Social relations and resident health in assisted living: an application of the convoy model

Gerontologist. 2013 Jun;53(3):495-507. doi: 10.1093/geront/gns124. Epub 2012 Oct 4.

Abstract

Purpose: This article, based on analysis of data from a mixed methods study, builds on a growing body of assisted living (AL) research focusing on the link between residents' social relationships and health. A key aim of this analysis, which uses the social convoy model as a conceptual and methodological framework, was to examine the relative importance of coresident relationships and other network ties to residents' subjective well-being.

Design and methods: We analyzed data from structured face-to-face interviews and social network mapping conducted with 192 AL residents in 9 AL facilities in Georgia.

Results: Having a higher proportion of family ties in one's network was the single most important predictor of well-being, whereas possessing some ties to coresidents and nonfamily members outside AL also had a positive effect. Findings showed that relationships among coresidents generally were important although not emotionally close. Having more close ties was associated with lower well-being, suggesting that not all close ties are beneficial. The majority (84%) of residents' closet ties were with family members.

Implications: Findings illuminate the crucial role families play in residents' overall health and well-being and demonstrate the importance of helping residents develop and maintain a range of network ties, including "weak" ties with coresidents and nonfamily outside AL.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Aging*
  • Assisted Living Facilities / organization & administration*
  • Cross-Sectional Studies
  • Female
  • Georgia
  • Health Status*
  • Humans
  • Interpersonal Relations*
  • Interviews as Topic
  • Male
  • Multivariate Analysis
  • Perception
  • Qualitative Research
  • Social Support*
  • Urban Population