[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-425543-105":3,"detail-sidebar-cat-0-en-105":85,"doc-detail-425543-en":134},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":78,"head_meta":80,"extra_data":82,"updated_unix":84},105,"en","trajectories-of-social-isolation-and-loneliness-and-advance-care-planning-among-us-older-adults-research-findings","Trajectories of Social Isolation and Loneliness and Advance Care Planning among U.S. Older Adults - Research Findings","","Study data from the Health and Retirement Study were used to map trajectory patterns of social isolation and loneliness across three waves and to test how these patterns relate to advance care planning (ACP) among U.S. older adults. Social isolation was indexed from five indicators covering marital status, social participation, and contact frequency, while loneliness was measured using the UCLA scale. ACP included living will, Durable Power Attorney for Health Care (DPAHC), and ACP discussions.",{"@graph":14,"@context":77},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/healthcare/","Healthcare",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/document/trajectories-of-social-isolation-and-loneliness-and-advance-care-planning-among-us-older-adults-research-findings/425543/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/trajectories-of-social-isolation-and-loneliness-and-advance-care-planning-among-us-older-adults-research-findings/425543.png","ImageObject",300,407,{"name":42,"@type":43},"River Wang","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-11-03","2026-09-28",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",8,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69,73],{"name":60,"@type":61,"acceptedAnswer":62},"What relationship does the study examine between social isolation, loneliness, and ACP?","Question",{"text":63,"@type":64},"The study investigates whether trajectory patterns of social isolation and loneliness are associated with advance care planning outcomes, including ACP discussions and DPAHC.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"How are social isolation and loneliness measured in the study?",{"text":68,"@type":64},"Social isolation is generated from five indicators involving marital status, social participation, and frequency of contact, while loneliness is measured with the UCLA loneliness scale.",{"name":70,"@type":61,"acceptedAnswer":71},"Which ACP components showed significant associations with the identified trajectories?",{"text":72,"@type":64},"Logistic regression results indicate significant associations for discussion and DPAHC, but not for having a living will.",{"name":74,"@type":61,"acceptedAnswer":75},"Do findings differ by gender?",{"text":76,"@type":64},"Yes. Females were affected by both social isolation and loneliness, while males were affected solely by social isolation.","https://schema.org",{"og:url":32,"og:type":79,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":81,"canonical":32},"index,follow",{"doc_id":83,"site_id":7},425543,1790794130,{"code":4,"msg":86,"data":87},"success",[88,92,96,100,105,110,114,118,123,126,130],{"id":22,"doc_module":4,"doc_module_name":25,"category_name":89,"show_sort_weight":90,"slug":91},"Story & Novel",90,"story-novel",{"id":26,"doc_module":4,"doc_module_name":25,"category_name":93,"show_sort_weight":94,"slug":95},"Literature",80,"literature",{"id":33,"doc_module":4,"doc_module_name":25,"category_name":97,"show_sort_weight":98,"slug":99},"Exam",70,"exam",{"id":101,"doc_module":4,"doc_module_name":25,"category_name":102,"show_sort_weight":103,"slug":104},5,"Comic",60,"comic",{"id":106,"doc_module":4,"doc_module_name":25,"category_name":107,"show_sort_weight":108,"slug":109},6,"Technology",50,"technology",{"id":111,"doc_module":4,"doc_module_name":25,"category_name":29,"show_sort_weight":112,"slug":113},7,40,"healthcare",{"id":55,"doc_module":4,"doc_module_name":25,"category_name":115,"show_sort_weight":116,"slug":117},"Research & Report",30,"research-report",{"id":119,"doc_module":4,"doc_module_name":25,"category_name":120,"show_sort_weight":121,"slug":122},9,"Religion & Spirituality",20,"religion-spirituality",{"id":121,"doc_module":4,"doc_module_name":25,"category_name":124,"show_sort_weight":121,"slug":125},"World