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https://doi.org/10.1093/heapro/daac007
Title: | Salutogenic-based interventions among community-dwelling older adults: a systematic review and meta-analysis. | Authors: | Chow, Edmund Kit Mun Seah, Betsy Chan, Janice Jia Ying Wang, Wenru |
Keywords: | elderly quality of life salutogenesis self-efficacy sense of coherence |
Issue Date: | 4-Feb-2022 | Publisher: | Oxford University Press (OUP) | Citation: | Chow, Edmund Kit Mun, Seah, Betsy, Chan, Janice Jia Ying, Wang, Wenru (2022-02-04). Salutogenic-based interventions among community-dwelling older adults: a systematic review and meta-analysis.. Health Promotion International. ScholarBank@NUS Repository. https://doi.org/10.1093/heapro/daac007 | Abstract: | Salutogenesis is a health-promoting orientation and sense of coherence (SOC) is a vital coping factor associated with quality of life (QOL) and self-efficacy. Although salutogenic-based interventions showed potential in improving health outcomes, the application of salutogenic concepts and effectiveness on SOC, QOL and self-efficacy among community-dwelling older adults remained unclear. This review aimed to consolidate evidence on salutogenic approaches and evaluate the effectiveness of salutogenic-based interventions on SOC, QOL and self-efficacy in community-dwelling older adults. Databases systematically searched include PubMed, CINAHL, Embase, Cochrane Central Register of Controlled Trials, Scopus, Medline, PsycINFO and ProQuest Dissertations & Theses Global electronic databases. Two reviewers screened study eligibility, assessed risk of bias and extracted data of included studies independently. Meta-analyses on SOC and QOL were performed using RevMan. Where meta-analysis was not possible, narrative synthesis was employed. Eight studies involving 1201 older adults were included in this review. Subgroup analysis on SOC showed significant effects favouring salutogenic-based interventions using the empowering self-management model or strengths/resource-based approaches. However, results were mixed for the reflection-based approach. No significant effect favouring salutogenic-based interventions on QOL outcomes were found. High heterogeneity was observed for the outcome on self-efficacy. Two SOC strengthening processes, empowerment and reflection, were found to potentially underlie salutogenic-based intervention mechanisms. Effectiveness of salutogenic-based interventions on SOC, QOL and self-efficacy among community-dwelling older adults remained inconclusive due to high heterogeneity. Future salutogenic-based interventions should employ longitudinal designs and standardization on intervention delivery, utilizing a dual pathway via empowerment and reflection. | Source Title: | Health Promotion International | URI: | https://scholarbank.nus.edu.sg/handle/10635/218136 | ISSN: | 0957-4824 1460-2245 |
DOI: | 10.1093/heapro/daac007 |
Appears in Collections: | Staff Publications Elements |
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Chow et al 2021.pdf | Published version | 628.1 kB | Adobe PDF | CLOSED | None | |
Salutogenic-based interventions.docx | Accepted Manuscript | 140.05 kB | Microsoft Word XML | OPEN | None | View/Download |
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