@Article{信息:doi 10.2196 / / jmir。4596，作者="陈毅如Regina和Schulz, Peter J"，标题="信息通信技术干预对减少老年人社会隔离的影响:系统综述"，期刊="J医学互联网研究"，年="2016"，月="1"，日="28"，卷="18"，数="1"，页数="e18"，关键词="社会隔离;老年人;背景:人口老龄化是一个不可阻挡的变化，挑战着每一个发达国家的政府和社会。根据临床和实证数据，社会隔离在老年人中普遍存在，并对老年人的心理和身体健康产生负面影响。针对社会孤立已成为政策和实践的一个重点领域。有证据表明，当代信息和通信技术(信通技术)有可能通过各种机制防止或减少老年人的社会孤立。目的:本系统综述探讨了信息通信技术干预对减少老年人社会孤立的影响。方法:采用统一的策略系统检索相关电子数据库(PsycINFO、PubMed、MEDLINE、EBSCO、SSCI、Communication Studies: a SAGE全文集、Communication {\&} Mass Media Complete、Association for Computing Machinery (ACM)数字图书馆和IEEE Xplore)，以确定2002年至2015年期间发表的关于ict介导的老年人社会隔离干预有效性的定量和定性研究。叙述综合被执行来解释确定的研究结果，他们的质量也被评价。 Results: Twenty-five publications were included in the review. Four of them were evaluated as rigorous research. Most studies measured the effectiveness of ICT by measuring specific dimensions rather than social isolation in general. ICT use was consistently found to affect social support, social connectedness, and social isolation in general positively. The results for loneliness were inconclusive. Even though most were positive, some studies found a nonsignificant or negative impact. More importantly, the positive effect of ICT use on social connectedness and social support seemed to be short-term and did not last for more than six months after the intervention. The results for self-esteem and control over one's life were consistent but generally nonsignificant. ICT was found to alleviate the elderly's social isolation through four mechanisms: connecting to the outside world, gaining social support, engaging in activities of interests, and boosting self-confidence. Conclusions: More well-designed studies that contain a minimum risk of research bias are needed to draw conclusions on the effectiveness of ICT interventions for elderly people in reducing their perceived social isolation as a multidimensional concept. The results of this review suggest that ICT could be an effective tool to tackle social isolation among the elderly. However, it is not suitable for every senior alike. Future research should identify who among elderly people can most benefit from ICT use in reducing social isolation. Research on other types of ICT (eg, mobile phone--based instant messaging apps) should be conducted to promote understanding and practice of ICT-based social-isolation interventions for elderly people. ", issn="1438-8871", doi="10.2196/jmir.4596", url="//www.mybigtv.com/2016/1/e18/", url="https://doi.org/10.2196/jmir.4596", url="http://www.ncbi.nlm.nih.gov/pubmed/26822073" }