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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There were other major differences between the three sites. Scale development and validation are cumulative and ongoing processes.

The item-subscale correlations with total subscale scores range are necessarily higher, reflecting the greater homogeneity of the three items that constitute a given subscale when compared with the six items that constitute the LSNS If the correlation of rotated factor loadings between two samples is greater than.

Lubben Social Network Scale | ISCMR

The items that deal with kinship include the following: Scores range from 0 to Self-administered questionnaire with health professionals as informants. A lack of redundancy in an older adult’s social network could have dire consequences if that key individual was no longer available.

In Hamburg, participants were recruited from both urban and suburban neighborhoods with a relatively large proportion of individuals with higher educational levels.

Improved measures of social support networks are essential to a better understanding of the reported link between social integration and health. The following limitation should be taken into account when the overall LSNS-6 score or the suggested clinical cut sale is used.

Lubben Social Network Scale

Social Assessment Tool Category: The eigenvalues suggest a very strong principle component. Social work and health care in an aging society. In the London area, the study sample included populations living mainly in the outer urban areas, with a high proportion of individuals of lower educational and income categories. 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.

In sum, the three sites reflect important intergroup differences among a number of domains. As previously described, the basic logic behind these suggested cut points was to identify respondents who appeared to be overly reliant on one person or perhaps even lacked this minimal level of support. The magnitude of health risk associated with social isolation is now deemed to be comparable with that of cigarette smoking and other major biomedical and psychosocial risk factors House, 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.


Similarly, the older person with a large family network might partially compensate for the lack of a friendship network.

A clinical cut-point score of less than 12 on the LSNS-6 indicates that, on average, the respondent had fewer than two people to perform the particular social integration functions assessed by the LSNS We developed these cut points on the basis of a hypothesis-driven approach and evaluated them with statistical methods.

Therefore, using the higher cut point would result in a 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.

Such cut points necessarily involve trade-offs addressing the competing goals of sensitivity and specificity of screening instruments. However, there are no known sources of normative data drawn from population surveys regarding social isolation among general community-dwelling older adults.

The Hamburg individuals consistently reported worse health status than did the individuals at the other two sites. In eocial next step, we validated this proposed cut point of the LSNS-6 by using the present cross-national samples. A limitation of the present study is that a gold standard for social isolation has yet to be developed.

These correlation coefficients values are well within the neywork range suggested by Kline 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 Hamburg, the proportion of women was much higher scake with the two other study sites because many men of this generation had died during the Second World War. Item—total scale correlation analyses Table 3 reveal coefficients ranging from.

Performance of an abbreviated version of the Lubben Social Network Scale among three European community-dwelling older adult populations.

We assumed that this person might be able to partly compensate for scxle lack of family support if the person had an extensive friendship network, with at least five individuals available for each of the three components of the LSNS-6 questionnaire, resulting in an LSNS-6 score of 12 points.


Both of these two subscales also demonstrated high internal consistency and other desirable measurement traits.

The suggested clinical cut point of less than 12 is easy to calculate and to comprehend and could be used in practice to identify those clients in need of additional assessment. Geriatric practice protocols to regularly monitor the social integration of older adult clientele have to be adopted.

Such a score implies that, on average, there are ,ubben than two individuals for the six aspects of social networks assessed by the LSNS We analyzed correlations of socioeconomic, clinical, and social characteristics with the LSNS-6, and we analyzed the two LSNS-6 subscales by using Pearson product—moment correlation coefficients.

Wolfgang von Renteln Kruse, MD. In the present study we appraise the performance of this abbreviated version as a social health screener among three European community-dwelling populations.

There is a need for valid and reliable short scales that can be used to assess social networks and social supports and to screen for social isolation in older persons. Whereas the overall LSNS-6 clinical cut point is suggestive of social isolation, the two subscales taken separately could indicate whether limited family or nonkin ties or both were responsible.

It is noteworthy that this consistency was found even though there were relevant networ among the three samples in terms of demographic and health characteristics.

Finally, we used statistical methods for determining whether using an alternate cut point would have given better results. There have been some attempts to compare the results of self-reported social network assessments with the assessment of social isolation by social workers in clinical settings e.

By similar logic, we also adopted a cut-point score of 6 for the three-item Friend subscale.