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Developing a New Conceptual Framework of Meaningful Interaction for Understanding Social Isolation and Loneliness

Published online by Cambridge University Press:  24 November 2020

Andrea Wigfield ,
Royce Turner ,
Sarah Alden ,
Marcus Green  and
Vinal K. Karania
Andrea Wigfield
Affiliation:
Department of Sociological Studies, University of Sheffield, UK E-mail: a.wigfield@sheffield.ac.uk
Royce Turner
Affiliation:
Social, Cultural and Legal Research Centre, University of Derby, UK E-mail: R.Turner@derby.ac.uk
Sarah Alden
Affiliation:
Independent Social Researcher E-mail: sarah.alden2@gmail.com
Marcus Green
Affiliation:
Optum Health Solutions Ltd E-mail: marcus.green@optum.com
Vinal K. Karania
Affiliation:
Policy and Research Team, Age UK E-mail: Vinal.Karania@ageuk.org.uk
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Abstract

Academic debate about social isolation and loneliness, and their adverse health and well-being implications, has resulted in many policy and programme interventions directed towards reducing both, especially among older people. However, definitions of the two concepts, their measurement, and the relationship between the two are not clearly articulated. This article redresses this and draws on theoretical constructs adapted from symbolic interactionism, together with the Good Relations Measurement Framework, developed for the Equality and Human Rights Commission in the UK, to challenge the way in which social isolation and loneliness are currently understood. It argues for a need to understand experiences of social relationships, particularly those which facilitate meaningful interaction, suggesting that opportunities and barriers to meaningful interaction are determined by wider societal issues. This is set out in a new conceptual framework which can be applied across the life course and facilitates a new discourse for understanding these challenging concepts.

Keywords

Social isolationlonelinessageingmeaningful interactionsocial relationships
Type
Article
Information
Social Policy and Society , Volume 21 , Issue 2: THEMED SECTION: Policies and practices shaping long-term care: between an inclusivity ethos and service delivery realities , April 2022 , pp. 172 - 193
Copyright
© The Author(s), 2020. Published by Cambridge University Press

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References

Alden, S. and Wigfield, A. (2016) Time to Shine Evaluation Interim Report: The Beneficiary Experience, Leeds: Leeds Older People’s Forum.Google Scholar
Amin, A. (2002) ‘Ethnicity and the multicultural city: living with diversity’, Environment and Planning A, 34, 6, 959–80.CrossRefGoogle Scholar
Andersson, L. (1986) ‘A model of estrangement, including a theoretical understanding of loneliness’, Psychological Reports, 58, 3, 623–95.CrossRefGoogle Scholar
Arnstein, S. (1969) ‘A ladder of citizen participation’, Journal of American Institute of Planners, 35, 4, 216–24.CrossRefGoogle Scholar
Bannister, J. and O’Sullivan, A. (2013) ‘Civility, community cohesion and antisocial behaviour: policy and social harmony’, Journal of Social Policy, 42, 1, 91–110.CrossRefGoogle Scholar
Bardsley, M., Billings, J., Dixon, J., Georghiou, T., Lewis, G. and Steventon, A. (2011) ‘Predicting who will use intensive social care: case finding tools based on linked health and social care data’, Age and Ageing, 40, 2, 265–70.CrossRefGoogle ScholarPubMed
Blumer, H. (1969) Symbolic Interactionism: Perspective and Method, Berkeley: University of California Press.Google Scholar
Bolton, M. (2011) Loneliness: The State We’re In. A Report of Evidence Compiled for the Campaign to End Loneliness, Oxfordshire: Age UK.Google Scholar
