Board-Game-Based Interventions and Loneliness-Related Outcomes in Older Adults: A Scoping Review
Keywords:
board games, loneliness, older adults, social connection, scoping reviewAbstract
Loneliness in older adults is an increasingly important public health concern because of its association with poorer psychological well-being, cognitive functioning, and social participation. Board-game-based interventions have attracted growing attention as structured social approaches, yet the available evidence remains fragmented and has not been clearly mapped. This scoping review aimed to map the characteristics, implementation contexts, delivery formats, and reported outcomes of board-game-based interventions relevant to loneliness in older adults. The review followed the Joanna Briggs Institute methodology and was reported in accordance with PRISMA-ScR. Searches were conducted across six databases, namely PubMed/MEDLINE, Embase, Scopus, CINAHL, PsycINFO, and ProQuest, for studies published between 2020 and 2025. A total of 62 records were identified, screened through title/abstract and full-text review, and 6 studies met the inclusion criteria. The included studies were conducted across diverse countries and involved strategic games, collaborative storytelling games, reminiscence-based games, traditional games, and one hybrid format. Four studies reported direct reductions in loneliness, while the remaining studies described improvements in outcomes related to social connection, including communication, social inclusion, interpersonal relationships, and mental well-being. Although the findings suggest promising potential, the evidence base remains small and heterogeneous.
References
Aditya, R. S., Yusuf, A., Rahmatika, Q. T., Masfi, A., Ramadhan, M. P., Sunaryo, E. Y. A. B., Afiani, N., Evi, N., Widjayanti, Y., Santi, N. F., Soares, D., & AlMutairi, R. I. (2024). Unlocking wellness: the comprehensive impact of community-based exercise programs on older adults. Retos, 60, 1365–1371. https://doi.org/10.47197/retos.v60.106846
Beggs, B., Bustos, M., Brubacher, L. J., Little, M., Lau, L., & Dodd, W. (2024). Facilitators and barriers to implementing complex community-based interventions for addressing acute malnutrition in low- and lower-middle income countries: A scoping review. In Nutrition and Health (Vol. 30, Number 3, pp. 447–462). SAGE Publications Ltd. https://doi.org/10.1177/02601060241253327
Bodner, E., Segev, A., Chernitsky, R., & Barak, Y. (2024). Playing Kioku Reduces Loneliness in Older Adults: A Pilot Study. Games for Health Journal, 13(6), 428–435. https://doi.org/10.1089/g4h.2023.0130
Cash, B., Lawless, M., Robson, K., Fealy, S., & Corboy, D. (2024). Understanding the enablers to implementing sustainable health and well‐being programs for older adults in rural Australia: A scoping review. Australian Journal of Rural Health, 32(3), 419–432. https://doi.org/10.1111/ajr.13111
Chen, M.-F., & Tsai, C.-C. (2022). The Effectiveness of a Thanks, Sorry, Love, and Farewell Board Game in Older People in Taiwan: A Quasi-Experimental Study. International Journal of Environmental Research and Public Health, 19(5). https://doi.org/10.3390/ijerph19053146
Da Silva. (2025). Exploring loneliness: Conceptualisation and impact in older adults. British Journal of Community Nursing, 30(4), 188–195. https://doi.org/10.12968/bjcn.2024.0025
Dabiri, S., Mwendwa, D. T., & Campbell, A. (2024). Psychological and neurobiological mechanisms involved in the relationship between loneliness and cognitive decline in older adults. Brain, Behavior, and Immunity, 116, 10–21. https://doi.org/10.1016/j.bbi.2023.11.034
Engel, L., Brijnath, B., Chong, T. W. H., Hills, D., Hjorth, L., Loi, S., Majmudar, I., Mihalopoulos, C., & Gerber, K. (2023). Quality of life and loneliness post-bereavement: Results from a nationwide survey of bereaved older adults. Death Studies, 47(9), 994–1005. https://doi.org/10.1080/07481187.2022.2155887
Fernández-Roses, D., García-Aguña, S., Gallardo-Peralta, L. P., & Sánchez-Moreno, E. (2025). Loneliness in older adults: a qualitative study on subjective experiences, influential factors, and coping strategies | La soledad en personas mayores: un estudio cualitativo sobre experiencias subjetivas, factores influyentes y estrategias de afrontamien. Revista Espanola de Sociologia, 34(2). https://doi.org/10.22325/fes/res.2025.263
