Samuel R Pierce, Kerstin M Palombaro, Jill D Black
Barriers to bicycle helmet use in young children in an urban elementary school
Health promotion practice
social isolation associated increased allcause premature mortality poor chronic disease management mental health concerns limited research exists interventions addressing social isolation among individuals 65 despite increasing prevalence among young middleaged adults identify interventions extant literature address social isolation loneliness ambulatory healthcare settings adults aged 1864 identify elements successful studies future intervention design systematic review interventions targeting social isolation communitydwelling adults aged 1864 within ambulatory healthcare settings search strategy developed identify relevant articles following databases ovid medline embase ebm reviews scopus cinahl psychinfo data extracted study design setting intervention type outcome related social isolationloneliness scale measure used 25078 citations identified underwent title abstract screening 75 articles met inclusion criteria synthesised including assessment bias effective interventions delivered community health settings incorporated group component used digital technologies also addressed association mental health social isolation using cbt approaches enhanced selfmanagement coping strategies chronic conditions psychoeducational interventions future research prioritise adults living low middleincome countries racialized individuals well fewer educational opportunities also need advance research primary care settings longitudinal patientprovider relationships would facilitate success interventions