Federal, Provincial and Territorial Advisory Committee on Population Health. Toward a healthy future: Second report on the health of Canadians.Ottawa: Minister of Public Works and Government Services Canada [Internet]; 1999. Available from: http://www.phac-aspc.gc.ca/ph-sp/report-rapport/toward/pdf/toward_a_healthy_english.PDF.
Federal, Provincial and Territorial Advisory Committee on Population Health. Strategies for population health, investing in the health of Canadians. Ottawa: Health Canada; 1994. Available from: https://publications.gc.ca/site/eng/9.825914/publication.htm.
Holt-Lunstad J, Smith TB, Layton JB. Social relationships and mortality risk: a meta-analytic review. Brayne C, editor. PLoS Med. 2010;7(7):e1000316 [cited 2020 May 30]. Available from: https://dx.plos.org/10.1371/journal.pmed.1000316.
Holt-Lunstad J, Smith TB, Baker M, Harris T, Stephenson D. Loneliness and social isolation as risk factors for mortality: a meta-analytic review. Perspect Psychol Sci. 2015;10(2):227–37 [cited 2020 Apr 28]. Available from: http://www.ncbi.nlm.nih.gov/pubmed/25910392.
Valtorta NK, Kanaan M, Gilbody S, Ronzi S, Hanratty B. Loneliness and social isolation as risk factors for coronary heart disease and stroke: systematic review and meta-analysis of longitudinal observational studies. Heart. 2016;102(13):1009–16.
Loucks EB, Sullivan LM, D’Agostino RB, Larson MG, Berkman LF, Benjamin EJ. Social networks and inflammatory markers in the Framingham heart study. J Biosoc Sci. 2006;38(6):835–42 [cited 2020 Aug 16]. Available from: https://pubmed.ncbi.nlm.nih.gov/16441967/.
Eisenberger NI, Taylor SE, Gable SL, Hilmert CJ, Lieberman MD. Neural pathways link social support to attenuated neuroendocrine stress responses. Neuroimage. 2007;35(4):1601–12 [cited 2020 Aug 16]. Available from: /pmc/articles/PMC2710966/?report=abstract.
Emmons KM, Barbeau EM, Gutheil C, Stryker JE, Stoddard AM. Social influences, social context, and health behaviors among working-class, multi-ethnic adults. Heal Educ Behav. 2007;34(2):315–34 [cited 2020 Aug 16]. Available from: https://pubmed.ncbi.nlm.nih.gov/16740510/.
Thompson HS, Littles M, Jacob S, Coker C. Posttreatment breast cancer surveillance and follow-up care experiences of breast cancer survivors of African descent: an exploratory qualitative study. Cancer Nurs. 2006;29(6):478–87 [cited 2020 Aug 16]. Available from: https://pubmed.ncbi.nlm.nih.gov/17135822/.
Alfonso V, Geller J, Bermbach N, Drummond A, Montaner JSG. Becoming a “treatment success”: what helps and what hinders patients from achieving and sustaining undetectable viral loads. AIDS Patient Care STDs. 2006;20(5):326–34 [cited 2020 Aug 16]. Available from: http://www.liebertpub.com/doi/10.1089/apc.2006.20.326.
Sanford AM, Orrell M, Tolson D, Abbatecola AM, Arai H, Bauer JM, et al. An international definition for “nursing home.”. J Am Med Dir Assoc. 2015;16(3):181–4.
Victor CR. Loneliness in care homes: a neglected area of research? Aging Health. 2012;8(6):637–46.
Brimelow RE, Wollin JA. Loneliness in old age: interventions to curb loneliness in long-term care facilities. Act adapt. Aging. 2017;41(4):301–15 [cited 2020 May 30]. Available from: https://www.tandfonline.com/doi/full/10.1080/01924788.2017.1326766.
Bethell J, Babineau J, Iaboni A, Green R, Cuaresma-Canlas R, Karunananthan R, et al. Social integration and loneliness among long-term care home residents: protocol for a scoping review. BMJ Open. 2019;9(12):1–6.
National Center for Health Statistics V and HS. Long-term care providers and services users in the United States, 2015–2016, analytical and epidemiological studies. 2019. [cited 2020 Sep 12]. Available from: https://www.cdc.gov/nchs/products/index.htm.
