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MyHello White Paper

What’s the problem? Loneliness

“All the lonely people, where do they all come from?” Even before the Beatles wrote about it in 1966, loneliness has been a problem, and people battle feeling alone and depressed still today. Being lonely is not just about being alone, but it is also battling the feeling that no one cares.

Loneliness and social isolation impact an alarming number of adults, and its side effects are reason for concern. According to the National Institute on Aging, “Social isolation is the objective physical separation from other people (living alone), while loneliness is the subjective distressed feeling of being alone or separated.” Situations such as death of a spouse or chronic health conditions that make “getting out” difficult contribute to loneliness and social isolation’s prevalence in older adult populations.

Loneliness is associated with causing higher rates of depression, anxiety, and suicide. Health risks associated with social isolation have been found to be similar in magnitude to the dangers of obesity and to smoking 15 cigarettes per day!

A National Academies of Science, Engineering and Medicine report found that more than a third of adults over age 45 feel lonely, and approximately a fourth of adults age 65 and older are socially isolated. A National Institutes of Health report states that lonely people are 50% more likely to die prematurely than those with healthy social connections. The U.S. Centers for Disease Control and Prevention reports that social isolation increases the risk of dementia by about 50% and significantly increases a person’s risk of premature death from all causes. Poor social relationships are associated with a 32% increased risk of stroke and a 29% increased risk of heart disease. Diabetic patients who also suffer from loneliness have a higher risk of negative health outcomes.

High Risk & Rising Risk – Care Management

Loneliness leads to higher rates of depression, higher rates of Alzheimer’s Disease and dementia, poor cardiovascular health, and poor diabetes health. How does this impact the U.S. economy and health care spend? Medicare is spending an estimated $6.7 billion to help people age 65+ who are experiencing loneliness. Depression leads to an extra $53 billion a year, and Alzheimer’s or other forms of dementia adds $155 billion a year. With loneliness and depression believed to contribute to higher incidents of Alzheimer’s Disease, these conditions deserve attention now—without delay.

Loneliness – The Pain of Being Alone

The problem with loneliness is that it is not limited to physical loneliness. Perceived or emotional loneliness is also a factor.

In the case of health care or senior living organizations, there are challenges in providing adequate one-on-one engagement with limited time and resources. Elders may interact with staff, family, or volunteers on a regular basis. However, if they do not have meaningful connections with others, elders are still at risk for loneliness. Emotional loneliness causes the same health affects as physical loneliness.


Loneliness is its own pandemic. Does staff really have the time to interact adequately or regularly? Do they have the social engagement skills and time? Family members and volunteers are limited in their visits as well. Are people feeling “stuck” within their four walls? Do some people have no visitors, so they face more intense loneliness?

Solutions are sought for…

  • residents (senior living, nursing homes, assisted living, memory care)
  • clients (home care, mental health boards, senior services agencies)
  • patients (home health, hospital, physician practices)
  • members (health plans)

The risk of suffering alone is now greater. This puts more urgency on the need for meaningful communication and creative ways to connect remotely that open the door for emotional wellness.

From a health plan point of view, it is important to note that approximately 43% of Medicare members over 65+ could be experiencing moderate or severe loneliness. Addressing loneliness could save between $3,100-$3,800 in prescription and medical costs per person per year.

Options Leave Room for Improvement

There are options on the market that attempt to address loneliness. Many states fund check-in call programs for elders. These auto-dial programs have an alert system in place, and, if the elder does not answer within a specified number of calls, emergency services may be contacted. In many cases, this causes undue stress on elders and their family members, particularly when services are not needed. It can also increase costs when dispatching unnecessary emergency responses. Autodial systems also lack more personal, social engagement from familiar voices.

Many people may turn to tablets or PCs for online connection. Also, senior living providers may offer electronic engagement systems, where individuals can do activities online or play games. While screen time can be entertaining, it does not get to the heart of the problem of insufficient personal relationships. A lack of visitors or limitations on visitors during COVID-19 isolation may not adequately address loneliness.

Research Leads to a New Service

LifeBio has partnered with a major health insurer and an aging institute to conduct ongoing research on the topic of loneliness and depression. In multiple research studies, LifeBio’s reminiscence therapy and life story work by phone or in face-to-face interactions has been effective. It resulted in a statistically significant increase in happiness and satisfaction with life. In other studies, LifeBio reduced loneliness by 15% and reduced depression by 15%. Also, Alzheimer’s caregivers in memory care found that LifeBio improved efficiency and effectiveness. LifeBio’s history has led to the offerings of MyHello, as a loneliness intervention through social engagement using reminiscence and life story work.


Interestingly, the phone is an excellent tool. JAMA Internal Medicine reported that a study surveyed 600,000 Medicare beneficiaries. Results showed that 41% lacked access to a computer with high-speed internet, and 41% did not have a phone with a wireless data plan. Moreover, 26.3% had neither high-speed internet nor a wireless data plan. However, since most people have a telephone, LifeBio utilized phone-based services for its research.

MyHello is Born

From positive research results through the use of www.lifebio.com and life story journals, LifeBio recognized the need to offer this service to other populations using the phone to simplify the approach especially for people 65+. MyHello was born! It is a meaningful engagement solution to overcome the negative effects of loneliness and isolation. Trained MyHello Guides lead personal one-on-one or group calls to fit individual preferences. Mirroring the research study, topics discussed during phone calls include remembering life stories like preferred hobbies, favorite jobs, and childhood memories.

MyHello offers non-automated calls, connecting live person to live person. It can be a lifeline reaching out to help people who are alone, facing stress and anxiety. MyHello includes one, two, or three call options:

  • MATCH- engaging in a weekly call with an individually matched partner
  • VISIT- receiving a weekly check-in call from a trained MyHello Guide
  • GROUP- guided group calls that discuss a different topic each week

There are also options for preferred call length, the number of calls per week, and when they will occur. In the case of the “Match” option, MyHello matches people with similar backgrounds, shared experiences, and common interests. Amazing phone friendships can form. When people feel more connected and less lonely, quality of life is improved. MyHello is tracking if less anxiety and stress are expressed to staff members or clinicians, along with if there is better adherence to care plans. Making it easier to provide better quality of life and quality of care is a chief goal at MyHello, with health outcomes and satisfaction as a top priority.

 “There is nothing more fascinating than another human being, and we love to help people open the door to new conversations,” said Beth Sanders, founder of LifeBio and MyHello.

Be Proactive in Fighting Loneliness

Before negative side effects occur, we recommend finding affordable and scalable ways to connect people with other people, human voice to human voice. MyHello is the cost-effective answer to beating loneliness, where the value of the solution outweighs the cost. Telephony technology behind the scenes makes this easy for all parties to consistently visit, scaling to reach thousands or millions.

Mother Theresa recognized that, “The most terrifying poverty is loneliness and the feeling of being unloved.”

It is natural for people to want to hear that someone cares. Especially during times of social isolation, feelings of loneliness and depression may creep in. It can be so good to hear from someone checking in. We say “hello,” and that begins a socially engaging conversation using proven reminiscence and life story work to truly connect.

As Neil Diamond appropriately sings, “Hello, my friend, hello. Just called to let you know I think about you… Hello… It’s good to need you so. It’s good to need you like I do and to feel this way when I hear you say, ‘Hello.”

 

MyHello is a service of LifeBio, Inc. For more information:  info@lifebio.com   1-833-694-3556