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Beyond Demographics: How Relationships Shape Visitation in Long-Term Care Settings.
Caroline Collins-Pisano1, Rachel Weiskittle1
1Department of Psychology, University of Colorado Colorado Springs, Colorado Springs, CO, USA.
Research on Aging
|October 25, 2025
Summary
Loneliness persists in long-term care (LTC) despite visits. This study found care coordination and social visitation have different predictors, suggesting distinct engagement barriers for family members supporting LTC residents.
Area of Science:
- Gerontology
- Sociology
- Healthcare Management
Background:
- Loneliness is prevalent in long-term care (LTC) residents, even with frequent family visits.
- Current research often overlooks the distinction between social visits and care coordination by family members.
- These different types of interaction may present unique challenges and influence resident well-being differently.
Purpose of the Study:
- To investigate the distinct barriers and predictors for care coordination versus social visitation in long-term care settings.
- To differentiate the factors influencing family engagement in managing resident care versus providing social support.
Main Methods:
- A cross-sectional online survey was administered to 175 adults with a close friend or relative in a LTC facility.
- Participants were recruited through ResearchMatch and provided data on their visitation patterns and relationship with the LTC resident.
- Statistical analysis was used to identify contrasting predictors for care coordination and social visitation.
Main Results:
- Care coordination and social visitation emerged as distinct forms of interaction with differing predictive factors.
- Involvement in the LTC facility choice significantly predicted higher engagement in care coordination.
- Being a primary caregiver and having a closer relationship with the resident were associated with increased involvement in both care coordination and social visitation.
Conclusions:
- Preliminary evidence suggests that care coordination and social visitation represent separate dimensions of family engagement in LTC.
- Understanding these distinctions is crucial for developing targeted interventions to address specific barriers faced by visitors.
- Future research should further explore these unique predictors to improve support systems for LTC residents and their families.
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