Public Health Guidelines for Social Connection: An International Delphi Study

  • Kiffer G Card (Lead / Corresponding author)
  • , Jocelle Refol
  • , Taylor Hill
  • , Cecilia Benoit
  • , Robert J. Coplan
  • , Steve Joordens
  • , Charlotte M. Roddick
  • , John L. Oliffe
  • , Erin Dej
  • , Frances S. Chen
  • , Elizabeth C Pinel
  • , Peter J Helm
  • , Shayna Skakoon-Sparling
  • ,

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Loneliness and social is olation ar e linked to increased morbidity and mortality, with health risks comparable to sedentary lifestyles and poor nutrition. Promoting social connection has therefore become a global public health priority. Evidence-based guidelines could help raise awareness of the health impacts of dis-connection, shape individual behaviors, and inform community programs and policies.

Objective: This study aimed to develop recommended public health guidelines for social connection using a Delphi methodology.

Methods: Experts from diverse subfields of Psychology were recruited through networks, nominations, and targeted invitations. In Round 1, open -text response s identified key principles and potential guidelines for individuals and communities. A grounded thematic analysis synthesized these responses into draft guidelines. In subsequent rounds, experts rated their support for each statement. Guidelines with ≥ 8 0 % expert endorsement were refined through focus groups.

Results: The final product included 12 guidelines: six for individuals and six for communities. Community guidelines focus on: (1) raising awareness of connection, (2) supporting social -emotional development, (3) prioritizing social health in policy, (4) designing connection-friendly environments, (5) promoting accessibility and inclusion, and (6) measuring social wellbeing. Individual guidelines emphasize: (1) making connection a lifelong priority, (2) cultivating a positive social outlook, (3) building diverse networks, (4) prioritizing meaningful interactions, (5) developing new relationships, and (6) using technology wisely.

Conclusions: These expert-informed guidelines may serve as a framework for advancing individual and population-level effort s to strengthen social wellbeing
Original languageEnglish
Article number105452
JournalHealth Policy
Volume162
Early online date26 Sept 2025
DOIs
Publication statusPublished - Dec 2025

Keywords

  • Social connection
  • Public health guidelines
  • Delphi study
  • Loneliness
  • Social isolation
  • Mental health

ASJC Scopus subject areas

  • Health Policy

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