Videoconference Program Enhances Social Support, Loneliness, and Depressive Status of Elderly Nursing Home Residents

Tuesday, 13 July 2010

Hsiu-Hsin Tsai, PhD, RN
School of nursing, Chang Gang University, Tao-Yuan, Taiwan
Yun-Fang Tsai, PhD, RN
Chang Gung University, School of Nursing, Tao-Yuan, Taiwan

Learning Objective 1: THe leaner will be able to know the effectiveness of a videoconference intervention program in improving nursing home residents’ social support

Learning Objective 2: THe leaner will be able to know the effectiveness of a videoconference intervention program in improving nursing home residents’ loneliness, and depressive status.

Abstract
Objectives: The purpose of this quasi-experimental study was to evaluate the effectiveness of a videoconference intervention program in improving nursing home residents’ social support, loneliness, and depressive status.
Methods: Fourteen nursing homes were selected from various areas of Taiwan by purposive sampling. Elderly residents (N=57) of these nursing homes and meeting our inclusion criteria were divided into experimental (n=24) and control (n=33) groups. The experimental group received 5 minutes/week for 3 months of videoconference interaction with their family members, and the control group received regular care only. Data were collected in face-to face interviews on social support, loneliness, and depressive status using the Social Supportive Behavior Scale, University of California Los Angeles Loneliness Scale, and Geriatric Depression Scale, respectively, at three points (baseline, 1 week, and 3 months after baseline). Data were analyzed using the generalized estimating equation approach.
Results: Subjects in the experimental group had significantly higher mean emotional and appraisal social support scores at 1 week and 3 months after baseline than those in the control group. Subjects in the experimental group also had lower mean loneliness scores at 1 week and 3 months after baseline than those in the control group, and lower mean depressive status scores at 3 months after baseline.
Conclusion: Our videoconference program alleviated depressive symptoms and loneliness for elderly residents in nursing homes. Our findings suggest that this program could be used for residents of long-term care institutions, particularly those with better ability to perform activities of daily living.