Social Isolation in Older Adults Transitioning to Assisted Living Facilities

Abstract

Social Isolation in Older Adults Transitioning to Assisted Living Facilities Background: Social isolation describes the objective state of being lonely, whereas loneliness is a subjective feeling based on relationships (Rohr et al., 2022). In a meta-analysis, 33% of an elderly population experienced social isolation (Ran et al., 2024). Based on the framework of loneliness, social isolation, and associated health outcomes (Barnes et al., 2020), the purposes of this study were to describe experiences of social isolation, loneliness, and strategies that decreased these experiences in older adults following a move to assisted living. Methods: Using a qualitative approach, residents 65 and older (N=10), without cognitive deficits who moved to a facility within the past 3-12 months were interviewed. Participants completed the Mini-Cog© for inclusion prior to answering nine open-ended questions. After each interview, participants completed the UCLA loneliness scale. Constant comparison was used to identify major categories. Results: Participants 70-92 years (M=82.20, SD=7.64) were female (80%) and a widow/widower (60%). Three main categories emerged: (a) resolved to leave home, (b) trust in a safe system to meet needs, and (c) having to accept a new normal. UCLA scores demonstrated a moderate degree of loneliness (M=38.25, SD=15.56). Conclusions: Early detection of social isolation is essential to improve quality of life (Ran et al., 2024) and prevent illness in older adults (Jansson et al., 2021). While loneliness and the need to move impacted these older adults, their involvement in the choice and receiving a tailored experience improved their transition (Sun et al., 2021)