Ontario Long Term Care Association. This is long-term care 2018, 2019. 2019.
Puurveen G, Baumbusch J, Gandhi P. From family involvement to family inclusion in nursing home settings: a critical interpretive synthesis. J Fam Nurs. 2018;24(1):60–85 [cited 2020 Sep 12]. Available from: https://pubmed.ncbi.nlm.nih.gov/29455580/.
Simard J, Volicer L. Loneliness and isolation in long-term care and the COVID-19 pandemic. J Am Med Dir Assoc. 2020;21:966–7. Elsevier Inc.; [cited 2020 Aug 15]. Available from. https://doi.org/10.1016/j.jamda.2020.05.006.
Span P. Just what older people didn’t need: more isolation: The New York Times; 2020. [cited 2020 May 30]; Available from: https://www.nytimes.com/2020/04/13/health/coronavirus-elderly-isolation-loneliness.html
Chu CH, Donato-Woodger S, Dainton CJ. Competing crises: COVID-19 countermeasures and social isolation among older adults in long-term care. J Adv Nurs. 2020;76(10):2456–9 [cited 2021 Mar 22]. Available from: https://onlinelibrary.wiley.com/doi/10.1111/jan.14467.
Munn Z, Peters MDJ, Stern C, Tufanaru C, McArthur A, Aromataris E. Systematic review or scoping review? Guidance for authors when choosing between a systematic or scoping review approach. BMC Med Res Methodol. 2018;18(1):143 [cited 2020 May 30]. Available from: https://bmcmedresmethodol.biomedcentral.com/articles/10.1186/s12874-018-0611-x.
Levac D, Colquhoun H, O’Brien KK. Scoping studies: advancing the methodology. Implement Sci. 2010;5(1):69 [cited 2020 May 31]. Available from: http://implementationscience.biomedcentral.com/articles/10.1186/1748-5908-5-69.
Tricco AC, Lillie E, Zarin W, O’Brien KK, Colquhoun H, Levac D, et al. PRISMA extension for scoping reviews (PRISMA-ScR): checklist and explanation. Ann Intern Med. 2018;169(7):467 [cited 2020 May 31]. Available from: http://annals.org/article.aspx?doi=10.7326/M18-0850.
Bethell J, Aelick K, Babineau J, Bretzlaff M, Edwards C, Gibson JL, et al. Social connection in long-term care homes: a scoping review of published research on the mental health impacts and potential strategies during COVID-19. J Am Med Dir Assoc. 2021;22:228–237.e25. Elsevier Inc.; [cited 2021 Feb 25]. Available from:. https://doi.org/10.1016/j.jamda.2020.11.025.
Arksey H, O’Malley L. Scoping studies: towards a methodological framework. Int J Soc Res Methodol Theory Pract. 2005;8(1):19–32.
Donovan NJ, Blazer D. Social isolation and loneliness in older adults: review and commentary of a national academies report. Am J Geriatr Psychiatry. 2020;28(12):1233–44 [cited 2021 Feb 23]. Available from: /pmc/articles/PMC7437541/.
Berkman LF, Glass T, Brissette I, Seeman TE. From social integration to health: Durkheim in the new millennium. Soc Sci Med. 2000;51:843–57 [cited 2020 Aug 11]. Available from: www.elsevier.com/locate/socscimed.
Glass TA, Mendes De Leon C, Marottoli RA, Berkman LF. Population based study of social and productive activities as predictors of survival among elderly Americans. Br Med J. 1999;319(7208):478–83 [cited 2020 Aug 11]. Available from: https://pubmed.ncbi.nlm.nih.gov/10454399/.
Bassuk SS, Glass TA, Berkman LF. Social disengagement and incident cognitive decline in community- dwelling elderly persons. Ann Intern Med. 1999;131(3):165–73 cited 2020 Aug 11]. Available from: https://pubmed.ncbi.nlm.nih.gov/10428732/.
Machielse A. The heterogeneity of socially isolated older adults: a social isolation typology. J Gerontol Soc Work. 2015;58(4):338–56 [cited 2020 Aug 11]. Available from: https://www.tandfonline.com/doi/abs/10.1080/01634372.2015.1007258.
