Ageing, Uncertainty and Social Capital: An Institutional Study of Older Adults in Uttar Pradesh, India

Institutionalization marks a profound transition for older adults, often accompanied by challenges related to ageing, uncertainty, and shifting social dynamics. This qualitative study delves into the lived experiences of 15 older adults in institutional settings (Lucknow, Uttar Pradesh, India), examining the interplay between ageing, social relationships, and the navigation of ambiguity within these environments. Prior to moving into an old-age home, older adults typically rely on established social networks, but institutionalization disrupts these ties, requiring the formation of new relationships within the facility. Through in-depth interviews and thematic analysis, the study reveals the varied experiences of ageing, highlighting how older adults adapt to evolving social contexts and uncertainties over time. The findings underscore the pivotal role of social capital in reducing uncertainty and fostering resilience among institutionalized individuals. Key themes illustrate the importance of social connections in providing emotional support, practical assistance, and a sense of belonging, all of which are crucial for adapting to institutional life. Additionally, the study explores how older adults engage in sense-making processes, redefining their identities and priorities to align with their new environment. By exploring these experiences, the research offers valuable insights into ageing within institutional settings, emphasizing the need to nurture social relationships to promote well-being and adjustment. These findings have practical implications for developing interventions that enhance social networks and create supportive environments tailored to the holistic needs of older adults in institutions.