JMIR Publications

ABSTRACT

Background:

In the last decades, the relationship between SNSs and older people’s loneliness is gaining specific relevance. Studies in this field are often based on qualitative methods because they allow studying in-depth self-perceived issues, including loneliness and well-being, or quantitative survey to report the links between ICTs and older people’s well-being or loneliness. The causal relationship does not in-depth analysed by these methods. Moreover, the research on older people’s SNSs use is still scant, especially regarding their impact on health and well-being. In recent years, the existing review studies have separately focused their attention on loneliness and social isolation of older people or on the elderly's use of ICTs and SNSs, without tackling the relationship between the former issue and the latter. This thorough qualitative review provides an analysis of research carried out using experimental and quasi-experimental design that investigates the causal effect of Information and Communication Technologies (ICTs) and social network sites (SNSs) use on older adults’ well-being related to loneliness.

Objective:

The aims of this review are to contrast and compare research designs (sampling and recruitment, evaluation tools, interventions) and findings of these studies and to highlight their limitations.

Methods:

Using an approach that integrates the methodological framework for scoping studies and the PRISMA guidelines for systematic reviews, we have identified only 11 articles that have met our inclusion criteria. A thematic and contents analysis based on the ex-post categorisation of data has been provided on the selected studies, and sequentially the data have been summarised tables.

Results:

The analysis of the selected articles has shown that i) ICTs use is positively, but weakly, related to the different measures of older people’s well-being and loneliness; ii) overall, the studies under review lack a sound experimental design; iii) the main limitations of these studies lie in the lack of rigor in sampling method and recruitment strategy.

Conclusions:

The analysis of the reviewed studies confirms the existence of a beneficial effect of ICTs use on the well-being of older people, in terms of reduced loneliness. however, the causal relationship is often declared as weakly. This review highlighting the need for studying these issues with adequate methodological rigour.