ASSeTS: a systematic review and development of the World Health Organization’s classification system for social isolation and loneliness interventions
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Le résumé fourni par la source
BACKGROUND: Social isolation and loneliness (SIL) have emerged as critical population health concerns linked to various adverse health outcomes, including cardiovascular disease, stroke, dementia, depression, and premature mortality. However, the absence of a standard categorization for interventions aimed at reducing SIL has impeded consistent comparison, evaluation, and the accumulation of knowledge, affecting evidence-based policy decisions. To address this gap, we developed and empirically evaluated the ASSeTS (Access, Skills, Social engagement, Therapeutic and psychological, Systemic) classification system, a standardized approach for categorizing SIL interventions. METHODS: We conducted a systematic review to identify and evaluate existing classification systems used for SIL interventions. Seventeen databases were searched from inception to September 2023, with no language restrictions. Inclusion criteria encompassed established and widely used reviews with clear intervention categorizations and broad applicability to general population groups. Expert consultations supplemented the systematic review, providing iterative feedback and additional relevant literature missed from the literature search, to inform the development of the ASSeTS classification framework. The developed ASSeTS system was empirically tested by independent experts for clarity, applicability, and reliability, with inter-rater agreement assessed using Fleiss' kappa. RESULTS: The review identified 11 studies covering a range of SIL intervention categorization approaches. Based on synthesis and expert feedback, the ASSeTS system was structured into five main categories: Access, Skills, Social engagement, Therapeutic and psychological, and Systemic interventions. Empirical testing yielded moderate inter-rater reliability (κ = 0.419), indicating acceptable usability among expert raters. Higher agreement was found for categories such as therapeutic and psychological interventions, whereas systemic interventions showed lower reliability, suggesting opportunities for future refinement. CONCLUSION: The ASSeTS classification system provides a much-needed standardized framework for categorizing SIL interventions, facilitating comparability, rigorous evaluation, cumulative knowledge, and evidence-based policy decisions. Future work should focus on refining less reliable categories, validating ASSeTS across various contexts, and integrating it into global policy frameworks to more effectively address the public health implications of SIL.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- ASSeTS: a systematic review and development of the World Health Organization’s classification system for social isolation and loneliness interventions
- Date Crossref
- 15/03/2026
- Éditeur
- Springer Science and Business Media LLC
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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The University of Sydney pays non établi dans la noticeUniversité ou école supérieure
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World Health Organization pays non établi dans la noticeOrganisme public
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University of Malaya pays non établi dans la noticeUniversité ou école supérieure
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London School of Hygiene & Tropical Medicine Department of Health Services Research and Policy pays non établi dans la noticeUniversité ou école supérieure
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Bruyère pays non établi dans la noticeÉtablissement de santé
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Institute of Social and Preventive Medicine pays non établi dans la noticeStructure de recherche
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Department of Social Determinants of Health pays non établi dans la noticeInstitution
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Sydney School of Public Health pays non établi dans la noticeUniversité ou école supérieure
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Department of Social and Preventive Medicine pays non établi dans la noticeInstitution
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University of Ottawa pays non établi dans la noticeUniversité ou école supérieure
The University of Sydney, World Health Organization et University of Malaya, avec 7 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.