{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,18]],"date-time":"2026-04-18T07:30:31Z","timestamp":1776497431104,"version":"3.51.2"},"reference-count":48,"publisher":"Oxford University Press (OUP)","issue":"7","license":[{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,7,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Nursing home residents often suffer from a reduction in social networks and emotional bonds with family and friends. Innovative social facilitation interventions were developed to assist residents in adapting to a new life, but the effects on psychosocial well-being have not been well documented.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>To evaluate the effects of a cognitive-behavioural model-based social facilitation program on the psychosocial well-being of Chinese nursing home residents.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Design<\/jats:title>\n                  <jats:p>An assessor-blind, parallel-arm randomized controlled trial.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Setting and participants<\/jats:title>\n                  <jats:p>Older adults residing in Chinese nursing homes were recruited between October 2023 and May 2024.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>A total of 180 nursing home residents were randomly assigned to either a cognitive-behavioural model-based social facilitation program (CBMSFP) group, receiving cognitive restructuring, emotional management, and behavioural change, or to a control group receiving routine institutional care. Primary outcomes included social isolation and subjective well-being, while secondary outcomes encompassed cognitive tendencies, psychological adjustment, self-efficacy and perceived social support. Assessments were conducted at baseline (T0), immediately post-intervention (T1), and at 1-month (T2) and 3-month (T3) follow-ups. Generalized estimating equations (GEEs) were used to analyse the effects of group, time, and their interaction of the intervention, with minimal clinically important difference (MCID) calculated via control group standard error of measurement (SEM\u2009\u00d7\u20091.96) to evaluate clinical value.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Participants in the intervention group exhibited significant reductions in social isolation and significant improvements in subjective well-being, cognitive tendencies, psychological adjustment, self-efficacy and perceived social support compared to the control group (P\u2009&amp;lt;\u2009.001) from T0\u2013T3. Effects exceeding MCID thresholds were observed for social isolation, subjective well-being, and cognitive tendencies at different follow-up periods, while the clinical significance of self-efficacy and perceived social support were not being observed.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>CBMSFP can reduce social isolation and enhances psychosocial well-being amongst nursing home residents, with clinically meaningful and sustained benefits for key outcomes.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ageing\/afaf205","type":"journal-article","created":{"date-parts":[[2025,7,29]],"date-time":"2025-07-29T14:33:10Z","timestamp":1753799590000},"source":"Crossref","is-referenced-by-count":3,"title":["The effects of a cognitive-behavioural model-based social facilitation program on psychosocial well-being amongst Chinese nursing home residents: a randomized controlled trial"],"prefix":"10.1093","volume":"54","author":[{"given":"Huangqin","family":"Liu","sequence":"first","affiliation":[{"name":"School of Nursing, Fujian Medical University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qiyuan","family":"Huang","sequence":"additional","affiliation":[{"name":"School of Nursing, Fujian Medical University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9194-0983","authenticated-orcid":false,"given":"Yuanfeng","family":"Lu","sequence":"additional","affiliation":[{"name":"School of Nursing, Fujian Medical University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jinyi","family":"Wu","sequence":"additional","affiliation":[{"name":"School of Nursing, Fujian Medical