Greene, M. C., Wimer, G., Larrea, M., Mejia Jimenez, I., Armijos, A., Angulo, A., Guevara, M. E., Vega, C., Heard, E. W., Demis, L., Benavides, L., Corrales, C., de la Cruz, A., Lopez, M. J., Moyano, A., Murcia, A., Noboa, M. J., Rodriguez, A., Solis, J., … Tol, W. (2024). Strategies to improve the implementation and effectiveness of community-based psychosocial support interventions for displaced, migrant and host community women in Latin America. Cambridge Prisms: Global Mental Health, 11, e32. https://doi.org/10.1017/gmh.2024.29
Hernández-Pizarro, H. M., Prades-Colomé, A., & López-Casasnovas, G. (2025). Loneliness as a determinant of health: evidence from the Health Survey of Catalonia. Gaceta Sanitaria, 39, 102491. https://doi.org/10.1016/j.gaceta.2025.102491
Herrero, A. J., Argente, E. C., Lahuerta, A., Jensen-Casado, E., Herrero-Martín, M., Sacristán-Rodríguez, J. M., Bullón-Benito, E., Aldavero, C., & Martínez-Sinovas, R. (2025). Impact of Modern Board Games on Executive Functions and Quality of Life in the Elderly: A Randomized Controlled Trial. Games for Health Journal. https://doi.org/10.1089/g4h.2024.0195
Hoang, P., King, J. A., Moore, S., Moore, K., Reich, K., Sidhu, H., Tan, C. V., Whaley, C., & McMillan, J. (2022). Interventions Associated With Reduced Loneliness and Social Isolation in Older Adults. JAMA Network Open, 5(10), e2236676. https://doi.org/10.1001/jamanetworkopen.2022.36676
Hou, T., Ho, M.-H., Lederman, Z., Cheung, D. S. T., Rainer, T. H., & Lin, C.-C. (2025). Associations of social isolation and loneliness with healthcare utilization among older adults: A systematic review and meta-analysis. Innovation in Aging. https://doi.org/10.1093/geroni/igaf136
Huang, X., Tan, H. Y., Er, P. L., Wong, A., Lim, S. Q., Kuan Tan, J., Yee, W. Q., Xin, X., & Low, L. L. (2025). From the WHO framework to integrated senior health and wellness hub program: an implementation journey. Frontiers in Public Health, 13. https://doi.org/10.3389/fpubh.2025.1593490
Iizuka, A., Taki, H., Toba, K., & Suzuki, H. (2025). Feasibility and preliminary effects of a cognitive intervention program using the Pair Go game: A pilot study. Geriatrics & Gerontology International, 25(9), 1209–1214. https://doi.org/10.1111/ggi.70134
Jahangir, S., Patil, D. S., Gangopadhyay, J., & Vogt, T. C. (2025). Understanding intergenerational dynamics and social support’s impact on health and well-being of older adults in South Asia: a scoping review. Systematic Reviews, 14(1). https://doi.org/10.1186/s13643-025-02833-z
Kuo, C.-Y., Huang, Y.-M., & Yeh, Y.-Y. (2018). Let’s Play Cards: Multi-Component Cognitive Training With Social Engagement Enhances Executive Control in Older Adults. Frontiers in Psychology, 9. https://doi.org/10.3389/fpsyg.2018.02482
Kwok, W. Y. Y., Wong, F. K. Y., Wong, A. K. C., & Bayuo, J. (2025). Community-Based Health-Social Partnership Programme (C-HSPP) for enhancing self-care management among older adults: protocol for a hybrid effectiveness-implementation trial. BMC Public Health, 25(1). https://doi.org/10.1186/s12889-025-22846-6
Lim, M. H., Eres, R., & Vasan, S. (2020). Understanding loneliness in the twenty-first century: an update on correlates, risk factors, and potential solutions. Social Psychiatry and Psychiatric Epidemiology, 55(7), 793–810. https://doi.org/10.1007/s00127-020-01889-7
Lin, R., Luo, Y., Yan, Y., Huang, C., Chen, L., Chen, M., Lin, M., & Li, H. (2022). Effects of an art-based intervention in older adults with mild cognitive impairment: a randomised controlled trial. Age and Ageing, 51(7). https://doi.org/10.1093/ageing/afac144
Liu, Y., Zhang, C., Zhao, J., & Han, T. (2024). The Effect of a Reminiscence Therapy-Based Hybrid Board Game on Anxiety and Loneliness Levels in Older Adults: An Experimental Study. Games for Health Journal, 13(2), 120–127. https://doi.org/10.1089/g4h.2023.0062
Medina-Jiménez, E. A., Acosta-Quiroz, C. O., García-Flores, R., Aguilar-Navarro, S. G., & Sotelo-Ojeda, J. E. (2024). Behavioral Activation Therapy for Depression Led by Health Personnel in Older People: A Scoping Review. Gerontology and Geriatric Medicine, 10. https://doi.org/10.1177/23337214241300652
Miller, C. A. (2023). Nursing for Wellness in Older Adults 6th edition. Library of Congress Cataloging-in-Publication Data.
