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Lubben Social Network Scale (LSNS-6). The LSNS-6 is a validated instrument designed to gauge social isolation in older adults by measuring the number and . The Lubben Social Network Scale–6 (LSNS-6) is a six-item, self-reported scale to assess social isolation in older adults (aged 65 years old and. Description, The Lubben Social Network Scale (LSNS) is a item instrument that was designed to measure social isolation in older adults by measuring.

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The original version of the LSNS is a item scale. Lubben suggested that this cut point would facilitate identifying an at-risk population that could then be further assessed and for whom interventions might be developed.

We retained those factors with an eigenvalue greater than 1, and wcale determined the factor structure by factor loadings having an absolute value greater than 0. Centrality of social ties to the health and well-being of older adults.

Across these three samples of older adults, the LSNS-6 showed high internal consistency and a consistent factor structure. Citing articles via Web of Science How many friends do you feel at ease with that you can talk about private matters? Both of these two subscales also demonstrated high internal consistency and other desirable measurement traits. Email alerts New issue alert.

In particular, there was a significant correlation between the cut-point scores and two social support variables i. Because of a strong tradition of group activities in Switzerland, most of the participants from Solothurn reported participating in social groups, whereas this was less frequent in Hamburg and London. Except for vision and emotional support, significant differences were noted among the samples. The items that deal with kinship include the following: The LSNS-6 Family subscale and the LSNS-6 Friends subscale similarly demonstrated strong discriminate validity in terms of the measures of living with a partner, participating in group activities, and receiving emotional support.

Low scores have also been correlated with mortality, all-cause hospitalizations, physical health problems, depression and other mental health problems, and a lack of adherence to good health practices. However, none of the LSNS-6 scales were correlated with hospital stay as a measure of health care utilization. A pproximately minutes. Among all three samples, the LSNS-6 and two subscales Family and Friends demonstrated high levels of internal consistency, stable factor structures, and high correlations with criterion variables.

In a next step, we validated this proposed cut point of the LSNS-6 by using the present cross-national samples. The exception was Hamburg, which reported a much higher at-risk population. Given the large number of World War II war refugees that settled in Hamburg, this higher proportion of older adults with limited social ties in the present study is understandable.


Another item asks how often someone shows love and affection to the respondent, and the third item asks how often the respondent has someone to share worries with. Screening older persons based on the LSNS-6 provides quantitative information on their family and friendship ties, and identifies persons at increased risk for social isolation who might benefit from in-depth assessment and targeted interventions.

Scores for each question range from zero to five, with zero indicating minimal social integration and five indicating substantial social integration.

Such improved knowledge will enhance future gerontological research and geriatric care. How many relatives do you feel close to such that you could call on them for help? Given the lack of such validation, is noteworthy that the cutoffs reported in this study luben shown good psychometric properties.

Table 4 examines the discriminant nettwork of the LSNS-6, the LSNS-6 Family subscale, and the LSNS-6 Friend subscale by comparing means of individuals living with a partner or living alone, participating or not in group activities, and having marginal emotional support or low, moderate, or high emotional support.

Lubben Social Network Scale–Revised (LSNS-R)

A lack of redundancy in an older adult’s social network could have dire consequences if that key individual was no longer available. For example, a score of 6 could reflect that there are fewer than two individuals for the six aspects of social networks assessed by the LSNS-6, but it also could reflect nine or more relatives a person feels at ease with talking about private matters and one friend who could be called on for help.

In Netdork, the proportion of women was much higher compared with the two other study sites because many men of this generation had died during the Second World War. If this representative person had two family members available for each of the three family components of social network, and in addition two friends available for lubbeen of the three scwle components, then we would consider this person to meet the minimal criterion of having a redundant social network.

There were other major differences between the three sites. Although these studies lubbej generally reported good psychometric traits for the LSNS, there has not been a cross-group comparison of the performance of this scale.

Libben, using the higher cut point would result in sfale situation in which too large a group of individuals would be deemed at risk and thus be candidates for more extensive assessment and consideration for possible clinical interventions.


LSNS-R is available for free at http: Study groups were drawn from community-dwelling patients, 65 years or older, enrolled with participating general practitioners. We determined the correlation based on the Pearson correlation coefficient between the presence of social isolation according to the new cut point, and two variables measuring social support i.

Compared with these individuals, Hamburg respondents reported a greater incidence of poor self-perceived health, IADL difficulties, mental health problems, and health care utilization. Although all three sites have a majority of residents belonging to a Christian church, the religious orientation differs between the three sites.

Those individuals living with a partner and those participating in group activities consistently reported higher average LSNS-6 scores, whereas those who reported lower emotional support also reported lower LSNS-6 scores.

Sociological and policy perspectives.

If the correlation of rotated factor loadings between two samples is greater than. In addition to more research, gerontologists and other health care workers should also respond to the growing body of knowledge regarding the centrality of social ties to health and well-being of lubhen adults.

Lubben Social Network Scale

Such cut points could be used in nftwork practice or health promotion screenings to identify those individuals who might be at high risk for social isolation and deemed appropriate for additional diagnostic assessment. A limitation of the present study is that a gold standard for social isolation has yet to be developed. It has also been translated into several languages including Chinese, Korean, Japanese, and Spanish.

Researchers must test social integration scales on a variety of levels, using both psychometric and practical standards to assess their actual clinical usefulness.

Scores range from 0 to 60 with higher scores indicating a greater level of social support and low risk for isolation. Based lubnen the concept of lack of redundancy of social ties we defined clinical cut-points of the LSNS-6 for identifying persons deemed at risk for social scle. Related articles in Web of Science Google Scholar.

Patrons are welcome to use the scale, however, the host requests users to complete a brief demographic questionnaire at http: Solothurn is a mainly rural Canton county with approximatelyinhabitants. Shown in Table 6 are correlations of these various clinical cut-point versions of the LSNS-6 scale scores with the scores from the continuous versions of the LSNS-6 scales.