Leedahl SN, Sellon A, Chapin RK. Assessment of multiple constructs of social integration for older adults living in nursing homes. J Gerontol Soc Work. 2018;61(5):526–48 [cited 2020 Aug 11]. Available from: https://www.tandfonline.com/doi/abs/10.1080/01634372.2018.1451938.
de Jong GJ, van Tilburg T. The De Jong Gierveld short scales for emotional and social loneliness: tested on data from 7 countries in the UN generations and gender surveys. Eur J Ageing. 2010;7(2):121–30 [cited 2020 Aug 15]. Available from: /pmc/articles/PMC2921057/?report=abstract.
O’Rourke HM, Sidani S. Definition, determinants, and outcomes of social connectedness for older adults: a scoping review. J Gerontol Nurs. 2017;43:43–52 [cited 2021 Feb 23]. Available from: https://pubmed.ncbi.nlm.nih.gov/28399313/.
Cornwell EY, Waite LJ. Social disconnectedness, perceived isolation, and health among older adults. J Health Soc Behav. 2009;50(1):31–48 [cited 2020 Aug 16]. Available from: http://journals.sagepub.com/doi/10.1177/002214650905000103.
Bair-Merritt MH, Blackstone M, Feudtner C. Physical health outcomes of childhood exposure to intimate partner violence: a systematic review. Pediatrics. 2006;117(2):278–90 [cited 2020 Aug 11]. Available from: www.pediatrics.org/cgi/doi/10.1542/.
Schnittker J, Bacak V. The increasing predictive validity of self-rated health. PLoS One. 2014;9(1) [cited 2020 Aug 15]. Available from: /record/2014-09665-001.
Cohen GD, Perlstein S, Chapline J, Kelly J, Firth KM, Simmens S. The impact of professionally conducted cultural programs on the physical health, mental health, and social functioning of older adults. Gerontologist. 2006;46(6):726–34 [cited 2021 Mar 24]. Available from: http://academic.oup.com/gerontologist/article/46/6/726/584645/The-Impact-of-Professionally-Conducted-Cultural.
Carr AJ, Gibson B, Robinson PG. Measuring quality of life is quality of life determined by expectations or experience? Br Med J. 2001;322:1240–3 BMJ Publishing Group [cited 2020 Aug 15]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1120338/.
Bramer WM, Giustini D, De Jong GB, Holland L, Bekhuis T. De-duplication of database search results for systematic reviews in endnote. J Med Libr Assoc. 2016;104(3):240–3 cited 2021 Jan 4]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4915647/.
Drageset J, Eide GE, Kirkevold M, Ranhoff AH. Emotional loneliness is associated with mortality among mentally intact nursing home residents with and without cancer: a five-year follow-up study. J Clin Nurs. 2012;22(1–2):106–14.
Hjaltadóttir I, Rahm Hallberg I, Kristensson Ekwall A, Nyberg P. Predicting mortality of residents at admission to nursing home: a longitudinal cohort study. BMC Health Serv Res. 2011;11(86):1–11 [cited 2020 Aug 12]. Available from: http://www.biomedcentral.com/1472-6963/11/86.
Kiely DK, Simon SE, Jones RN, Morris JN. The protective effect of social engagement on mortality in long-term care. J Am Geriatr Soc. 2000;48:1367–72.
Kiely DK, Flacker JM. The protective effect of social engagement on 1-year mortality in a long-stay nursing home population. J Clin Epidemiol. 2003;56:472–8.
Vetrano DL, Collamati A, Magnavita N, Sowa A, Topinkova E, Finne-Soveri H, et al. Health determinants and survival in nursing home residents in Europe: results from the SHELTER study. Maturitas. 2018;107:19–25. [cited 2020 Aug 12]. Available from:. https://doi.org/10.1016/j.maturitas.2017.09.014.
Fehnel CR, Lee Y, Wendell LC, Thompson BB, Potter S, Mor V. Post-acute care data for predicting readmission after ischemic stroke: a nationwide ohort analysis using the minimum data set. J Am Hear Assoc. 2015;e002145:1–9.
Pastor-Barriuso R, Padrón-Monedero A, Parra-Ramírez LM, García López FJ, Damián J. Social engagement within the facility increased life expectancy in nursing home residents: a follow-up study. BMC Geriatr. 2020;20(1):1–9.
