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. 2025 Jun 24;10(6):e017836. doi: 10.1136/bmjgh-2024-017836

Table 1. Summary of included studies with quantitative data.

References, country Year Setting and recruitment Study design Mental health focus Intervention name Intervention content and delivery Duration of intervention Inclusion criteria n (% female) Age (m, SD) Mental health outcomes Findings
Jarvis et al, South Africa 2019 Non-governmental organisation offering accommodation for resource-restricted residents RCT with two groups:
  1. Intervention group (n=15)

  2. Control group (generic wellness programme) (n=17)

Loneliness Living in Networked Communities Intervention consists of four phases: (1) technology acceptance through selection of smartphone and four 90-minute group sessions (2 weeks), (2) psychoeducation about loneliness delivered over 90-minute face-to-face sessions as well as over WhatsApp (2 weeks), (3) and individualised messages aimed at maladaptive cognitions sent over WhatsApp (1 month), (4) maintenance stage (1 month) 12 weeks Participants must:
  • Be 60 years or over

  • Reside in the residence

  • Be willing to participate

  • Be cognitively intact


In addition to the above, the participant must also either
  • Be socially isolated

  • Experience loneliness

  • Have decreased mental well-being

26 (81.3) 74.9 (6.4) Social cognition: Young Schema Questionnaire (YSQ)
Loneliness: De Jong Gierveld Loneliness Scale (DGLS)
Mental well-being: WHO-5
There were significant positive changes in both YSQ and DGLS
At 1-month follow-up, a significant reduction in DGLS was maintained
Tekin and Cetisli-Korkmaz, Turkey 2022 Grandparents of physiotherapy interns RCT with two groups:
  1. Intervention group

  2. No formal exercise training

Depression and fall prevention No name Home exercise programme consisting of six different types of calisthenic exercises. Videos of exercise prescriptions were sent to participants via
online methods. The exercise programme was scheduled 5 days a week for 4 weeks
4 weeks Participants must:
  • Volunteer

  • Be 65 years or over

  • Not have serious cardiac, orthopaedic or cognitive problems

255 (45.9) 70.3 (5.4) Geriatric Depression Scale (GDS)
Modified Fall Efficacy Scale (MFES)
Short Physical Performance Battery (SPPB)
Significant improvements in GDS and MFES in the intervention group
Brandão et al, Brazil 2022 University hospital/public community healthcare centre etc Feasibility study with a mixed-methods approach Social isolation Playful Living Weekly 60-minute WhatsApp video calls with undergraduate students with knowledge of four areas of arts and health (clowning, dancing, storytelling, cooking) 12 weeks Participants must:
  • Be 60 years or older

  • Have low SES

  • Have a history of stroke or dementia

  • Have no neurological diseases

  • Experience loneliness

  • Live with a relative or someone who can help with technical issues

34 (58.3) 71.8 (9.2) Quantitative: Depression Geriatric Depression Scale (GDS) Geriatric Anxiety Inventory (GAI) were used at screening
Qualitative: Participant observation and thematic analysis (TA)
Depression and anxiety appeared less common after treatment, although loss to follow-up was high. TA showed that participants perceived the programme as supportive and
reported feelings of belonging. No negative consequences were reported in relation to the experience during or after one‐to‐one or group calls
Scazufca et al, Brazil 2024 Primary care RCT with two groups:
  1. Intervention group

  2. Control group (participant receiving only one message)

Depression Viva Vida Intervention consists of 48 audio and visual messages, delivered 4 days a week in the morning and afternoon over a 6-week period on WhatsApp. Content-wise, the intervention consists of psychoeducation about depression, health promotion guidelines, simple ways to solve day-to-day problems related to depressive symptoms and behavioural activation 6 weeks The participant must:
  • Be 60 years or over

  • Be registered with any of the participating primary care clinics (socioeconomically disadvantaged area)

  • Be able to receive and listen to WhatsApp messages

  • Have depressive symptomatology

603 (74.8) 65.1 Patient Health Questionnaire-9 (PHQ-9) Significantly more had improved depressive symptomatology according to the PHQ-9

RCTs, randomised controlled trials; SES, socioeconomic status.