ArticleJournal of the American Geriatrics Society2020
Advance Care Planning: Social Isolation Matters.
Article in Journal of the American Geriatrics Society, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
21 citing papers in PubMed.
- Effect of telehealth yoga on loneliness and social isolation among rural older adults: a randomized controlled trial.Aging & mental health · 2025Trial
- Factors impacting loneliness in patients with serious life-limiting illness in the Emergency Medicine Palliative Care Access (EMPallA) study.BMC palliative care · 2025Trial
- Willingness to participate in advance care planning among older adults with relatively high educational attainment in a continuing care retirement community of the Beijing-Tianjin-Hebei region: a qualitative study.BMC palliative care · 2026Article
- Development and Evaluation of a Brief Social Isolation Measure in the Nationally-Representative Health and Retirement Study.Journal of the American Geriatrics Society · 2025Article
- Together, but Isolated: A Dyadic Study of Social Isolation in Older Adults and Caregivers.Journal of aging and health · 2025Article
- Loneliness and Social Isolation in the Care of the Seriously Ill Older Adult.Clinics in geriatric medicine · 2025Review
- Using the Age-Friendly Environment Framework to Assess Advance Care Planning Factors Among Older Adults With Limited Income: A Cross-Sectional, Descriptive Survey Study.The Gerontologist · 2024Article
- Association between multisite musculoskeletal pain and disability trajectories among community-dwelling older adults.Aging clinical and experimental research · 2024Article
- Hearing and vision impairment and social isolation over 8 years in community-dwelling older adults.BMC public health · 2024Article
- The Role of Digital Technologies in Facilitating Psychosocial Resilience to Sudden Social Isolation Among Older Adults: Lessons Learned from the COVID-19 Pandemic.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2023Article
- The impact of COVID on end-of-life planning views, social connection, and quality of life for low-income, older adults: A qualitative study.Palliative & supportive care · 2023Article
- Goals of older hospitalized patients with multimorbidity.European geriatric medicine · 2023Article
- End-of-life health care use among socially isolated and cognitively impaired older adults.Journal of the American Geriatrics Society · 2023Article
- Social Isolation and Implementation of Advanced Care Planning Among Hospitalized Patients With Heart Failure.Journal of the American Heart Association · 2022Article
- Views of advance care planning in older hospitalized patients following an emergency admission: A qualitative study.PloS one · 2022Article
- The epidemiology of social isolation and loneliness among older adults during the last years of life.Journal of the American Geriatrics Society · 2021Article
- SHARING Choices: A Pilot Study to Engage Family in Advance Care Planning of Older Adults With and Without Cognitive Impairment in the Primary Care Context.The American journal of hospice & palliative care · 2021Article
- Size and composition of family networks of decedents: A nationwide register-based study.Palliative medicine · 2021Article
- Beyond the Health Deficit Count: Examining Deficit Patterns in a Deficit-Accumulation Frailty Index.Journal of the American Geriatrics Society · 2021Article
- Social Isolation and Loneliness Among San Francisco Bay Area Older Adults During the COVID-19 Shelter-in-Place Orders.Journal of the American Geriatrics Society · 2021Article
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Authors and funding
4 authors.
Funding
Abstract
backgroundSocial isolation is a risk factor for poor health that influences the well-being older adults.
objectiveWe compare advance care planning (ACP) engagement of older adults who were severely socially isolated, socially isolated, and not socially isolated.
designCross-sectional analysis of the 2012 National Health and Aging Trends Study (NHATS).
settingUnited States of America.
participantsA total of 2015 older adults (aged ≥65 years) randomly selected from a representative sample of community-dwelling Medicare beneficiaries to participate in an ACP module as part of an annual in-person interview. MEASUREMENTS: We classified participants in three groups: severely socially isolated, socially isolated, or not socially isolated. ACP refers to three (yes/no) questions regarding whether a participant had a: (1) prior discussion about care preferences in the case of serious illness (EOL Discussion); (2) durable power of attorney (DPOA); and (3) advance directive (AD). We performed logistic regression analyses to examine the association between social isolation and ACP.
resultsApproximately 23% of older adults were either severely socially isolated or socially isolated. Older adults who experienced social isolation were less likely to engage in ACP than those who were not socially isolated. In adjusted analysis, older adults who were socially isolated had lower odds of having an EOL discussion (adjusted odds ratio [AOR] = 0.65; 95% confidence interval [CI] = 0.49-0.87) or having a DPOA (AOR = 0.71; 95% CI = 0.53-0.96) compared to those who were not socially isolated.
conclusionSocial isolation is associated with lower engagement in ACP. Clinicians should identify older adults who are at risk for or experience social isolation as they may benefit from targeted ACP efforts. J Am Geriatr Soc 68:841-846, 2020.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.