e.g. mhealth
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Loneliness is an increasing public health concern, particularly among older adults [1]. The prevalence of loneliness is expected to increase as the global population ages, placing greater strain on health care systems [2,3]. Subjectively, loneliness arises when actual and desired social connections vary, leading to negative emotions such as anxiety, low self-esteem, and social distress [4].
JMIR Aging 2025;8:e74422
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In recent years, using smart technology to identify loneliness has emerged as a potentially useful method of tackling loneliness in older adults [25]. Such technologies would monitor physiological or behavioral indicators of loneliness using sensors, enabling timely detection of loneliness to improve access to targeted intervention [26].
JMIR Hum Factors 2025;12:e73694
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The University of California Los Angeles (UCLA) Loneliness Scale is a widely used 3-item measure of perceived loneliness (“How often do you feel you are left out?” [36]). Items were rated on a 3-point Likert scale (1=hardlyever, 2=some of the time, 3=often) and summed, where higher scores reflect greater loneliness (Cronbach α at baseline=0.69, at midpoint=0.58, at endpoint=0.68).
JMIR Form Res 2025;9:e70528
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Loneliness: Measured using the UCLA Loneliness Scale (version 3) [57], a 20-item scale assessing subjective feelings of loneliness and social isolation on a 4-point Likert scale. Higher scores indicate greater loneliness (range: 20‐80). In this study, the Cronbach α was 0.93 at T1, 0.94 at T2, and 0.95 at T3.
JMIR Mhealth Uhealth 2025;13:e63806
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The perceived usefulness of welfare technology in addressing social issues such as loneliness provides a broader perspective. The risk of loneliness or social isolation increases with the advancement of age, owing to life situations emerging from health conditions or living arrangements. Although technology cannot replace face-to-face interactions, it can provide complementary functions that contribute to overcoming the barriers (eg, mobility challenges) of social interactions [16].
JMIR Nursing 2025;8:e65641
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Loneliness and Problematic Media Use: Meta-Analysis of Longitudinal Studies
However, a critical limitation identified in these reviews is the predominant use of cross-sectional designs, making it difficult to establish the causal direction in the relationship between loneliness and problematic media use.
This prompts an inquiry into the directionality of this relationship. Some studies suggest that loneliness may precede problematic media use [14-16], as individuals experiencing loneliness may seek social connection through online platforms.
J Med Internet Res 2025;27:e60410
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Levels of loneliness, as a subjective feeling, were assessed using a 5-point Likert scale ranging from “not lonely at all” to “extremely lonely.” A previous study using a similar single-item EMA approach to assess momentary loneliness among older adults reported an ICC of 0.75 [44]. In our study, the ICC for the loneliness item was 0.56, indicating moderate agreement [43] and supporting the reliability of this measure for repeated assessments.
J Med Internet Res 2025;27:e69379
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Sharing personal stories and a structured social environment that provides opportunities for meaningful engagement that may not happen in a casual social context address loneliness as well. A conceptual model of RT to address loneliness and apathy and how reminiscence may work as an intervention is visually depicted in Figure 1.
Conceptual model of a reminiscence therapy intervention for loneliness and apathy and mechanisms for how the intervention may work.
JMIR Res Protoc 2025;14:e70518
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Social isolation and loneliness are common problems [4-6], and these aspects were exacerbated because of the infection control measures (eg, visitor restrictions) undertaken in response to the COVID-19 pandemic [7,8]. As a consequence of the social distancing, families started using digital solutions to keep in touch with their loved ones residing in care homes [9-11].
JMIR Form Res 2025;9:e59764
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The distributions of the variables of loneliness, AFE, technology experience, and LSM were close to normal.
JMIR Aging 2025;8:e67242
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