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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Lubben Social Network Scale–Revised (LSNS-R)

It furthers the University’s objective of excellence in research, scholarship, and education by publishing worldwide. Again, this concern is tempered by data from another earlier study.

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, 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.

Netwwork University Press is a department of the University of Oxford.

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. 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 older adults.

Whereas the overall LSNS-6 clinical cut point is suggestive of social isolation, the two subscales taken netwok could indicate whether limited family or nonkin ties or both were responsible. Wolfgang von Renteln Kruse, MD.

Lubben Social Network Scale | ISCMR

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.

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. 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.


The total scale score is an equally weighted sum of the six items, with scores ranging from 0 to 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.

Social networks and social exclusion: Solothurn is a mainly rural Canton county with approximatelyinhabitants. 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 How many friends do you feel close to such that you could call on them for help? Both of these two subscales also demonstrated high internal consistency and other desirable measurement traits.

The second extreme representative case is a person with a total lack of either family or friendship ties that is compensated by an abundance of the other type. They suggested that the LSNS-6 would be more appropriate than longer instruments as a screener for social isolation in practice settings. These data are consistent across all three sites and in the direction anticipated. Close mobile search navigation Article navigation.

Lubben Social Network Scale

Although all three sites have a majority of residents belonging to a Christian church, the religious orientation differs between the three sites. Address correspondence to A. The first case is an older person with the same number of people available for each of the components of the family and friendship network. Sociological and policy perspectives. A limitation of the present study is that a gold standard for social isolation has yet to be developed.

Approximately two thirds of the individuals in the Hamburg sample were female, whereas older women constituted slightly more than half of the sample in the other two sites.

We retained those factors with an eigenvalue greater than 1, and we determined the factor structure by factor loadings having an absolute value greater than 0. How many relatives do you feel close to such that you could call on them for help? A score less than 20 may indicate a person with an extremely limited social network and high risk for isolation.

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.

The LSNS was developed specifically for use among older adult populations Lubben, and subsequently has been oscial used in both research and clinical settings e. Correlation coefficients of a specific subscale item to its given subscale total range from.


There are no discernible cross-loadings.

Health promotionIntervention studyScale developmentSocial isolationSocial networks. If the cut point is set too high, then too large of a group is deemed at risk and is subsequently targeted for more extensive assessment and consideration of possible interventions.

The National Research Council recently called for research to clarify the mechanisms by which social isolation and health are linked. Much as community health nurses are now being urged to screen clients for social isolation Tremethick,it appears that other gerontological professionals should consider adopting similar practice protocols.

These LSNS-6 measures are also highly correlated with many measures of physical and mental health. The three items dealing with family all load heavily on that factor, and the three nonkin items also load heavily on the nonkin factor. For more than 25 years, the World Health Organization has recognized that the prevention of social isolation is necessary for good health WHO, We took into account that, for each of the comparisons listed in Table 1three statistical tests were used.

Compared with these individuals, Hamburg respondents reported a greater incidence of poor self-perceived health, IADL difficulties, mental health problems, and health care utilization. The sensitivity analyses revealed that using a cut point of less than 10 instead of a cut point of less than 12 would result in slightly worse findings for concordant validity.

Similarly, we consider those with scores of less than 6 on the three-item LSNS-6 Family subscale to have marginal family ties and those with scores of less than 6 on the three-item LSNS-6 Friends subscale to have marginal friendship ties. These Cronbach alpha values are all well within the acceptable parameters suggested by Streiner and Norman for health measurement scales. Some items ask about the number of family members and friends the older adult contacts and how frequently.

LSNS is available for free at http: First, we determined the proportion of older adults reported to be at high risk of social isolation by using the a priori defined cut point.

The items that deal with kinship include the following: Valid and reliable abbreviated instruments such as the LSNS-6 and its two docial can facilitate the achievement of these objectives.