Borg, C., Hallberg, I. and Blomqvist, K. (2006) ‘Life satisfaction among older people (65+) with reduced self-care capacity: the relationship to social, health and financial aspects’, Journal of Clinical Nursing, 15, 5, 607–18.CrossRefGoogle ScholarPubMed
Bristol City Council (2014) Social Isolation in Bristol: Risks, Interventions and Recommendations Report, Bristol: Bristol City Council.Google Scholar
Cacioppo, J. T., Hawkley, L. C., Kalil, A., Hughes, M. E., Waite, L. and Thisted, R. A. (2008) ‘Happiness and the invisible threads of social connection: the Chicago health, aging, and social relations study’, in Eid, M. and Larsen, R. J. (eds.), The Science of Subjective Well-Being, New York: Guilford Press.Google Scholar
Cacioppo, J. T., Hawkley, L. C., Norman, G. J. and Berntson, G. G. (2011) ‘Social isolation’, Annals of the New York Academy of Sciences, 12311, 1, 17–22.CrossRefGoogle Scholar
Campaign to End Loneliness (2017) Campaign To End Loneliness Evaluation: Invitation To Tender, https://www.campaigntoendloneliness.org [accessed 21.04. 2017].Google Scholar
Carter, M. and Fuller, C. (2016) ‘Symbols, meaning, and action: the past, present, and future of symbolic interactionism’, Current Sociology, 64, 6, 931–61.Google Scholar
Cattan, M. and White, M. (1998) ‘Developing evidence based health promotion for older people: a systematic review and survey of health promotion interventions targeting social isolation and loneliness among older people’, Internet Journal of Health Promotion, 13, 1–9.Google Scholar
Cattan, M., White, M., Bond, J. and Learnmouth, A. (2005) ‘Preventing social isolation and loneliness among older people: a systematic review of health promotion interventions’, Ageing and Society, 25, 1, 41–67.CrossRefGoogle Scholar
Collins, A. B. and Wrigely, J. (2014) Can a Neighbourhood Approach to Loneliness Contribute to People’s Wellbeing?, York: Joseph Rowntree Foundation.Google Scholar
Collins, B. (2015) Older People Isolation Index: Results for Wirral, Wirral: Wirral Council.Google Scholar
Commission for Integration and Cohesion (2007) Our Shared Future, London: HMSO.Google Scholar
Connection Coalition (2020) Working Together to Build Strong Relationships and Connected Communities, Both Now and in the Future, https://www.connectioncoalition.org.uk/, [accessed 17.06.2020].Google Scholar
Coyle, C. and Dugan, E. (2012) ‘Social isolation, loneliness and health among older adults’, Journal of Aging and Health, 24, 8, 346–63.CrossRefGoogle ScholarPubMed
Davidson, S. and Rossall, P. (2015) Evidence Review: Loneliness in Later Life, London: Age UK.Google Scholar
Dawkes, A. and Simpkin, S. (2013) Social Isolation and Loneliness: A special JNSA paper , Research and Analysis Unit, Chelmsford: Essex County Council.Google Scholar
de Jong Gierveld, J. (1987) ‘Developing and testing a model of loneliness’, Journal of Personality and Social Psychology, 53, 1, 119.CrossRefGoogle Scholar
de Jong Gierveld, J., Van Tilburg, T. and Dykstra, P. (2006) ‘Loneliness and social isolation’, in Vangelisti, A., and Perlman, D. (eds.), The Cambridge Handbook of Personal Relationships, Cambridge: Cambridge University Press, 485–500.CrossRefGoogle Scholar
Department for Communities and Local Government (DCLG) (2008) Guidance on Meaningful Interaction: How Encouraging Positive Relationships between People Can Help Build Community Cohesion, London: Department for Communities and Local Government.Google Scholar
Dickens, A. P., Richards, S., Greaves, C. and Campbell, J. (2011) ‘Interventions targeting social isolation in older people: a systemic review’, BMC Public Health, 11, 1, 647, http://www.ncbi.nlm.nih.gov/pubmed/21843337 [accessed 05.09.2019].Google Scholar