University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bingqian","family":"Ou","sequence":"additional","affiliation":[{"name":"School of Nursing, Fujian Medical University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shuangshuang","family":"Luo","sequence":"additional","affiliation":[{"name":"School of Nursing, Fujian Medical University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Huimin","family":"Xiao","sequence":"additional","affiliation":[{"name":"School of Nursing, Fujian Medical University"},{"name":"Research Center for Nursing Humanity, Fujian Medical University"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,7,29]]},"reference":[{"key":"2025072910330500500_ref1","doi-asserted-by":"publisher","first-page":"6","DOI":"10.1016\/j.maturitas.2020.05.018","article-title":"The World Health Organization (WHO) approach to healthy ageing","volume":"139","author":"Rudnicka","year":"2020","journal-title":"Maturitas"},{"key":"2025072910330500500_ref2","doi-asserted-by":"publisher","DOI":"10.18103\/mra.v12i6.5404","article-title":"Government policies and programs for rapid ageing in China: Review of recent developments in system integration and digital services","volume":"12","author":"Zhang","year":"2024","journal-title":"Med Res Arch"},{"key":"2025072910330500500_ref3","doi-asserted-by":"publisher","first-page":"e369","DOI":"10.1093\/geront\/gnab036","article-title":"Interventions to improve the transition from home to a nursing home: A scoping review","volume":"62","author":"Groenvynck","year":"2022","journal-title":"Gerontologist"},{"key":"2025072910330500500_ref4","doi-asserted-by":"publisher","first-page":"e491","DOI":"10.1093\/geront\/gnz083","article-title":"Psychometric evaluation of the social isolation scale in older adults","volume":"60","author":"Nicholson","year":"2020","journal-title":"Gerontologist"},{"key":"2025072910330500500_ref5","doi-asserted-by":"publisher","first-page":"735","DOI":"10.1161\/STROKEAHA.120.032070","article-title":"Effects of life events and social isolation on stroke and coronary heart disease","volume":"52","author":"Gronewold","year":"2021","journal-title":"Stroke"},{"key":"2025072910330500500_ref6","doi-asserted-by":"publisher","first-page":"e2424519","DOI":"10.1001\/jamanetworkopen.2024.24519","article-title":"Social isolation changes and long-term outcomes amongst older adults","volume":"7","author":"Lyu","year":"2024","journal-title":"JAMA Netw Open"},{"key":"2025072910330500500_ref7","doi-asserted-by":"publisher","first-page":"2375","DOI":"10.1007\/s11136-020-02493-7","article-title":"Factors associated with social isolation in community-dwelling older adults: A cross-sectional study","volume":"29","author":"Merchant","year":"2020","journal-title":"Qual Life Res"},{"key":"2025072910330500500_ref8","doi-asserted-by":"publisher","first-page":"147","DOI":"10.1111\/hsc.12367","article-title":"Interventions to reduce social isolation and loneliness amongst older people: An integrative review","volume":"26","author":"Gardiner","year":"2018","journal-title":"Health Soc Care Community"},{"key":"2025072910330500500_ref9","doi-asserted-by":"publisher","first-page":"392","DOI":"10.1093\/ageing\/afx188","article-title":"Social isolation and loneliness as risk factors for the progression of frailty: The English longitudinal study of ageing","volume":"47","author":"Gale","year":"2018","journal-title":"Age Ageing"},{"key":"2025072910330500500_ref10","doi-asserted-by":"publisher","first-page":"129","DOI":"10.1186\/s12889-020-8251-6","article-title":"Loneliness and social isolation interventions for older adults: A scoping review of reviews","volume":"20","author":"Fakoya","year":"2020","journal-title":"BMC Public Health"},{"key":"2025072910330500500_ref11","doi-asserted-by":"publisher","first-page":"73","DOI":"10.1186\/s40814-020-00587-0","article-title":"Physical activity intervention for loneliness (PAIL) in community-dwelling older adults: A randomised feasibility study","volume":"6","author":"Shvedko","year":"2020","journal-title":"Pilot Feasibility Stud"},{"key":"2025072910330500500_ref12","doi-asserted-by":"publisher","first-page":"1867","DOI":"10.2147\/CIA.S143994","article-title":"Minor positive effects of health-promoting senior meetings