Cohen-Mansfield J, Marx MS, Lipson S, Werner P. Predictors of mortality in nursing home residents. J Clin Epidemiol. 1999;52(4):273–80.
Alarcão V, Madeira T, Peixoto-Plácido C, SousaSantos N, Fernandes E, Nicola P, et al. Gender differences in psychosocial determinants of self-perceived health among Portuguese older adults in nursing homes. Aging Ment Health. 2019;23(8):1049–56. [cited 2020 Aug 12]. Available from:. https://doi.org/10.1080/13607863.2018.1471583.
Damián J, Pastor-Barriuso R, Valderrama-Gama E. Factors associated with self-rated health in older people living in institutions. BMC Geriatr. 2008;8(5):1–6 [cited 2020 Aug 12]. Available from: http://www.biomedcentral.com/1471-2318/8/5.
Liu Y-B, Xue L-L, Xue H-P, Hou P. Health literacy, self-care agency, health status and social support among elderly Chinese nursing home residents. Health Educ J. 2018;77(3):303–11. [cited 2020 Aug 12]. Available from:. https://doi.org/10.1177/0017896917739777.
Zurakowski TL. The social environment of nursing homes and the health of older residents. Holist. Nurs Pract. 2000;14(4):12–23 [cited 2020 Aug 12]. Available from: http://ovidsp.dc2.ovid.com.myaccess.library.utoronto.ca/sp-4.02.1...0adf968aca19c4a96eb81013beee0fa0588a9afb410c9ebd1d58ea771200218bf.
Cott CA, Fox MT. Health and happiness for elderly institutionalized Canadians. Can J Aging. 2001;20(4):535.
Keister KJ. Predictors of self-assessed health, anxiety, and depressive symptoms in nursing home residents at week 1 postrelocation. J Aging Health. 2006;18(5):722–42.
Zhu X, Hu Z, Nie Y, Zhu T, Kaminga AC, Yu Y, et al. The prevalence of poor sleep quality and associated risk factors among Chinese elderly adults in nursing homes: a cross-sectional study. PLoS One. 2020;15(5):1–16.
Papi S, Karimi Z, Ghaed Amini Harooni G, Nazarpour A, Shahry P. Determining the prevalence of sleep disorder and its predictors among elderly residents of nursing homes in Ahvaz City in 2017. Iran J Ageing. 2019;Special Issue(13):576–87 [cited 2020 Aug 12]. Available from: https://regroup-production.s3.amazonaws.com/documents/ReviewReference/203057777/Papi-2019-Determiningtheprevalenceofsleep.pdf?AWSAccessKeyId=AKIAJBZQODCMKJA4H7DA&Expires=1597263368&Signature=dQDEhwr6nOLZYXZjoEwo0QXem6Q%3D.
Cho J, Martin P, Margrett J, Macdonald M, Johnson MA, Poon LW. Multidimensional predictors of fatigue among octogenarians and centenarians. Gerontology. 2012;58:249–57 [cited 2020 Aug 12]. Available from: www.karger.com.
Li J, Chang Y-P, Porock D. Factors associated with daytime sleep in nursing home residents. Res Aging. 2015;37(1):103–17.
Martin JL, Webber AP, Alam T, Harker JO, Josephson KR, Alessi CA. Daytime sleeping, sleep disturbance, and circadian rhythms in the nursing home. Am J Geriatr Psychiatry. 2006;14:121–9.
Madeira T, Peixoto-Plácido C, Sousa-Santos N, Santos O, Alarcão V, Goulão B, et al. Malnutrition among older adults living in Portuguese nursing homes: the PEN-3S study. Public Health Nutr. 2018;22(3):486–97.
Morrison-Koechl J, Wu SA, Slaughter SE, Lengyel CO, Carrier N, Keller HH. Hungry for more: Low resident social engagement is indirectly associated with poor energy intake and mealtime experience in long-term care homes. Appetite. 2021;159:105044.
Beck AM, Ovesen L. Influence of social engagement and dining location on nutritional intake and body mass index of old nursing home residents. J Nutr Elder. 2003, 2003;22(4) [cited 2020 Aug 12]. Available from: http://www.haworthpress.com/store/product.asp?sku=J052.
