Interventions based on salutogenesis for older adults: An integrative review.

Publisher: Blackwell Scientific Publications Country of Publication: England NLM ID: 9207302 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1365-2702 (Electronic) Linking ISSN: 09621067 NLM ISO Abbreviation: J Clin Nurs Subsets: MEDLINE

Original Publication: Oxford ; Boston : Blackwell Scientific Publications, c1992-

Health Promotion*/methods; Humans ; Aged ; Quality of Life ; Aged, 80 and over ; Female ; Male ; Healthy Aging ; Self Efficacy

Aims: To synthesize the evidence of interventions based on salutogenesis for older adults.
Background: With the increasing tendency of global ageing and the progression of 'healthy ageing', salutogenesis has been adopted as a framework of health promotion for older adults.
Design: An integrative review following PRISMA guidelines.
Data Sources: Seven databases including PubMed, Cochrane Library, Web of Science, Embase, Scopus, PsycINFO and CINAHL Plus were systematically searched on 29 September 2022 and updated on 18 July 2023.
Results: Eighteen eligible studies were included in this review. Salutogenic-based interventions fell into three main categories: dialogue-based, health education courses based, and goal setting and achievement based. The intervention doses: length ranged from 4 weeks to 2 years, with most (n = 12) within 12 weeks; the duration of each session ranged from 30 to 150 min, with the majority (n = 7) within 1 h; the frequency ranged from five times weekly to three times in 10 months, and in six studies was once a week. Intervention providers were mostly multidisciplinary teams, while in four studies were nurses only. Most of the studies reported that salutogenic-based interventions could improve older adults' sense of coherence, quality of life, self-efficacy, self-management, meaning of life and mental health.
Conclusions: This review synthesized the interventions based on salutogenesis for older adults, including salutogenesis application, intervention and its doses, intervention settings and providers, and intervention effects. Future research on the effectiveness of the intervention, the optimal dose of the intervention and the underlying mechanisms are still necessary to understand salutogenic-based interventions.
No Patient or Public Contribution: Not apply as it's a review paper.
Relevance to Clinical Practice: Salutogenic-based intervention is effective for older adults in different scenarios to improve their health outcomes. Nurses play a key role in salutogenic-based interventional programs and thus should be essential personnel as the intervention provider.
(© 2024 John Wiley & Sons Ltd.)

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Humanities and Social Sciences Youth Foundation; 21YJC840034 Ministry of Education of the People's Republic of China

Keywords: Salutogenesis; aged; psychosocial intervention; sense of coherence

Date Created: 20240129 Date Completed: 20240613 Latest Revision: 20240613

20240613

10.1111/jocn.17028

38284512