Despite their widespread implementation, a systematic review of 14 randomized controlled trials found only a 'small positive trend' in improving self-esteem and depression for older people in intergenerational programs. Confidence in these effects remained low due to small study sizes and limited participant numbers. The small positive trend and low confidence in effects challenge the common assumption that bringing younger and older generations together automatically yields significant mental health benefits for older adults.

Intergenerational programs are widely implemented with the aim of benefiting both younger and older people, yet robust scientific evidence for significant improvements in older adults' mental well-being is currently weak. A tension exists between widespread adoption and the scientific backing for certain outcomes. While these programs clearly foster community and youth development, their full potential for older adults' direct mental health benefits remains largely unproven, suggesting a need for more rigorous, larger-scale research.

Bringing Generations Together: What Are These Programs?

A systematic review included 14 randomized controlled trials from six countries, highlighting the global reach of intergenerational programs. These initiatives are primarily delivered in-person and in groups, involving diverse activities like visiting programs, school volunteering, music-based interventions, and various task-oriented activities, according to what is the effect of intergenerational activities on the wellbeing and mental health of older people: a systematic review and meta-analysis. Intergenerational interventions aim to bring younger and older people together, contributing to small improvements in self-esteem and depression levels in older people. These programs are diverse in their activities but share a common goal of fostering connection and mutual benefit between age groups, often with a focus on improving overall well-being and community resilience.

Inside the Programs: Real-World Examples and Engagement

The Rhythm & Nature (R&N) program consisted of eight 90-minute sessions for two groups in an adult day setting, demonstrating a structured approach to intergenerational engagement. An intergenerational program was implemented between 2022 and 2025 across three community organizations, piloted by United Neighborhood Houses (UNH), according to conferences - stockton center on successful aging. Staff involved in the R&N program reported greater participant engagement during these sessions compared to other programming offered. Real-world implementations show that structured intergenerational activities can be successfully integrated into community settings and significantly boost participant engagement, fostering intergenerational well-being and a sense of shared cultural practices.