for older community-dwelling persons on loneliness, social network, and social support","volume":"12","author":"Gustafsson","year":"2017","journal-title":"Clin Interv Aging"},{"key":"2025072910330500500_ref13","doi-asserted-by":"publisher","first-page":"69","DOI":"10.1016\/j.jpsychires.2018.01.014","article-title":"Efficacy of the I-SOCIAL intervention for loneliness in old age: Lessons from a randomized controlled trial","volume":"99","author":"Cohen-Mansfield","year":"2018","journal-title":"J Psychiatr Res"},{"key":"2025072910330500500_ref14","doi-asserted-by":"publisher","first-page":"427","DOI":"10.1007\/s10608-012-9476-1","article-title":"The efficacy of cognitive behavioral therapy: A review of meta-analyses","volume":"36","author":"Hofmann","year":"2012","journal-title":"Cognit Ther Res"},{"key":"2025072910330500500_ref15","first-page":"342","article-title":"Cognitive therapy : Nature and relation to behavior therapy","volume":"2","author":"Beck","year":"1993","journal-title":"J Psychother Pract Res"},{"key":"2025072910330500500_ref16","doi-asserted-by":"publisher","first-page":"816","DOI":"10.1016\/j.jagp.2020.05.004","article-title":"Strategies to promote social connections amongst older adults during \u201csocial distancing\u201d restrictions","volume":"29","author":"Van Orden","year":"2021","journal-title":"Am J Geriatr Psychiatry"},{"key":"2025072910330500500_ref17","doi-asserted-by":"publisher","first-page":"839","DOI":"10.1007\/s00127-019-01800-z","article-title":"The effectiveness of interventions for reducing subjective and objective social isolation amongst people with mental health problems: A systematic review","volume":"55","author":"Ma","year":"2020","journal-title":"Soc Psychiatry Psychiatr Epidemiol"},{"key":"2025072910330500500_ref18","doi-asserted-by":"publisher","first-page":"e62","DOI":"10.1016\/S2468-2667(19)30230-0","article-title":"Social disconnectedness, perceived isolation, and symptoms of depression and anxiety amongst older Americans (NSHAP): A longitudinal mediation analysis","volume":"5","author":"Santini","year":"2020","journal-title":"Lancet Public Health"},{"key":"2025072910330500500_ref19","doi-asserted-by":"publisher","first-page":"e060628","DOI":"10.1136\/bmjopen-2021-060628","article-title":"Determinants of subjective well-being amongst migrant and local elderly in China: A cross-sectional study","volume":"12","author":"Yuxi","year":"2022","journal-title":"BMJ Open"},{"key":"2025072910330500500_ref20","first-page":"445","article-title":"Reliability and validity of cognitive appraisal orientation test for adolescents with emotional disorders","volume":"14","author":"Zhang","year":"2006","journal-title":"Chin J Clin Psych"},{"key":"2025072910330500500_ref21","doi-asserted-by":"publisher","first-page":"2535","DOI":"10.1007\/s11136-019-02192-y","article-title":"A psychometric evaluation of the Chinese version of the nursing home adjustment scale","volume":"28","author":"Xiao","year":"2019","journal-title":"Qual Life Res"},{"key":"2025072910330500500_ref22","doi-asserted-by":"publisher","first-page":"1221","DOI":"10.2466\/pr0.1999.85.3f.1221","article-title":"Assessment of optimistic self-beliefs: Further validation of the Chinese version of the general self-efficacy scale","volume":"85","author":"Cheung","year":"1999","journal-title":"Psychol Rep"},{"key":"2025072910330500500_ref23","doi-asserted-by":"publisher","first-page":"610","DOI":"10.1207\/s15327752jpa5503&4_17","article-title":"Psychometric characteristics of the multidimensional scale of perceived social support","volume":"55","author":"Zimet","year":"1990","journal-title":"J Pers Assess"},{"key":"2025072910330500500_ref24","doi-asserted-by":"publisher","first-page":"112","DOI":"10.1093\/bioinformatics\/btr597","article-title":"MissForest\u2014Non-parametric missing value imputation for mixed-type data","volume":"28","author":"Stekhoven","year":"2012","journal-title":"Bioinformatics"},{"key":"2025072910330500500_ref25","doi-asserted-by":"publisher","first-page":"576","DOI":"10.1093\/ageing\/afx054","article-title":"Describing the participants in a study","volume":"46","author":"Pickering","year":"2017","journal-title":"Age