Durcan, D. and Bell, R. (2015) Local Action on Health Inequalities. Reducing Social Isolation Across the Life Course, London: Public Health England/UCL Institute of Health Equity.Google Scholar
Dykstra, P. A. (2009) ‘Older adult loneliness: myths and realities’, European Journal of Ageing, 6, 2, 91–100.CrossRefGoogle ScholarPubMed
Findlay, R. (2003) ‘Interventions to reduce social isolation amongst older people: where is the evidence?’, Ageing and Society, 23, 5, 647–58.CrossRefGoogle Scholar
Fine, M. and Spencer, R. (2009) Social Isolation Development of as Assessment Tool for HACC Services, Sydney: Centre for Research on Social Inclusion/Macquerie University.Google Scholar
Fisher, J. (2011) ‘The four domains model: connecting spirituality, health and well-being’, Religions, 2, 1, 17–28.CrossRefGoogle Scholar
Gardner, I., Brooke, E., Ozanne, E. and Kendig, H. (1999) Improving Social Networks, a Research Report: Improving Health and Social Isolation in the Australian Veteran Community, Melbourne: Lincoln Gerontology Centre/La Trobe University.Google Scholar
Gloucestershire County Council (2013) Social Isolation in Gloucestershire , Strategic Needs Analysis Team Report, Gloucestershire: Gloucestershire County Council.Google Scholar
Grant, M. J. and Booth, A. (2009) ‘A typology of reviews: an analysis of 14 review types and associated methodologies’, Health Information and Libraries Journal, 26, 91–108.CrossRefGoogle ScholarPubMed
Green, L., Richardson, D., Lago, T. and Schatten-Jones, E. (2001) ‘Network correlates of social and emotional loneliness in young and older adults’, Personality and Social Psychology Bulletin, 27, 3, 281–8.CrossRefGoogle Scholar
Green, M., Iparraguirre, J., Davidson, S., Rossall, P. and Zaidi, A. (2017) A Summary of Age UK’s Index of Wellbeing in Later Life, London: Age UK.Google Scholar
Grenade, L. and Boldy, D. (2008) ‘Social isolation and loneliness among older people: issues and future challenges in community and residential settings’, Australian Health Review, 32, 3, 468–78.CrossRefGoogle ScholarPubMed
Hawkley, L. C. and Cacioppo, J. T. (2010) ‘Loneliness and blood pressure in older adults: defining connections’, Aging Health, 6, 4, 415–8.CrossRefGoogle Scholar
Hawkley, L. C., Burleson, M. H., Berntson, G. G. and Cacioppo, J. T. (2003) ‘Loneliness in everyday life: cardiovascular activity, psychosocial context, and health behaviors’, Journal of Personality and Social Psychology, 85, 1, 105–20.CrossRefGoogle ScholarPubMed
Hawkley, L. C., Hughes, M. E., Waite, L. J., Masi, C. M., Thisted, R. A. and Cacioppo, J. T. (2008) ‘From social structural factors to perceptions of relationship quality and loneliness: the Chicago health, aging, and social relations study’, The Journals of Gerontology: Series B, 63, 6, S375–S84.CrossRefGoogle ScholarPubMed
Higgins, K. (2006) ‘Some victims less equal than others’, Scottish Legal Action Group Journal, 346, 162–3.Google Scholar
Holt-Lunstad, J., Robles, T. F. and Sbarra, D. A. (2017) ‘Advancing social connection as a public health priority in the United States’, American Psychologist, 72, 6, 517–530.CrossRefGoogle Scholar
Jakobson, U. and Hallberg, I. R. (2005) ‘Loneliness, fear, and quality of life among elderly in Sweden: a gender perspective’, Aging Clinical and Experimental Research, 17, 6, 494–501.CrossRefGoogle Scholar
Jones, D. C. (1992) ‘Parental divorce, family conflict and friendship networks’, Journal of Social and Personal Relationships, 9, 219–35.CrossRefGoogle Scholar
Jowit, J. (2013) ‘Ageing population will have huge impact on social services, Lords told’, The Guardian online, 24 February, https://www.theguardian.com/society/2013/feb/24/britain-ageing-population-lords-inquiry [accessed 05.09.2019].Google Scholar
