A systematic review and meta-analysis to evaluate the effectiveness of physical and behavioral intervention on community dwelling older adult’s well-being

Abstract

Background: Several lines of gerontology researches support the efficacy of physical activity, and behavioural modification interventions in a large population. However, the true impact of this kind of intervention on the subjective well-being of community-based older adults is still unknown. The purpose of this study was to evaluate the true effects of physical, and behavioral interventions on the subjective well-being (WB) of high-risk older adults. Methods: The search process was carried out from January 2023 to May 2023; following databases were searched to pool all the relevant scientific papers: PubMed (Web of Science (1950–January 2020), Medline (2006–2021), Scopus (1978–2022), Springer (2008–2020), Science Direct (1978–2021), Google Scholar (2010–2020), and Mandalay (2014–2023). Checking the reference lists; searching for ongoing trials and research registers; and performing manual searches. Two independent authors did this, and a third independent author tested the data extraction. We adopted the PRISMA guidelines. Results: The review included 12 randomized controlled trials (RCTs) with 2037 community-based older adults. The overall effect size of physical, and behavioral interventions on the overall subjective WB of community based older adults was −0.0274 (95 % CI: −0.6697 to 0.8950), which was statistically significant (Z = 0.03752, p.0.02075). Five studies had shown statistically significant improvements in Quality Of life (QOL) scales in the intervention group compared to the control group Conclusion: Physical, and behavioral intervention when blended together improve the WB of community based high-risk older adults. Further research with appropriate randomization, and allocation maybe needed.

Keywords

• Physical
• Behavioral
• Intervention
• Well-being
• Older adults
• Community-based