According to sufficiently reported outcomes , social capital interventions showed mixed effects on quality of life , well-being and self-perceived health and were generally ineffective on loneliness , mood and mortality .
Conclusions Our review highlights the lack of evidence and the diversity among trials , while supporting the potential of social capital interventions to reach comprehensive health effects in older adults
Background Observational studies show that social capital is a protective health factor .
Therefore , we aim to assess the currently unclear health impact of social capital interventions targeting older adults .
Effectiveness of Family Meetings for Family Caregivers on Delaying Time to Nursing Home Placement of Dementia Patients: A Randomized Trial
Background Interventions relieving the burden of caregiving may postpone or prevent patient institutionalization . The objective of this study was to determine whether a family meetings intervention was superior to usual care in postponing nursing home placement of patients with dementia . Methods A r and omized multicenter trial was conducted among 192 patients with a clinical diagnosis of dementia living at home at enrolment and their primary family caregiver . Dyads of caregivers and patients were r and omized to the  family meetings intervention  ( n = 96 ) or  usual care ( n = 96 ) condition . The intervention consisted of two individual sessions with the primary caregiver and four family counseling sessions that included family members and friends . The primary outcome measure was the time until institutionalization of the patient . Intention-to-treat as well as per protocol analyses were performed . Survival analyses were carried out to evaluate the effectiveness of the intervention . Results During 18 months follow-up 23 of 96 relatives with dementia of caregivers in the intervention group and 18 of 96 relatives with dementia of caregivers in the usual care group were institutionalized . No significant difference between the intervention and the usual care group was found in time until institutionalization ( adjusted hazard ratio ( HR ) 1.46 , 95 % confidence interval ( CI ) 0.78 to 2.74 ) . The per- protocol analysis revealed no significant effect either ( adjusted HR 0.57 , 95 % CI 0.21 to 1.57 ) , although the number of placements among the adherers was relatively low ( 9.4 % ) . A subgroup effect was found for patients ’ age , with a significantly higher risk of institutionalization for ‘ younger ’ patients in the intervention group compared with the usual care group ( adjusted HR = 4.94 , 95 % CI 1.10 to 22.13 ) . Conclusion This family meetings intervention for primary caregivers of patients with dementia did not postpone patient institutionalization more than usual care . Trial Registration : Controlled-Trials.com IS RCT
According to sufficiently reported outcomes , social capital interventions showed mixed effects on quality of life , well-being and self-perceived health and were generally ineffective on loneliness , mood and mortality .
Conclusions Our review highlights the lack of evidence and the diversity among trials , while supporting the potential of social capital interventions to reach comprehensive health effects in older adults
Background Observational studies show that social capital is a protective health factor .
Therefore , we aim to assess the currently unclear health impact of social capital interventions targeting older adults .