Ageing"},{"key":"2025072910330500500_ref26","doi-asserted-by":"publisher","first-page":"1715","DOI":"10.1002\/sim.4780131703","article-title":"Testing for baseline balance in clinical trials","volume":"13","author":"Senn","year":"1994","journal-title":"Stat Med"},{"key":"2025072910330500500_ref27","doi-asserted-by":"publisher","first-page":"206","DOI":"10.1037\/1082-989X.8.2.206","article-title":"Beyond alpha: An empirical examination of the effects of different sources of measurement error on reliability estimates for measures of individual differences constructs","volume":"8","author":"Schmidt","year":"2003","journal-title":"Psychol Methods"},{"key":"2025072910330500500_ref28","doi-asserted-by":"publisher","first-page":"160","DOI":"10.1179\/2042618612Y.0000000001","article-title":"Clinimetrics corner: A closer look at the minimal clinically important difference (MCID)","volume":"20","author":"Wright","year":"2012","journal-title":"J Man Manip Ther"},{"key":"2025072910330500500_ref29","doi-asserted-by":"publisher","first-page":"85","DOI":"10.2147\/CIA.S124604","article-title":"Effects of tai chi qigong on psychosocial well-being amongst hidden elderly, using elderly neighborhood volunteer approach: A pilot randomized controlled trial","volume":"12","author":"Chan","year":"2017","journal-title":"Clin Interv Aging"},{"key":"2025072910330500500_ref30","doi-asserted-by":"publisher","first-page":"105110","DOI":"10.1016\/j.jamda.2024.105110","article-title":"Facing the next \"geriatric giant\"-a systematic literature review and meta-analysis of interventions tackling loneliness and social isolation amongst older adults","volume":"25","author":"Duffner","year":"2024","journal-title":"J Am Med Dir Assoc"},{"key":"2025072910330500500_ref31","doi-asserted-by":"publisher","first-page":"1126","DOI":"10.1017\/S0144686X1900165X","article-title":"Social connectedness: What matters to older people?","volume":"41","author":"Morgan","year":"2021","journal-title":"Ageing Soc"},{"key":"2025072910330500500_ref32","doi-asserted-by":"publisher","first-page":"221","DOI":"10.1186\/s12877-024-04794-9","article-title":"Associations between social networks, cognitive function, and quality of life amongst older adults in long-term care","volume":"24","author":"Dodds","year":"2024","journal-title":"BMC Geriatr"},{"key":"2025072910330500500_ref33","doi-asserted-by":"publisher","first-page":"285","DOI":"10.1007\/s41999-020-00422-y","article-title":"Friendship-related social isolation is a potential risk factor for the transition from robust to prefrailty amongst healthy older adults: A 1-year follow-up study","volume":"12","author":"Uno","year":"2021","journal-title":"Eur Geriatr Med"},{"key":"2025072910330500500_ref34","doi-asserted-by":"publisher","first-page":"470","DOI":"10.1177\/0963721418787475","article-title":"Getting a grip on cognitive flexibility","volume":"27","author":"Braem","year":"2018","journal-title":"Curr Dir Psychol Sci"},{"key":"2025072910330500500_ref35","doi-asserted-by":"publisher","first-page":"e12900","DOI":"10.7717\/peerj.12900","article-title":"Determinants of quality of life and well-being in cognitively unimpaired older adults: A systematic review","volume":"10","author":"Fr\u00edas-Luque","year":"2022","journal-title":"PeerJ"},{"key":"2025072910330500500_ref36","doi-asserted-by":"publisher","first-page":"1070012","DOI":"10.3389\/fpsyg.2023.1070012","article-title":"Cognitive interventions for memory and psychological well-being in aging and dementias","volume":"14","author":"Dinius","year":"2023","journal-title":"Front Psychol"},{"key":"2025072910330500500_ref37","doi-asserted-by":"publisher","first-page":"107","DOI":"10.1016\/j.socscimed.2014.05.007","article-title":"The mix matters: Complex personal networks relate to higher cognitive functioning in old age","volume":"125","author":"Ellwardt","year":"2015","journal-title":"Soc Sci Med"},{"key":"2025072910330500500_ref38","doi-asserted-by":"publisher","first-page":"1923","DOI":"10.1080\/13607863.2020.1745146","article-title":"Social networks in mild-to-moderate Alzheimer disease: Longitudinal relationships with dementia severity, cognitive function, and adverse events","volume":"25","author":"Dyer","year":"2021","journal-title":"Aging