ArticlePloS one2025
Development of social isolation and social network assessment tool for older adults: A Delphi survey.
Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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2 citing papers in PubMed.
- Indicators for palliative care integration in primary health care: how expert profile shapes consensus in a modified Delphi study.BMC health services research · 2026Article
- Article
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2 authors.
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Abstract
objectiveSocial Isolation and network are crucial factors which affect the quality of life and overall health of older adults. Therefore, in the field of health promotion, there's a growing attention to assess and evaluate the social health including social isolation and network of older adults. This study aimed to develop a Social Isolation and Social Network (SISN) evaluation tool that comprehensively measure the social isolation and network of older adults.
methodsBetween April and June 2024, we gathered insights from 23 experts in lifestyle and health. Based on the previous research, a two-round Delphi survey was conducted to obtain expert consensus on key assessment components. In the initial survey, we collected expert's opinions through open and closed-ended questions about social isolation and social network evaluation items. After the first survey, we corrected several items that didn't meet the Content Validity Ratio (CVR) standard before proceeding. We presented the first survey's findings to an expert panel, leading to a consensus.
resultsThe initial Delphi round produced 32 items and the second round resulted in 30 items after adjusting those with CVR scores of 0.37 or less. The final CVR was 0.87 with a convergence of 0.87, a consensus level of 0.31 and stability level of 0.12.
conclusionThis study successfully developed a comprehensive social isolation and social network assessment using a modified Delphi technique. The 30 items are categorized into three sections. The SISN is able to provide a systematic approach to evaluate social isolation and social network of older adults. Future studies should be conducted to examine the reliability and validity.
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