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Gripko M, Joseph A. The Role of the Built Environment in Supporting Older Adults' Engagement: A Narrative Literature Review. HERD-HEALTH ENVIRONMENTS RESEARCH & DESIGN JOURNAL 2024:19375867241250320. [PMID: 38738947 DOI: 10.1177/19375867241250320] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/14/2024]
Abstract
OBJECTIVE This literature review aimed to summarize the existing knowledge surrounding the role of the built environment in supporting older adults' physical and social engagement and identify opportunities for future research and design that facilitates older adults' engagement at multiple environmental scales: from interior spaces to neighborhoods. BACKGROUND Physical environments can support or impede older adults' physical and social engagement: willful, motivated involvement in meaningful activity or occupation. Research shows that engagement is a core component of health and well-being and relates to positive health outcomes, including reduced disease risk, better mental health, and improved physical and cognitive function. Thus, designing supportive built environments for engagement can yield significant, positive health and well-being impacts. METHODS A systematized search of five databases, a hand search, and an iterative screening process identified 55 studies for inclusion in this review. Through inductive thematic analysis, this review summarizes findings regarding the built environment's role in physical and social engagement in older age and design strategies to facilitate engagement and support health and well-being. RESULTS Evidence indicates that built environment characteristics can influence older people's physical and social engagement in homes, neighborhoods, and care settings. The thematic analysis of the included studies identified three key themes concerning the relationships of built environment characteristics to older adults' engagement across multiple environmental scales: connection, access, and security. CONCLUSIONS Built environments influence older people's physical and social engagement, significantly affecting their health, well-being, abilities, and longevity. Numerous design strategies can support older adults' engagement, but more research is needed.
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Affiliation(s)
- Monica Gripko
- Center for Health Facilities Design and Testing, Clemson University, Clemson, SC, USA
| | - Anjali Joseph
- Center for Health Facilities Design and Testing, Clemson University, Clemson, SC, USA
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2
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Kikuchi M, Onishi R, Takashima R, Saeki K, Hirano M. Effects of a 'social activity program that encourages interaction' on rural older people's psychosocial health: Mixed-methods research. Int J Older People Nurs 2023; 18:e12534. [PMID: 36940188 DOI: 10.1111/opn.12534] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2022] [Revised: 12/10/2022] [Accepted: 03/06/2023] [Indexed: 03/21/2023]
Abstract
BACKGROUND We developed a program that encourages interaction among older people living at home by combining face-to-face and online activities and examined its effects on older adults' psychosocial health. METHODS In this mixed-methods study, we recruited 11 women and 6 men (Mage = 79.5 ± 6.4 years), who lived in a rural community and participated in a senior citizen club. The intervention was conducted for 13 months, comprising monthly face-to-face group and social media activities. For the program process evaluation, we collected focus-group interview data on participants' perceptions of their personal lives, club membership, and community post-intervention. For the outcome evaluation, we collected six outcome measures pre- and post-intervention: loneliness, subjective health, subjective well-being, self-esteem, social support and social activity satisfaction. Finally, through the integration of the process-outcome evaluation, we inferred what effects the program had on participants' psychosocial health. RESULTS In the process evaluation, we identified four themes: 'Stimulation brought about by relationships with peers,' 'Realization as to where they feel they belong,' 'Rethinking of oneself in the community,' and 'Awareness of attachment to and coexistence with the community.' In the outcome evaluation, the outcome measures were maintained without significant decline post-intervention. CONCLUSION Through the integration of the process-outcome evaluation, we deduced three effects of the program on psychosocial health: (1) fulfilment of subjective health, (2) maintenance and assurance of moderate distance connectedness and (3) orientation toward aging in place. IMPLICATIONS FOR PRACTICE This study offers a promising opportunity for further development and research into community-based preventive nursing care intervention strategies to maintain the psychosocial health of homebound older people in communities with social activity groups.
