Abstract
Introduction: Resilient ageing is conceptualised as strive towards achieving satisfactory quality of life (QoL) at old age by embracing positive adaptation and coping mechanisms against adversities regardless of health conditions. Preventive Home Visit (PHV) including various types of home-care interventions were introduced to delay health deterioration and improved QoL. However, research related to resilience as an outcome measured for PHV is scarce. Therefore, this systematic review aims to evaluate the effectiveness of PHV in improving resilience among community dwelling older adults and the association with health and other QoL related outcomes.
Method: Database search was conducted by using five databases (PubMed, PsycINFO, CINAHL, Web of Science and Scopus) up to 31 March 2022 involving community dwelling older adults who received PHV. Three authors reviewed the articles for inclusion and performed methodological quality assessment.
Results: Out of 1,568 records, 14 articles involving 7,254 participants met the inclusion criteria with age range between 79 to 85 years old. Quality assessment by using Joanna Briggs Institute (JBI) Critical Appraisal Tools indicated that all articles were assessed as moderate to high quality and were included in the review. More than two third of the studies focused on health or combination of health and QoL and only three studies revealed positive effect of PHV. The remainder were either produced mixed results or had no effect following the intervention. There was only one study examined resilience. However, no significant effect of PHV was reported based on this study.
Conclusion: Based on this current review, there were mixed results of PHV effectiveness. Due to the paucity of research in this area, there is no conclusive evidence of the effectiveness of PHV in enhancing resilience in older adults. Since there has not been any research on PHV and resilience done in Low-middle Income Countries (LMICs), it is necessary to fulfil this gap. Future research should concentrate on developing more robust and holistic PHV interventions that involve resilience in addition to QoL and multi-domain health-related outcomes.