Kent, J. and Roberts, F. (2015) Social Isolation in Northamptonshire, Northamptonshire: Northamptonshire County Council.Google Scholar
LaRossa, R. and Reitzes, D.C. (2009) ‘Symbolic interactionism and family studies’, in P. Boss and Doherty, W. J., Shumm, W. R. and Steinmetz, S. K. (eds.), Source Book of Family Theories and Methods, Boston, MA: Springer.Google Scholar
Leeds City Council (2013) Older People and Social Isolation. A Resource Pack, 3rd edn, Leeds: Leeds City Council.Google Scholar
Leigh-Hunt, N., Bagguley, D., Bash, K., Turner, K., Turnbull, V., Valtorta, N. and Caan, W. (2017) ‘An overview of systematic reviews on the public health consequences of social isolation and loneliness’, Public Health, 152, 157–71.CrossRefGoogle ScholarPubMed
Levasseur, M., Richard, L., Gauvin, L. and Raymond, E. (2010) ‘Inventory and analysis of definitions of social participation found in the aging literature: proposed taxonomy of social activities’, Social Science Medicine, 71, 12, 2141–9.CrossRefGoogle ScholarPubMed
Lownsbrough, H. and Beunderman, J. (2007) Equally Spaced? Public Space and Interaction Between Diverse Communities: A Report for the Commission for Racial Equality, London: Demos.Google Scholar
Luhmann, M., Hawkley, L. M. and Cacioppo, J. T. (2014) ‘Thinking about one’s subjective well-being: average trends and individual differences’, Journal of Happiness Studies, 15, 757–81.CrossRefGoogle ScholarPubMed
Luton Borough Council (2014) Social Isolation and Loneliness, Luton: Luton Borough Council.Google Scholar
Masi, C. M., Chen, H., Hawkley, L. C. and Cacioppo, J. T. (2011) ‘A meta-analysis of interventions to reduce loneliness’, Personality and Social Psychology Review, 15, 3, 219–66.CrossRefGoogle ScholarPubMed
Mathieson, J., Popay, E., Enoch, S., Escorel, M., Hernandez, M., Johnston, H. and Rispel, L. (2008) Social Exclusion. Meaning, Measurement and Experience and Links to Health Inequalities, a Review of the Literature, Background Paper 1, WHO Social Exclusion Knowledge Network, Lancaster: Lancaster University.Google Scholar
Mayblin, L., Valentine, G. and Andersson, J. (2016) ‘In the contact zone: engineering meaningful encounters across difference through an interfaith project’, The Geographical Journal, 182, 2, 213–22.CrossRefGoogle Scholar
Mayblin, L., Valentine, G., Kossak, F. and Schneider, T. (2015) ‘Experimenting with spaces of encounter: creating interventions to develop meaningful contact’, Geoforum, 63, July, 67–80.CrossRefGoogle Scholar
Mead, G. (1934) Mind, Self, and Society, Chicago: University of Chicago Press.Google Scholar
Medway Council (2013) Ageing Well in Medway: the Health and Wellbeing of Medway’s Older Population , The Annual Public Health Report of the Director of Public Health, Chatham: Medway Council.Google Scholar
Newall, N. E., Chipperfield, J. G., Ballis, D. S. (2014) ‘Predicting stability and change in loneliness in later life’, Journal of Social and Personal Relationships, 31, 3, 335–51.Google ScholarPubMed
Newall, N. E., Chipperfield, J. G., Clifton, R. A. Perry, R. P., Swift, A. U., Ruthig, J. C. (2009) ‘Causal beliefs, social participation, and loneliness among older adults: a longitudinal study’, Journal of Social and Personal Relationships, 26, 2–3, 273–90.CrossRefGoogle Scholar
n4a (2016) National Association of Area Agencies on Aging: National Campaign Focuses on Problem of Social Isolation and Loneliness in Older Adults, https://www.n4a.org/Files/H4H%20Campaign%20Press%20Release.pdf [accessed 05.09.2019].Google Scholar
Nicholson, N. (2009) ‘Social isolation in older adults: an evolutionary concept analysis’, Journal of Advanced Nursing, 65, 6, 1342–52.CrossRefGoogle ScholarPubMed
Nicholson, N. (2014) ‘Social Isolation’, in Lubkin, I. M. and Larson, P. D. (eds.), Chronic Illness: Impact and Intervention, London: Jones and Bartlett, 101–25.Google Scholar