El Zoghbi M, Boulos C, Saleh N, Salameh P, Awada S, Rachidi S, et al. Prevalence of malnutrition and its correlates in older adults living in long stay institutions situated in Beirut, Lebanon. J Res Health Sci. 2014;14(1):11–7.
Hjaltadóttir I, Ekwall AK, Hallberg IR. Quality of care in Icelandic nursing homes measured with minimum data set quality indicators: retrospective analysis of nursing home data over 7 years. Int J Nurs Stud. 2012;49:1342–53. [cited 2020 Aug 12]. Available from:. https://doi.org/10.1016/j.ijnurstu.2012.06.004.
Palese A, Grassetti L, Zuttion R, Ferrario B, Ponta S, Achil I, et al. Self-feeding dependence incidence and predictors among nursing home residents: findings from a 5 year retrospective regional study. Nurs Health Sci. 2019;21:297–306.
Chang L-C. Reexamining the relationship between leisure and stress among older adults. J Leis Res. 2015;47:3.
Chang LC. Is social support always related to stress reduction in nursing home residents?: a study in leisure contexts. Res Gerontol Nurs. 2018;11(4):174–80.
Tse MMY, Lai C, Lui JYW, Kwong E, Yeung SY. Frailty, pain and psychological variables among older adults living in Hong Kong nursing homes: can we do better to address multimorbidities? J Psychiatr Ment Health Nurs. 2016;23:303–11.
Zhao MM, Gao JM, Li M, Wang K. Relationship between loneliness and frailty among older adults in nursing homes: the mediating role of activity engagement. JAMDA. 2019;20:759–64. [cited 2020 Aug 12]. Available from:. https://doi.org/10.1016/j.jamda.2018.11.007.
Murphy CR, Quan V, Kim D, Peterson E, Whealon M, Tan G, et al. Nursing home characteristics associated with methicillin-resistant Staphylococcus aureus (MRSA) burden and transmission. BMC Infect Dis. 2012;12:1 [cited 2020 Aug 12]. Available from: http://www.biomedcentral.com/1471-2334/12/269.
Yeh K-P, Lin M-H, Liu L-K, Chen L-Y, Peng L-N, Chen L-K. Functional decline and mortality in long-term care settings: static and dynamic approach. J Clin Gerontol Geriatr. 2014;5:13–7. [cited 2020 Aug 12]. Available from:. https://doi.org/10.1016/j.jcgg.2013.08.001.
Wu M, Yang Y, Zhang D, Sun Y, Hui X, Zhang J, et al. Prevalence and related factors of successful aging among Chinese rural elders living in nursing homes. Eur J Ageing. 2017;14:419–28.
Weiner DK, Peterson BL, Logue P, Keefe FJ. Predictors of pain self-report in nursing home residents. Aging Clin Exp Res. 1998;10(5):411–20 [cited 2020 Aug 12]. Available from: https://regroup-production.s3.amazonaws.com/documents/ReviewReference/203058620/1998_-_D_Weiner_-_Predictorsofpainselfreportinnursinghomeresidents%5Bretrieved_2019-11-15%5D.pdf?AWSAccessKeyId=AKIAJBZQODCMKJA4H7DA&Expires=1597264724&Signature=QRk1uxwcZSgEYENAo%2BU46rulNI8%3D.
Chen Y-M, Hwang S-J, Chen L-K, Chen D-Y, Lan C-F. Urinary incontinence among institutionalized oldest old Chinese men in Taiwan. Neurourol Urodyn. 2009;28:335–8 [cited 2020 Aug 12]. Available from: www.interscience.wiley.com.
Berkman LF, Syme SL. Social networks, host resistance and mortality: a nine year follow-up study of Alameda County residents. Am J Epidemiol. 1979;109:186–204.
Tse M, Leung R, Ho S. Pain and psychological well-being of older persons living in nursing homes: an exploratory study in planning patient-centred intervention. J Adv Nurs. 2012;68(2):312–21.
Garms-Homolovà V, Flick U, Röhnsch G. Sleep disorders and activities in long term care facilities - a vicious cycle? J Health Psychol. 2010;15(5):744–54.
Holt-Lunstad J, Smith TB. Loneliness and social isolation as risk factors for CVD: implications for evidence-based patient care and scientific inquiry. Heart. 2016;102:987–9 BMJ Publishing Group; [cited 2021 Feb 25]. Available from: http://heart.bmj.com/.