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Affiliation(s)
- Mami Kikuchi
- Graduate School of Health Sciences, Hokkaido University, Sapporo, Hokkaido, Japan
| | - Ryuta Onishi
- Faculty of Nursing, Toyama Prefectural University, Toyama, Toyama, Japan
| | - Risa Takashima
- Faculty of Health Sciences, Hokkaido University, Sapporo, Hokkaido, Japan
| | - Kazuko Saeki
- Faculty of Nursing, Toyama Prefectural University, Toyama, Toyama, Japan
| | - Michiyo Hirano
- Faculty of Health Sciences, Hokkaido University, Sapporo, Hokkaido, Japan
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3
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Gallardo-Peralta LP, Raymond É, Gálvez-Nieto JL. Ageing in Context: An Ecological Model to Understand Social Participation Among Indigenous Adults in Chile. Res Aging 2023; 45:332-346. [PMID: 35698297 DOI: 10.1177/01640275221108502] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
The social participation of older adults occupies a central position in international discourse regarding ageing, the ecological model makes it possible to examine and assess the different factors that influence the understanding of what encourages social participation by older adults. This study used the ecological model to analyse how personal, community and environmental factors are related to satisfaction with social participation among Chilean older adults, a majority of whom are indigenous, living in rural areas (n = 800). The results confirmed that satisfaction with social participation was related to personal factors (feelings of depression, functioning into basic activities of daily living (ADL) and autonomy), community factors (perceived social support from social group) and environmental factors (accessibility of physical setting within the village). Our findings confirmed a high level of social participation among indigenous adults, with rural and indigenous surroundings appearing to be a factor that protects and promotes social integration.
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Affiliation(s)
| | - Émilie Raymond
- School of Social Work and Criminology, 4440Université Laval, Quebec, Canada
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Rose K, Kozlowski D, Horstmanshof L. Experiences of ageing in place in Australia and New Zealand: A scoping review. JOURNAL OF COMMUNITY & APPLIED SOCIAL PSYCHOLOGY 2022. [DOI: 10.1002/casp.2669] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Affiliation(s)
- Katie Rose
- Southern Cross University Lismore New South Wales Australia
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5
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Students’ Learning on Sustainable Development Goals through Interactive Lectures and Fieldwork in Rural Communities: Grounded Theory Approach. SUSTAINABILITY 2022. [DOI: 10.3390/su14148678] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
Abstract
Sustainable social-resource-based community management and sustainable development goals (SDGs) are crucial for community sustainability and sustainable development, respectively, and SDG education is vital to motivate people to continue SDG-appropriate activities. This study aims to evaluate the effectiveness of the SDG education of Rural Japanese University students using the grounded theory approach and investigate how their ideas about future work subsequently change. This study analyzes the learning and attitude changes in students enrolled in an elective SDG course and establishes the learning theory behind SDG education in rural universities. In this approach, student SDG education consists of three themes and eleven concepts. Through SDG education based on interactive lectures and rural fieldwork, participants reconsider community and society concepts in an SDG-minded framework. Based on this new perspective, participants begin considering community sustainability by gaining new insight from a first-person standpoint. Participants acquire SDG-minded working competencies, such as collaborative advancement, respect for inclusive societies, community revitalization from different perspectives, and mindset reconstruction. SDG educational processes were conducted in rural communities through university student SDG education, which deepened their understanding of community sustainability. Thus, SDG education should employ real practitioners to university curricula and deal with cultural and traditional diversity via effective collaboration.
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Older people's experiences of community engagement in aged care: A qualitative study. Collegian 2022. [DOI: 10.1016/j.colegn.2022.06.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Saravanakumar P, Garrett NKG, Van Wissen K, Montayre J, McBride-Henry K. Social connectedness and self-perceived health of older adults in New Zealand. HEALTH & SOCIAL CARE IN THE COMMUNITY 2022; 30:e647-e656. [PMID: 34114704 DOI: 10.1111/hsc.13400] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/28/2020] [Revised: 02/03/2021] [Accepted: 03/08/2021] [Indexed: 06/12/2023]
Abstract
The objective of this research was to explore social connectedness and associations with self-perceived health amongst older adults in New Zealand at a population level. The data for this analysis were derived from the 2016 Health and Lifestyle Survey, a nationally representative survey administered via face-to-face interviews. The findings from this analysis of 1,374 respondents, all of whom were over the age of 55 years, highlight that being female, belonging to older age groups (above 70 years), being employed full-time or part-time, connecting online with known people, considering cultural connections to be important and not feeling isolated from others are significantly and positively associated with positive self-perceived health. The findings underscore the resilience potential of older adults and importance of social connectedness for positive health and well-being. In addition, the findings reveal target areas that would benefit by intervention and support by health professionals and policy makers.
