Social isolation and psychological distress among older adults related to COVID-19: A narrative review of remotely-delivered interventions and recommendations
Abstract
The COVID-19 pandemic is associated with several short- and long-term negative impacts on the well-being of older adults. Physical distancing recommendations to reduce transmission of the SARS-CoV2-19 virus increase the risk of social isolation and loneliness, which are associated with negative outcomes including anxiety, depression, cognitive decline, and mortality. Taken together, social isolation and additional psychological impacts of the pandemic (e.g., worry, grief) underscore the importance of intervention efforts to older adults. This narrative review draws upon a wide range of evidence to provide a comprehensive overview of appropriate remotely-delivered interventions for older adults that target loneliness and psychological symptoms. These include interventions delivered by a range of individuals (i.e., community members to mental health professionals), and interventions that vary by implementation (e.g., self-guided therapy, remotely-delivered interventions via telephone or video call). Recommendations to overcome barriers to implementation and delivery are provided, with consideration given to the different living situations.
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This research activity was followed by a surge in digital interventions driven by the need to reach population groups whose mental health was at risk the most using remote delivery methods, which had value during regional and national lockdowns and through periods of social distancing measures.
“This research activity was followed by a surge in digital interventions driven by the need to reach population groups whose mental health was at risk the most using remote delivery methods, which had value during regional and national lockdowns and through periods of social distancing measures [67,68,69].”
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- Authors
- Gorenko, J. A., Moran, C., Flynn, M., Dobson, K., & Konnert, C.
- Affiliations
- University of Calgary (CA)
- Corresponding author
- Gorenko, Julie A.
- Venue
- Journal of Applied Gerontology
- Publisher
- SAGE Publications
- Published
- 2020-09-11
- Volume
- 40
- Issue
- 1
- Pages
- 3-13
- ISSN
- 0733-4648 (ISSN-L)
- 1552-4523
- OpenAlex
- W3084681727
- Cited by
- 262
- References
- 50
- Citations by year
- 2026: 15 · 2025: 16 · 2024: 54 · 2023: 53 · 2022: 84 · 2021: 39 · 2020: 1
- FWCI
- 3.44
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Applied Gerontology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
- Social Sciences › Demography › Technology Use by Older Adults
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Keywords
- COVID-19 pandemic, older adults, social isolation, loneliness, psychological distress, anxiety, depression, telemedicine, telephone-delivered intervention, social distancing, grief, living arrangements, implementation barriers
- MeSH terms
- Psychological Distress, Physical Distancing, COVID-19, SARS-CoV-2, Aged, Anxiety, Attitude to Computers, Delivery of Health Care, Depression, Humans, Loneliness, Nursing Homes, Social Isolation, Telecommunications, Cognitive Behavioral Therapy, Privacy, Assisted Living Facilities, Independent Living, Social Media
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