Office for Public Management (2011) The Benefits of Meaningful Interaction: Rapid Evidence Assessment of Existing Literature, London: Department for Communities and Local Government.Google Scholar
Pantazis, C., Gordon, D. and Levitas, R. (2006) Poverty and Social Exclusion in Britain, Bristol: The Policy Press.CrossRefGoogle Scholar
Peplau, L. and Perlman, D. (eds.) (1982) Loneliness: A Sourcebook of Current Theory, Research and Therapy, New York: Wiley and Sons.Google Scholar
Peters, C. and Bolkan, C. (2009) ‘Measuring meaningful time experiences in intergenerational relationships’, Michigan Family Review, 13, 1, 21–31.CrossRefGoogle Scholar
Petersen, J., Kaye, J., Jacobs, P., Quinones, A., Dodge, H., Arnold, A. and Thielke, S. (2016) ‘Longitudinal relationship between loneliness and social isolation in older adults: results from the Cardiovascular Health Study’, Journal of Aging and Health, 28, 5, 775–95.CrossRefGoogle ScholarPubMed
Pettigrew, S. and Roberts, M. (2008) ‘Addressing loneliness in later life’, Aging and Mental Health, 12, 3, 302–09.CrossRefGoogle ScholarPubMed
Pinquart, M. and Sörensen, S. (2001) ‘Influences on loneliness in older adults: a meta-analysis’, Basic and Applied Social Psychology, 23, 4, 245–66.CrossRefGoogle Scholar
Pinquart, M. and Sörensen, S. (2003) ‘Risk factors for loneliness in adulthood and old age – a meta-analysis’, in Shohov, S. P. (ed.), Advances in Psychology Research 19, 111–43, Hauppauge, New York: Nova Science.Google Scholar
Piškur, B., Daniëls, R., Jongmans, M. J., Ketelaar, M., Smeets, R., Norton, M. and Beurskens, A. (2014) ‘Participation and social participation: are they distinct concepts?’ Clinical Rehabilitation, 28, 3, 211–20.CrossRefGoogle ScholarPubMed
Pretty, J. (1995) ‘Participatory learning for sustainable agriculture’, World Development, 23, 8, 1247–63.CrossRefGoogle Scholar
Putnam, R. (2000) Bowling Alone: The Collapse and Revival of American Community, New York: Simon and Schuster.Google Scholar
Rook, K. (1987) ‘Social support versus companionship: effects on life stress, loneliness, and valuations by others’, Journal of Personality and Social Psychology, 52, 6, 1132–47.CrossRefGoogle Scholar
Salamah, M. M. (1991) ‘Relationship between economic hardship, self-esteem, and loneliness among college students’, Derasat Nafseyah, 1, 475–96.Google Scholar
Scott, M. (2011) ‘Reflections on “The big society”’, Community Development Journal, 46, 1, 132–7.CrossRefGoogle Scholar
Segrin, C. (1999) ‘Social skills, stressful events, and the development of psychosocial problems’, Journal of Social and Clinical Psychology, 18, 14–34.CrossRefGoogle Scholar
Segrin, C. and Passalacqua, S. (2010) ‘Functions of loneliness, social support, health behaviors, and stress in association with poor health’, Health Communication, 25, 4, 312–22.CrossRefGoogle ScholarPubMed
Silver, H. (1994) ‘Social exclusion and social solidarity: three paradigms’, International Labour Review, 133, 531–78.Google Scholar
Somerset Intelligence (2016) Social Isolation and Loneliness, Taunton: Somerset County Council, http://www.somersetintelligence.org.uk/social-isolation.html [accessed 05.09.2019].Google Scholar
Stancliffe, R. J., Lakin, C. K., Doljanac, R., Byun, S., Taub, S. and Chiri, G. (2007) ‘Loneliness and living arrangements’, American Association on Intellectual and Developmental Disabilities, 45, 6, 380–90.CrossRefGoogle ScholarPubMed
Tabatabaei-Moghaddam, H., Bolkan, C. and Peters, C. (2012) ‘Measuring meaningful time experiences in intergenerational relationships: a pilot test’, Gerontologist, 52, 72.Google Scholar
The National Lottery Community Fund (2020) Ageing Better, https://www.biglotteryfund.org.uk/ageingbetter, [accessed 06.01.2020].Google Scholar