Nguyen, T. H. T., & Levasseur, M. (2023). How Does Community-Based Housing Foster Social Participation in Older Adults: Importance of Well-Designed Common Space, Proximity to Resources, Flexible Rules and Policies, and Benevolent Communities. Journal of Gerontological Social Work, 66(1), 103–133. https://doi.org/10.1080/01634372.2022.2133199
Olufemi, B. S., Ayomide, A. H., Joseph, A. O., Chigaemezu, C. N., Olanrewaju, O. S., & Olamilekan, O. S. (2025). Effects of Table Top Board Game (Ayo Olopon) On Mental Health And Social Connection Among Older Adults in A South Western Community, Ondo State, Nigeria. Journal of Applied Health Sciences and Medicine, 5. https://doi.org/10.58614/jahsm586
Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo-Wilson, E., McDonald, S., … Moher, D. (2021). The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ, n71. https://doi.org/10.1136/bmj.n71
Patil, U., & Braun, K. L. (2024). Interventions for loneliness in older adults: a systematic review of reviews. Frontiers in Public Health, 12. https://doi.org/10.3389/fpubh.2024.1427605
Pengpid, S., Peltzer, K., & Anantanasuwong, D. (2023). Longitudinal associations of loneliness with mental ill-health, physical ill-health, lifestyle factors and mortality in ageing adults in Thailand. BMC Psychiatry, 23(1), 855. https://doi.org/10.1186/s12888-023-05263-0
Pepin, R., Stevens, C. J., Choi, N. G., Feeney, S. M., & Bruce, M. L. (2021). Modifying Behavioral Activation to Reduce Social Isolation and Loneliness Among Older Adults. The American Journal of Geriatric Psychiatry, 29(8), 761–770. https://doi.org/10.1016/j.jagp.2020.09.004
Peters, M. D., Godfrey, C., McInerney, P., Munn, Z., Tricco, A. C., & Khalil, H. (2024). Scoping reviews. In JBI Manual for Evidence Synthesis. JBI. https://doi.org/10.46658/JBIMES-24-09
Puyané, M., Chabrera, C., Camón, E., & Cabrera, E. (2025). Uncovering the impact of loneliness in ageing populations: a comprehensive scoping review. BMC Geriatrics, 25(1), 244. https://doi.org/10.1186/s12877-025-05846-4
Salari, N., Najafi, H., Rasoulpoor, S., Canbary, Z., Heidarian, P., & Mohammadi, M. (2025). The global prevalence and associated factors of loneliness in older adults: a systematic review and meta-analysis. Humanities and Social Sciences Communications, 12(1), 985. https://doi.org/10.1057/s41599-025-05304-x
Scott, J. E. T., Mazzucchelli, T. G., Luszcz, M. A., Walker, R., & Windsor, T. D. (2022). A behavioural activation intervention to increase engagement with life and wellbeing in older adults: Study protocol for a randomised controlled trial. BMC Psychology, 10(1), 288. https://doi.org/10.1186/s40359-022-00988-1
Smith, K. J., & Victor, C. (2022). The Association of Loneliness With Health and Social Care Utilization in Older Adults in the General Population: A Systematic Review. In Gerontologist (Vol. 62, Number 10, pp. E578–E596). Gerontological Society of America. https://doi.org/10.1093/geront/gnab177
United Nations. (2023). World Population Ageing 2023: Challenges and opportunities of population ageing in the least developed countries.
Ure, S. L., Gill, C., Evans, T., Windsor, T. D., Scott, J. E. T., Walker, R., Luszcz, M. A., & Mazzucchelli, T. G. (2024). Engage! a pilot study of a brief behavioural activation program to promote engagement and well-being in older adults. PLOS ONE, 19(6), e0305908. https://doi.org/10.1371/journal.pone.0305908
Yan, Y., Huang, C., Lin, R., Chen, M., Wang, Y., Xu, Y., Chao, Y., Zhang, C., Sun, W., Wang, N., Ye, Y., Lin, M., & Li, H. (2024). Effects of a nurse-led staged integral art-based cognitive intervention for older adults on the Alzheimer’s disease spectrum: A randomized controlled trial. International Journal of Nursing Studies, 160, 104902. https://doi.org/10.1016/j.ijnurstu.2024.104902
Yi, Y. M., Park, Y.-H., Cho, B., Lim, K.-C., Jang, S.-N., Chang, S. J., Ko, H., Noh, E.-Y., & Ryu, S. I. (2021). Development of a Community-Based Integrated Service Model of Health and Social Care for Older Adults Living Alone. International Journal of Environmental Research and Public Health Article Public Health, 18, 825. https://doi.org/10.3390/ijerph18
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 I Made Dyanta Anwar, Putu Jyoti Prema Putri, Junaiti Sahar, Utami Rachmawati

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.




