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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Central to this research will be measurement development. A limitation of the present study is that a gold standard for social isolation has yet to be developed. 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.

More work in this area is needed. Improved measures of social support networks are essential to a better understanding of the reported link between social integration and health. To test factor invariance across sites, we calculated a correlation of rotated factor loadings. Sociological and policy perspectives. Except for vision and emotional support, significant differences were noted among the samples.

The Hamburg individuals consistently reported worse health status than did the individuals at the other two sites. One of the items asks how often the respondent has someone to love. In this population, there are both residents with lower and higher educational levels. These Cronbach alpha values are all well within the acceptable parameters suggested by Streiner and Norman for health measurement scales.

The total scale score is an equally weighted sum of the six items, with scores ranging from 0 to 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 It demonstrated highly desirable measurement traits among three European older adult populations.

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. Family and Friend Subscales are an equally weighted sum of their three items respectively.


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. They also recounted that various researchers had developed abbreviated but inconsistent versions of the original LSNS.

Lubben Social Network Scale | ISCMR

As socia expected, the dichotomous versions have a somewhat lower level of correlations with the selected social and health indicators. 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.

However, the clinical cut-point scores are consistently and significantly correlated with the selected social and health indicators in a pattern similar to that observed with scores from the continuous versions of the scales that were reported in Table 6. Sign In or Create lubbrn Account.

Although the three study sites are all located in Europe, and the large majority of study participants were of Caucasian ethnicity, there are important differences between the three sites Table 1. Such cut points could be used in clinical practice or health promotion screenings to identify those individuals who might ,ubben at high risk for social isolation and deemed appropriate for additional diagnostic assessment.

Thus, using this alternate approach, we found that xocial cut point of 12 seemed to be a cut point that could be justified by theoretical and practical considerations. Such cut points are also useful for targeting interventions to those deemed at higher risk for social isolation.

In Hamburg, 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. More specifically, if the clinical cut point is set too low, then some individuals truly isolated would be missed.

Lubben Social Network Scale–Revised (LSNS-R)

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. Ntework 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 older adults.

A factor analysis identified principal components factors with varimax rotation. A reliability score higher than 0. 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.


Table 1 reports sample characteristics for the three sites. Most live in small villages or towns, and many were born and have lived most of their lives in the Solothurn area. The first case is scael older person with the same number of people available for each of the components of the family and friendship network. One instrument that has been widely used to assess social integration and to screen for social isolation among community-dwelling populations is the Lubben Social Network Scale LSNS.

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

Lubben Social Network Scale

A final contribution of the present study was to suggest clinical cut points for the LSNS-6 and the two subscales. The Hamburg respondents were also more apt to report deficiencies in various aspects of their social support networks than their counterparts in Solothurn and London. In the present study we appraise the performance of this abbreviated version as a social health screener among three European community-dwelling populations.

We used sensitivity analyses to compare the performance of using a cut point of scald for the LSNS-6 as compared with using cut netwok of 10 or Close mobile search navigation Article navigation. How many relatives do you feel close to such that you could call on them for help? We used two criteria for validation. The total score is a simple and concise measure, but it overlooks the possible variability across items.

Furthermore, to facilitate ease of administration in practice settings, a cut point should be easy to score and to comprehend.

Scores for each question range from zero to sociial, with zero indicating minimal social integration and five indicating substantial social integration. Other items ask about helping others, having confidants, being a confidant and current living arrangements. It furthers the University’s objective of excellence in research, scholarship, and education by publishing worldwide.