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Affiliation(s)
- Padmapriya Saravanakumar
- School of Clinical Sciences, Faculty of Health and Environmental Sciences, Auckland University of Technology, Auckland, New Zealand
| | - Nicholas Kenneth Gerald Garrett
- Department of Biostatistics and Epidemiology, Faculty of Health and Environmental Sciences, Auckland University of Technology, Auckland, New Zealand
| | - Kim Van Wissen
- School of Nursing, Midwifery and Health Practice, Faculty of Health, Victoria University of Wellington, Wellington, New Zealand
| | - Jed Montayre
- School of Nursing and Midwifery, Western Sydney University, Penrith, New South Wales, Australia
| | - Karen McBride-Henry
- School of Nursing, Midwifery and Health Practice, Faculty of Health, Victoria University of Wellington, Wellington, New Zealand
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Han J, Chan EHW, Yung EHK, Qian QK, Lam PTI. A Policy Framework for Producing Age-Friendly Communities from the Perspective of Production of Space. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19042031. [PMID: 35206223 PMCID: PMC8872022 DOI: 10.3390/ijerph19042031] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/21/2021] [Revised: 01/26/2022] [Accepted: 02/08/2022] [Indexed: 02/01/2023]
Abstract
Given various hindrances in the macro context, how to efficiently develop age-friendly community policies requires further research. Currently, such kinds of frameworks are lacking. This paper aims to develop a policy framework to minimise cost and resolve conflict of interest between different generations in age-friendly community development. The study adopted a scientometric method to review the theoretical development of age-friendly community studies. Firstly, with a search for the keywords “age-friendly” and “community” on Web of Science, 72 English academic papers were found containing explicit theories. Most of the studies were conducted in the Global North. Then, a mixed analytical method was used to find a suitable theory, “the production of space”, to develop the policy framework. Lastly, a policy framework was developed to overcome barriers to age-friendly community development strategically. Echoing previous studies, this paper proposes a way to counter financial austerity in age-friendly initiative investment and balance the consideration for older and younger populations in urban development. For practice, the policy framework can provide a reference for more efficient age-friendly community policymaking in different regions. For future research, the framework provides a model for more empirical studies considering the social dynamics in age-friendly community development.
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Affiliation(s)
- Jianbo Han
- Department of Building and Real Estate, The Hong Kong Polytechnic University, Hong Kong SAR, China; (J.H.); (E.H.K.Y.); (P.T.I.L.)
| | - Edwin H. W. Chan
- School of Public Administration, Hunan University, Changsha 410082, China
- Correspondence:
| | - Esther H. K. Yung
- Department of Building and Real Estate, The Hong Kong Polytechnic University, Hong Kong SAR, China; (J.H.); (E.H.K.Y.); (P.T.I.L.)
| | - Queena K. Qian
- Faculty of Architecture and The Built Environment, Delft University of Technology, 2628 Delft, The Netherlands;
| | - Patrick T. I. Lam
- Department of Building and Real Estate, The Hong Kong Polytechnic University, Hong Kong SAR, China; (J.H.); (E.H.K.Y.); (P.T.I.L.)
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Kikuchi M, Kamishima T, Abe H, Onishi R, Takashima R, Hirano M. Older Rural People's Perception of Connectedness through Communication Application: A Qualitative Descriptive Study. Nurs Health Sci 2021; 24:163-173. [PMID: 34851009 DOI: 10.1111/nhs.12908] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2021] [Revised: 11/02/2021] [Accepted: 11/18/2021] [Indexed: 11/30/2022]
Abstract
Connectedness among older people is essential for healthy communities, especially among rural populations where limited social interaction and associated health effects may be cause for concern. In this qualitative descriptive study, we explored older rural people's perception of connectedness through a communication application. The study assessed 10 participants (mean age = 76.2 years) living in rural Japan who regularly participated in a senior citizens' club. From July 2019 to January 2020, the participants used a social media application developed by our research team to meet the needs of older people. Semi-structured interviews were conducted. Six themes representing older rural people's perception of connectedness were identified: (1) thoughtful consideration for members strengthened even without them meeting face-to-face, (2) encouragement received from familiar members, (3) joy in sharing daily routine with neighbors, (4) courage to advance through face-to-face interaction, (5) willingness to continue club membership, and (6) fear of disrupting club's harmony. Participants who used the application felt compensated for the lack of social interaction opportunities in rural settings and strengthened their existing relationships. This article is protected by copyright. All rights reserved.
