Social networks, cognition and service use in long-term care

![CDATA[Introduction Having an abundant social network is associated with better physical and cognitive health, however the nature of long-term care can often mean older adults experience a higher risk of social isolation and negative impacts on cognitive function. This study aimed to identify the association between accessing types of services or activities within long-term care on social networks and cognition. Design and methods96 residents from two aged care facilities/nursing homes in New South Wales, Australia participated in a cross-sectional study. Interviews by researchers with residents approached by staff measured social network structure (Lubben Social Network Scale LSNS-12), quality of life (EuroQol-5D, EQ5D5L) and cognition (Montreal Cognitive Assessment, MoCA). Residents’ demographics and service use were collected from electronic records in the facilities. Independent sample t-test, ANOVA and linear regression analyses were used to investigate factors associated with cognition. Results The average age of residents was 82.7 ± 9.4 years and 64.6% were female. Most had cognitive impairment (70.8% scored <22 in MoCA) and moderately sized social networks (27/60). Regression analyses indicated residents that were younger, completed a higher education level, and had larger social networks including family and/or friends, had significantly better cognitive performance. Service type and frequency was not associated with cognition. Discussion and Implications Among individuals in long-term care at risk of social isolation, having substantial and valuable social networks was associated with better cognitive function. However, whether psychosocial service provision within aged care facilities inhibits or enhances social networks and cognitive function over time requires further exploration.]]