Assessing social connection for long-term care home residents: A scoping review of measure content

IF 4.9 Q1 CLINICAL NEUROLOGY

Alzheimer''s and Dementia: Translational Research and Clinical Interventions Pub Date : 2024-09-23 DOI:10.1002/trc2.12488

Madalena P. Liougas, Andrew Sommerlad, Hannah M. O'Rourke, Hannah Chapman, Neha Dewan, Katherine S. McGilton, Jennifer Bethell

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引用次数: 0

Abstract

INTRODUCTION

Social connection comprises distinct but interrelated aspects describing how individuals connect to each other. Various measures have assessed multiple aspects of social connection in long-term care (LTC) home populations, but they use inconsistent terminology, making it unclear what aspects are measured. This scoping review describes how social connection is assessed by measures that have been used in LTC home residents.

METHODS

This review followed the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) guidelines. Two systematic literature searches combining search terms for social connection AND LTC home residents AND measurement properties were conducted in eight electronic databases from inception to April 2022. Included studies reported the development or psychometric testing of measures which assessed social connection in LTC home residents. A content analysis with a deductive-inductive approach was used to analyze the measures’ content and an adapted Framework Method was used for data management. Findings report each measure's items and the assessed aspects of social connection. Dementia and non-dementia-specific measures had content, administration, and scoring compared.

RESULTS

From 8753 records, 58 studies reporting on 14 dementia-specific and 28 non-dementia-specific social connection measures were identified, including complete measures, subscales, and single items. These measures assessed social network (52.4%), social isolation (11.9%), social interaction (47.6%), social engagement (31.0%), social support (33.3%), social connectedness (21.4%), and loneliness (9.5%). A total of 27 (64.3%) of the measures included more than one aspect of social connection. Dementia-specific measures most often assessed social interaction whereas non-dementia-specific measures most often assessed social network, social interaction, and social support. Dementia-specific measures typically relied on a proxy response, whereas non-dementia-specific measures more often used self-report.

DISCUSSION

Existing social connection measures in LTC home settings operationalize seven aspects of social connection and differ according to the target population (dementia or non-dementia-specific). These findings will inform future measure selection and development.

Highlights

Social connection is important to long-term care (LTC) home residents’ quality of life.
Social connection has been assessed by quantifying/describing relationships.
Existing measures usually assess more than one aspect of social connection.
These aspects cover several interlinked observed or experienced domains.
Dementia and non-dementia-specific measures differ in assessing social connection.

Abstract Image

查看原文本刊更多论文

评估长期护理院居民的社会联系：测量内容的范围审查。

导言：社会联系包括描述个人如何相互联系的不同但又相互关联的方面。各种测量方法对长期护理（LTC）院人群中社会联系的多个方面进行了评估，但它们使用的术语并不一致，因此不清楚测量的是哪些方面。本范围界定综述介绍了用于长期护理院居民的测量方法是如何评估社会联系的：本综述遵循《系统综述和荟萃分析的首选报告项目》（Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews，PRISMA-ScR）指南。从开始到 2022 年 4 月，在 8 个电子数据库中进行了两次系统性文献检索，检索词包括社会联系、养老院居民和测量特性。纳入的研究报告了评估长者照护中心居民社会联系的测量方法的开发或心理测试。采用演绎-归纳法的内容分析法对测量内容进行分析，并采用改编的框架法进行数据管理。研究结果报告了每个测量项目和社会联系的评估方面。对痴呆症和非痴呆症特定测量的内容、管理和评分进行了比较：从 8753 条记录中，发现了 58 项关于 14 项痴呆症和 28 项非痴呆症特定社会联系测量方法的研究报告，包括完整的测量方法、子量表和单个项目。这些测量方法评估了社会网络（52.4%）、社会隔离（11.9%）、社会互动（47.6%）、社会参与（31.0%）、社会支持（33.3%）、社会联系（21.4%）和孤独感（9.5%）。共有 27 项（64.3%）测量包括一个以上的社会联系方面。痴呆症特定测量最常评估的是社会交往，而非痴呆症特定测量最常评估的是社会网络、社会交往和社会支持。痴呆症特定测量通常依赖于代理反应，而非痴呆症特定测量则更多地使用自我报告：讨论：长者护理之家环境中现有的社会联系测量方法对社会联系的七个方面进行了操作，并根据目标人群（痴呆症或非痴呆症特定人群）的不同而有所不同。这些发现将为未来的测量选择和开发提供参考：社会联系对长期护理（LTC）院居民的生活质量非常重要。现有的测量方法通常评估社会联系的一个以上方面。

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来源期刊

Alzheimer''s and Dementia: Translational Research and Clinical Interventions Medicine-Psychiatry and Mental Health

CiteScore

10.10

自引率

2.10%

发文量

134

审稿时长

10 weeks

期刊介绍： Alzheimer''s & Dementia: Translational Research & Clinical Interventions (TRCI) is a peer-reviewed, open access,journal from the Alzheimer''s Association®. The journal seeks to bridge the full scope of explorations between basic research on drug discovery and clinical studies, validating putative therapies for aging-related chronic brain conditions that affect cognition, motor functions, and other behavioral or clinical symptoms associated with all forms dementia and Alzheimer''s disease. The journal will publish findings from diverse domains of research and disciplines to accelerate the conversion of abstract facts into practical knowledge: specifically, to translate what is learned at the bench into bedside applications. The journal seeks to publish articles that go beyond a singular emphasis on either basic drug discovery research or clinical research. Rather, an important theme of articles will be the linkages between and among the various discrete steps in the complex continuum of therapy development. For rapid communication among a multidisciplinary research audience involving the range of therapeutic interventions, TRCI will consider only original contributions that include feature length research articles, systematic reviews, meta-analyses, brief reports, narrative reviews, commentaries, letters, perspectives, and research news that would advance wide range of interventions to ameliorate symptoms or alter the progression of chronic neurocognitive disorders such as dementia and Alzheimer''s disease. The journal will publish on topics related to medicine, geriatrics, neuroscience, neurophysiology, neurology, psychiatry, clinical psychology, bioinformatics, pharmaco-genetics, regulatory issues, health economics, pharmacoeconomics, and public health policy as these apply to preclinical and clinical research on therapeutics.