Tomioka, K., Kurumatani, N. and Hosoi, H. (2018) ‘Social participation and cognitive decline among community-dwelling older adults: a community-based longitudinal study’, The Journals of Gerontology Series B, 799–806.Google Scholar
Tonkin, J. (2014) Loneliness and Social Isolation in Adults and Older People in Maidstone, Maidstone: Maidstone Borough Council.Google Scholar
Townsend, P. (1968) ‘Isolation and loneliness’, in Shanas, E., Townsend, P. and Wedderburn, D. (eds.), Old People in Three Industrial Societies, London: Routledge and Kegan Paul, 258–88.Google Scholar
Townsend, P. and Tunstall, J. (1973) ‘Sociological explanations of the lonely’, in Townsend, P. (ed.), The Social Minority, London: Allen Lane, 257–63.Google ScholarPubMed
Valentine, G. (2008) ‘Living with difference: reflections on geographies of encounter’, Progress in Human Geography, 32, 3, 323–37.CrossRefGoogle Scholar
Valentine, G., Piekut, A. and Harris, C. (2015) ‘Intimate encounters: the negotiation of difference within the family and its implications for social relations in public space’, The Geographical Journal, 181, 3, 280–94.CrossRefGoogle Scholar
Victor, C. (2010) Ageing, Health and Care, Bristol: Policy Press.CrossRefGoogle Scholar
Victor, C. and Bowling, A. (2012) ‘A longitudinal analysis of loneliness among older people in Great Britain’, Journal of Psychology, 146, 3, 313–31.CrossRefGoogle ScholarPubMed
Victor, C., Bowling, A., Scambler, S. and Bond, J. (2003) ‘Loneliness, social isolation and living alone in later life’, ESRC GO Findings, 17, 1–4.Google Scholar
Victor, C., Scambler, S., Bond, J. and Bowling, A. (2000) ‘Being alone in later life: loneliness, social isolation and living alone’, Reviews in Clinical Gerontology, 10, 4, 407–17.CrossRefGoogle Scholar
Wenger, C. G. (1983) ‘Loneliness: a problem of measurement’, in Jerrome, D. (ed.), Ageing in Modern Society, London: Croom Helm, 145–67.Google Scholar
Wenger, C. G. and Burholt, V. (2001) ‘Differences over time in older people’s relationships with children, grandchildren, nieces and nephews in rural North Wales’, Ageing and Society, 21, 5, 567–90.CrossRefGoogle Scholar
Wenger, C. G. and Burholt, V. (2004) ‘Changes in levels of social isolation and loneliness among older people in a rural area: a twenty-year longitudinal study’, Canadian Journal on Aging/La Revue Canadienne du Vieillissement, 23, 2, 115–27.CrossRefGoogle Scholar
West, C. (1984) ‘Medical misfires: mishearings, misgivings, and misunderstandings in physician-patient dialogues’, Discourse Processes, 7, 2, 107–34.CrossRefGoogle Scholar
Wigfield, A. and Alden, S. (2015) Sense Checking the Social Isolation Index for Older People, Leeds: Leeds City Council.Google Scholar
Wigfield, A. and Alden, S. (2017) ‘Assessing the effectiveness of social indices to measure the prevalence of social isolation in neighbourhoods: a qualitative sense check of an index in a Northern English city’, Social Indicators Research, 140, 1017–34.CrossRefGoogle Scholar
Wigfield, A. and Turner, R. (2010) Good Relations Measurement Framework, Policy Evaluation Group, Manchester: The Equality and Human Rights Commission.Google Scholar
Wigfield, A., Kispeter, E., Alden, S. and Turner, R. (2014) Age UK’s Fit for the Future Project: Evaluation Report, London: Age UK.Google Scholar
Windle, K., Francis, J. and Coomber, C. (2011) ‘Preventing loneliness and social isolation: interventions and outcomes’, SCIE Research briefing, 39, 16.Google Scholar
World Health Organisation (2002) Active Ageing A Policy Framework, Geneva: WHO Noncommunicable Disease Prevention and Health Promotion Ageing and Life Course, http://www.who.int/hpr/ageing/ActiveAgeingPolicyFrame.pdf [accessed 05.09.2019].Google Scholar