA , USA.
² Health Promotion Research Center, University of Washington , Seattle, WA , USA.
³ University of Washington School of Nursing with Environmental Health Focus , Seattle, WA , USA ; Adolescent Medicine, Seattle Children's , Seattle, WA , USA.
⁴ Department of Sociomedical Sciences, Columbia University Mailman School of Public Health , New York, NY , USA.
⁵ Department of Community and Behavioral Health, Colorado School of Public Health, University of Colorado Denver , Aurora, CO , USA.
⁶ Department of Educational Psychology, Counseling Psychology Program, Texas A&M University , College Station, TX , USA.
⁷ Davis School of Gerontology and Department of Psychology, University of Southern California , Los Angeles, CA , USA.
⁸ Sam and Rose Stein Institute for Research on Aging and Department of Psychiatry, University of California San Diego , San Diego, CA , USA.
⁹ College of Social Work, University of South Carolina , Columbia, SC , USA.
¹⁰ Department of Psychiatry, Washington University School of Medicine , St Louis, MO , USA.
¹¹ Department of Psychosocial and Community Health, University of Washington School of Nursing , Seattle, WA , USA.
¹² School of Public Health, University of California Berkeley , Berkeley, CA , USA.
¹³ Division of Chronic Disease and Injury Prevention, Michigan Department of Community Health , Lansing, MI , USA ; Healthy Aging Council and Health Equity Council, National Association of Chronic Disease Directors , Atlanta, GA , USA.
¹⁴ National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention , Atlanta, GA , USA ; Rollins School of Public Health, Emory University , Atlanta, GA , USA.

PMID: 25964921
PMCID: PMC4410348
DOI: 10.3389/fpubh.2014.00213

Abstract

Purpose: Given that emotional health is a critical component of healthy aging, we undertook a systematic literature review to assess whether current interventions can positively affect older adults' emotional health.

Methods: A national panel of health services and mental health researchers guided the review. Eligibility criteria included community-dwelling older adult (aged ≥ 50 years) samples, reproducible interventions, and emotional health outcomes, which included multiple domains and both positive (well-being) and illness-related (anxiety) dimensions. This review focused on three types of interventions - physical activity, social support, and skills training - given their public health significance and large number of studies identified. Panel members evaluated the strength of evidence (quality and effectiveness).

Results: In all, 292 articles met inclusion criteria. These included 83 exercise/physical activity, 25 social support, and 40 skills training interventions. For evidence rating, these 148 interventions were categorized into 64 pairings by intervention type and emotional health outcome, e.g., strength training targeting loneliness or social support to address mood. 83% of these pairings were rated at least fair quality. Expert panelists found sufficient evidence of effectiveness only for skills training interventions with health outcomes of decreasing anxiety and improving quality of life and self-efficacy. Due to limitations in reviewed studies, many intervention-outcome pairings yielded insufficient evidence.

Conclusion: Skills training interventions improved several aspects of emotional health in community-dwelling older adults, while the effects for other outcomes and interventions lacked clear evidence. We discuss the implications and challenges in moving forward in this important area.

Keywords: aged; health promotion; mental health; review.

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**Figure 2**
**Literature review flow chart**.

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References

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1. Centers for Disease Control and Prevention (CDC) and National Association of Chronic Disease Directors (NACDD). The State of Mental Health and Aging in America Issue Brief 1: What Do the Data Tell Us?. National Association of Chronic Disease Directors; (2008). Available from: http://www.cdc.gov/aging/pdf/mental_health.pdf
1. Centers for Disease Control and Prevention (CDC). Behavioral Risk Factor Surveillance System Survey Data. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention; (2006).
1. Windle G, Linck P, Morgan R, Hughes D, Burholt V, Reeves C, et al. Public Health Interventions to Promote Mental Well-Being in People Aged 65 and Over: Systematic Review of Effectiveness and Costs-Effectiveness. (2008). Available from: http://www.nice.org.uk/guidance/index.jsp?action=folder&o=36395
1. National Institutes of Health (NIH). Cognitive and Emotional Health Project: The Healthy Brain. (2001). Available from: http://trans.nih.gov/cehp/HBPemot.htm

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[1] Hendrie HC, Albert MS, Butters MA, Gao S, Knopman DS, Launer LJ, et al. The NIH cognitive and emotional health project: report of the critical evaluation study committee. Alzheimers Dement (2006) 2:12–3210.1016/j.jalz.2005.11.004 - DOI - PubMed

[2] Hendrie HC, Albert MS, Butters MA, Gao S, Knopman DS, Launer LJ, et al. The NIH cognitive and emotional health project: report of the critical evaluation study committee. Alzheimers Dement (2006) 2:12–3210.1016/j.jalz.2005.11.004 - DOI - PubMed

[3] Centers for Disease Control and Prevention (CDC) and National Association of Chronic Disease Directors (NACDD). The State of Mental Health and Aging in America Issue Brief 1: What Do the Data Tell Us?. National Association of Chronic Disease Directors; (2008). Available from: http://www.cdc.gov/aging/pdf/mental_health.pdf

[4] Centers for Disease Control and Prevention (CDC) and National Association of Chronic Disease Directors (NACDD). The State of Mental Health and Aging in America Issue Brief 1: What Do the Data Tell Us?. National Association of Chronic Disease Directors; (2008). Available from: http://www.cdc.gov/aging/pdf/mental_health.pdf

[5] Centers for Disease Control and Prevention (CDC). Behavioral Risk Factor Surveillance System Survey Data. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention; (2006).

[6] Centers for Disease Control and Prevention (CDC). Behavioral Risk Factor Surveillance System Survey Data. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention; (2006).

[7] Windle G, Linck P, Morgan R, Hughes D, Burholt V, Reeves C, et al. Public Health Interventions to Promote Mental Well-Being in People Aged 65 and Over: Systematic Review of Effectiveness and Costs-Effectiveness. (2008). Available from: http://www.nice.org.uk/guidance/index.jsp?action=folder&o=36395

[8] Windle G, Linck P, Morgan R, Hughes D, Burholt V, Reeves C, et al. Public Health Interventions to Promote Mental Well-Being in People Aged 65 and Over: Systematic Review of Effectiveness and Costs-Effectiveness. (2008). Available from: http://www.nice.org.uk/guidance/index.jsp?action=folder&o=36395

[9] National Institutes of Health (NIH). Cognitive and Emotional Health Project: The Healthy Brain. (2001). Available from: http://trans.nih.gov/cehp/HBPemot.htm

[10] National Institutes of Health (NIH). Cognitive and Emotional Health Project: The Healthy Brain. (2001). Available from: http://trans.nih.gov/cehp/HBPemot.htm

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Effect of physical activity, social support, and skills training on late-life emotional health: a systematic literature review and implications for public health research

Affiliations

Effect of physical activity, social support, and skills training on late-life emotional health: a systematic literature review and implications for public health research

Authors

Affiliations

Abstract

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