Maltais M, Rolland Y, Haÿ PE, Armaingaud D, Cestac P, Rouch L, et al. The effect of exercise and social activity interventions on nutritional status in older adults with dementia living in nursing homes: a randomised controlled trial. J Nutr Heal Aging. 2018;22(7):824–8 [cited 2021 Feb 25]. Available from: https://pubmed.ncbi.nlm.nih.gov/30080227/.
Slaughter SE, Morrison-Koechl JM, Chaudhury H, Lengyel CO, Carrier N, Keller HH. The association of eating challenges with energy intake is moderated by the mealtime environment in residential care homes. Int. Psychogeriatrics. 2020;32(7):863–73 [cited 2021 Feb 25]. Available from: https://pubmed.ncbi.nlm.nih.gov/31915088/.
National Academies of Sciences Engineering and Medicine. Social isolation and loneliness in older adults: opportunities for the health care system. Social isolation and loneliness in older adults. Washington, DC: National Academies Press; 2020.
Ontario Long Term Care Association. This is long-term care. Toronto; 2019. [cited 2021 Apr 7]. Available from: https://www.oltca.com/OLTCA/Documents/Reports/TILTC2019web.pdf
Budgett J, Brown A, Daley S, Page TE, Banerjee S, Livingston G, et al. The social functioning in dementia scale (SF-DEM): exploratory factor analysis and psychometric properties in mild, moderate, and severe dementia. Alzheimer’s Dement Diagnosis, Assess Dis Monit. 2019;11:45–52 [cited 2021 Feb 25]. Available from: https://pubmed.ncbi.nlm.nih.gov/30623018/.
Sommerlad A, Singleton D, Jones R, Banerjee S, Livingston G. Development of an instrument to assess social functioning in dementia: the social functioning in dementia scale (SF-DEM). Alzheimer’s Dement Diagnosis, Assess Dis Monit. 2017;7:88–98.
Office for National Statistics. Measuring loneliness : guidance for use of the national indicators on surveys: Office for National Statistics; 2018. Available from: https://www.ons.gov.uk/peoplepopulationandcommunity/wellbeing/methodologies/measuringlonelinessguidanceforuseofthenationalindicatorsonsurveys
Bethell J, O'Rourke HM, Eagleson H, Gaetano D, Hykaway W, McAiney C. Social connection is essential in long-term care homes: considerations during COVID-19 and beyond. Can Geriatr J. 2021;24(2):151–3. Published 2021 Jun 1. https://doi.org/10.5770/cgj.24.488.
Puurveen G, Baumbusch J, Gandhi P. From family involvement to family inclusion in nursing home settings: a critical interpretive synthesis. J Fam Nurs. 2018;24(1):60–85. https://doi.org/10.1177/1074840718754314.
Canadian Foundation for Healthcare Improvement. Re-integration of family caregivers as essential partners in care in a time of COVID-19. Ottawa; 2020. [cited 2021 Jul 1]. Available from: https://www.cfhi-fcass.ca/docs/default-source/itr/tools-and-resources/bt-re-integration-of-family-caregivers-as-essential-partners-covid-19-e.pdf
Bradshaw SA, Playford ED, Riazi A. Living well in care homes: a systematic review of qualitative studies. Age Ageing. 2012;41(4):429–40. https://doi.org/10.1093/ageing/afs069.
Sion KYJ, Verbeek H, Zwakhalen SMG, Odekerken-Schröder G, Schols JMGA, Hamers JPH. Themes related to experienced quality of care in nursing homes from the resident’s perspective: a systematic literature review and thematic synthesis. Gerontol Geriatr Med. 2020. https://doi.org/10.1177/2333721420931964.
Calkins MP. From research to application: supportive and therapeutic environments for people living with dementia. Gerontologist. 2018;58(suppl_1):S114–28. https://doi.org/10.1093/geront/gnx146 PMID: 29361065.
Jones D. A WEIRD view of human nature skews psychologists’ studies. Am Assoc Adv Sci. 2010;328(5986):1627.
Henrich J, Heine SJ, Norenzayan A. The weirdest people in the world? Behav Brain Sci. 2010:1–75 [cited 2020 Aug 16]. Available from: http://www.psych.ubc.ca/henrich/home.html.