Cup","world-cup",{"id":127,"doc_module":4,"doc_module_name":25,"category_name":128,"show_sort_weight":127,"slug":129},10,"Lifestyle","lifestyle",{"id":131,"doc_module":4,"doc_module_name":25,"category_name":132,"show_sort_weight":101,"slug":133},19,"General","general",{"code":4,"msg":86,"data":135},{"doc_id":83,"user_id":136,"nickname":42,"user_avatar":137,"doc_module":4,"category_id":111,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":138,"file_id":139,"file_url":140,"file_type":141,"file_size":142,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":26,"language":143,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":144,"faqs":145,"seo_title":146,"seo_description":12,"update_tm":147,"read_time":101,"preview_page_count":4},1099514067438,"https://ap-avatar.wpscdn.com/avatar/100002539ee87300030?x-image-process=image/resize,m_fixed,w_180,h_180&k=1780474512215547542","1094 Innovation in Aging, 2025, Vol. 9, No. S2  \nAbstract citation ID: igaf122.3677  \nTRAJECTORIES OF SOCIAL ISOLATION AND LONELINESS AND ADVANCE CARE PLANNING  \nAMONG U.S. OLDER ADULTS  \nKe Li1, Yifan Lou2, and Jing Wang3, 1. Ohio University, Athens, Ohio, United States, 2. Virginia Commonwealth University, Richmond, Virginia, United States, 3. University of New Hampshire, Durham, New Hampshire, United States  \nSocial isolation and loneliness are critical public health concerns that may interfere with end-of-life care preferences. However, their relationships with advance care planning (ACP) remain unclear. Using three-wave data from the Health and Retirement Study, this study identified trajectory patterns of social isolation and loneliness and explored their associations with ACP. Social isolation index was generated using five indicators of marital status, social participation, and frequency of contact. Loneliness was measured by the UCLA loneliness scale. Three dimensions of ACP were considered: living will, Durable Power Attorney for Health Care (DPAHC), andACP discussions. Group-based trajectory model identified four distinct trajectories for both social isolation (low start-decreasing, low start-increasing, moderate-start stable, high start-stable) and loneliness (low start-stable, low start-increasing, moderate start-decreasing, high start-stable) . The results of logistic regression models indicated  \nInnovation in Aging, 2025, Vol. 9, No. S2 1095  \nthat both trajectories were significantly related to discussion and DPAHC, but not living will. The high start-stable isolation group had the lowest odds of having discussion across groups and lower odds of having DPAHC than those with moderate start-stable isolation. Compared to low start-stable loneliness group, low start-increasing loneliness group was less likely to have DPAHC.  \nThe odds of having discussion were significantly lower among the groups of high start-stable loneliness and low start-increasing loneliness than those with low start-stable loneliness.  \nGender-specific analyses showed that females were affected by both social isolation and loneliness, whereas males were solely affected by social isolation. The findings highlight the importance of developing targeted interventions to address social isolation and loneliness to increase ACP.","cbCaia9M0Pv6nkY4","https://ap.wps.com/l/cbCaia9M0Pv6nkY4","pdf",1884101,"English","# Abstract\n## Methods\n## ACP Measures\n## Trajectory Results\n## Regression Findings\n## Gender-Specific Analyses","[{\"question\":\"What relationship does the study examine between social isolation, loneliness, and ACP?\",\"answer\":\"The study investigates whether trajectory patterns of social isolation and loneliness are associated with advance care planning outcomes, including ACP discussions and DPAHC.\"},{\"question\":\"How are social isolation and loneliness measured in the study?\",\"answer\":\"Social isolation is generated from five indicators involving marital status, social participation, and frequency of contact, while loneliness is measured with the UCLA loneliness scale.\"},{\"question\":\"Which ACP components showed significant associations with the identified trajectories?\",\"answer\":\"Logistic regression results indicate significant associations for discussion and DPAHC, but not for having a living will.\"},{\"question\":\"Do findings differ by gender?\",\"answer\":\"Yes. Females were affected by both social isolation and loneliness, while males were affected solely by social isolation.\"}]","Trajectories of Social Isolation and Loneliness and Advance Care Planning among U.S. Older Adults - Research Findings | PDF",1790637609]