Ment Health"},{"key":"2025072910330500500_ref39","doi-asserted-by":"publisher","first-page":"101705","DOI":"10.1016\/j.dhjo.2024.101705","article-title":"The role of perceived social support in subjective wellbeing amongst working-age U.S. adults with and without limitations in activities of daily living","volume":"18","author":"Vaitsiakhovich","year":"2025","journal-title":"Disabil Health J"},{"key":"2025072910330500500_ref40","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afad243","article-title":"The effects of resourcefulness-based instrumental reminiscence therapy on psychological adjustment in nursing home residents: A randomised controlled trial","volume":"53","author":"Pan","year":"2024","journal-title":"Age Ageing"},{"key":"2025072910330500500_ref41","doi-asserted-by":"publisher","first-page":"166","DOI":"10.1080\/13607860050008691","article-title":"Integrative and instrumental reminiscence therapies for depression in older adults: Intervention strategies and treatment effectiveness","volume":"4","author":"Watt","year":"2000","journal-title":"Aging Ment Health"},{"key":"2025072910330500500_ref42","doi-asserted-by":"publisher","first-page":"163","DOI":"10.18278\/jep.1.2.7","article-title":"Perspectives on aging-related preparation","volume":"1","author":"Soerensen","year":"2021","journal-title":"J Elder Policy"},{"key":"2025072910330500500_ref43","doi-asserted-by":"publisher","first-page":"957","DOI":"10.1016\/j.ijnurstu.2009.12.020","article-title":"Predictors of adjustment to nursing home life of elderly residents: A cross-sectional survey","volume":"47","author":"Lee","year":"2010","journal-title":"Int J Nurs Stud"},{"key":"2025072910330500500_ref44","doi-asserted-by":"publisher","first-page":"820","DOI":"10.1080\/10749357.2023.2172832","article-title":"Interventions for improving self-efficacy in patients after stroke based on self-efficacy-related principles of Bandura's cognition theory: A systematic review and meta-analysis","volume":"30","author":"Ouyang","year":"2023","journal-title":"Top Stroke Rehabil"},{"key":"2025072910330500500_ref45","doi-asserted-by":"publisher","first-page":"510183","DOI":"10.3389\/fpsyt.2021.510183","article-title":"Teacher self-efficacy and mental health-their intricate relation to professional resources and attitudes in an established manual-based psychological group program","volume":"12","author":"Muenchhausen","year":"2021","journal-title":"Front Psych"},{"key":"2025072910330500500_ref46","article-title":"Self-efficacy: The exercise of control","author":"Bandura","year":"1997","journal-title":"J Cogn Psychother"},{"key":"2025072910330500500_ref47","doi-asserted-by":"publisher","first-page":"104032","DOI":"10.1016\/j.jesp.2020.104032","article-title":"To build efficacy, eat the frog first: People misunderstand how the difficulty-ordering of tasks influences efficacy","volume":"91","author":"Habbert","year":"2020","journal-title":"J Exp Soc Psychol"},{"key":"2025072910330500500_ref48","doi-asserted-by":"publisher","first-page":"101395","DOI":"10.1016\/j.learninstruc.2020.101395","article-title":"Self-efficacy and performance feedback: Impacts on cognitive load during creative thinking","volume":"71","author":"Redifer","year":"2021","journal-title":"Learn Instr"}],"container-title":["Age and Ageing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/ageing\/article-pdf\/54\/7\/afaf205\/63877116\/afaf205.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ageing\/article-pdf\/54\/7\/afaf205\/63877116\/afaf205.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,7,29]],"date-time":"2025-07-29T14:33:12Z","timestamp":1753799592000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ageing\/article\/doi\/10.1093\/ageing\/afaf205\/8216876"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7,1]]},"references-count":48,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2025,7,1]]}},"URL":"https:\/\/doi.org\/10.1093\/ageing\/afaf205","relation":{},"ISSN":["0002-0729","1468-2834"],"issn-type":[{"value":"0002-0729","type":"print"},{"value":"1468-2834","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2025,7]]},"published":{"date-parts":[[2025,7,1]]},"article-number":"afaf205"}}