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Affiliation(s)
- Mami Kikuchi
- Graduate School of Health Sciences, Hokkaido University, Sapporo, Hokkaido, Japan. N12W5, Kita-ku, Sapporo, Japan
| | - Tamotsu Kamishima
- Faculty of Health Sciences, Hokkaido University, Sapporo, Hokkaido, Japan. N12W5, Kita-ku, Sapporo, Japan
| | - Hiroki Abe
- Health and Welfare Section, Health and Welfare Department, Higashi Ward Office, City of Sapporo, Sapporo, Hokkaido, Japan. 1-1 N11E7, Higashi-ku, Sapporo, Hokkaido, Japan
| | - Ryuta Onishi
- Faculty of Health Sciences, Hokkaido University, Sapporo, Hokkaido, Japan. N12W5, Kita-ku, Sapporo, Japan
| | - Risa Takashima
- Faculty of Health Sciences, Hokkaido University, Sapporo, Hokkaido, Japan. N12W5, Kita-ku, Sapporo, Japan
| | - Michiyo Hirano
- Faculty of Health Sciences, Hokkaido University, Sapporo, Hokkaido, Japan. N12W5, Kita-ku, Sapporo, Japan
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Townsend BG, Chen JTH, Wuthrich VM. Barriers and Facilitators to Social Participation in Older Adults: A Systematic Literature Review. Clin Gerontol 2021; 44:359-380. [PMID: 33393443 DOI: 10.1080/07317115.2020.1863890] [Citation(s) in RCA: 44] [Impact Index Per Article: 14.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
Abstract
Objectives: Social participation has been shown to improve health, well-being, and quality of life in older adults. Previous reviews on social participation have been limited to identifying logistical barriers. The current review sought to examine barriers of social participation more broadly, as well as potential facilitators.Methods: We conducted a systematic review to collate identified barriers and facilitators to social participation in older adults. Seventy-six studies were eligible for inclusion.Results: Four main themes of barriers and facilitators to social participation associated with aging emerged: Demographic factors (such as age and socioeconomic status), Individual/Internal factors (such as motivations and health), Environmental/Infrastructure (such as accessibility, transport, and neighborhood cohesion), and Social Networks (particularly preexisting network size).Conclusions: These findings extended previous reviews to show that personal motivations, preexisting social networks, and neighborhood cohesion play vital roles in improving and maintaining quality social participation. The ability to facilitate this can occur at the individual therapeutic level and at the community level.Clinical implications: The findings highlight the need to consider barriers beyond logistical issues. In particular, healthy aging initiatives may benefit from matching social activities with individual motivations, and preventive measures to establish social networks early in the aging process are important.
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Affiliation(s)
- Braedon G Townsend
- Centre for Emotional Health, Department of Psychology, Macquarie University, Sydney, Australia
| | - Jessamine T-H Chen
- Centre for Emotional Health, Department of Psychology, Macquarie University, Sydney, Australia.,Centre for Ageing, Cognition, and Wellbeing, Faculty of Medicine, Human and Health Sciences, Macquarie University, Sydney, Australia
| | - Viviana M Wuthrich
- Centre for Emotional Health, Department of Psychology, Macquarie University, Sydney, Australia.,Centre for Ageing, Cognition, and Wellbeing, Faculty of Medicine, Human and Health Sciences, Macquarie University, Sydney, Australia
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Neville S, Napier S, Shannon K, Adams J. Beginning on an age-friendly journey: Barriers to implementing age-friendly initiatives. Australas J Ageing 2021; 40:e287-e293. [PMID: 33724675 PMCID: PMC9292772 DOI: 10.1111/ajag.12930] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2020] [Revised: 01/10/2021] [Accepted: 01/18/2021] [Indexed: 11/29/2022]
Abstract
Objective To explore the barriers to communities in New Zealand developing age‐friendly initiatives. Methods A qualitative participatory approach underpinned this study. Semi‐structured digitally recorded individual interviews were undertaken with 24 government officials, local government steering group members and community representatives from an urban city, provincial city and a rural district. A general inductive data analytic process was undertaken. The consolidated criteria for reporting qualitative research (COREQ) guidelines were followed to ensure rigour in this study. Results (a) Being at the beginning, (b) Minimal diversity and (c) Problems getting started were three key issues identified. Conclusions New Zealand is in the early stages of becoming age‐friendly. Findings from this study provide a place‐based New Zealand perspective and have influenced central government social policy and practice development, culminating in resources supporting local government and communities to successfully implement age‐friendly initiatives.
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Affiliation(s)
- Stephen Neville
- Department of Nursing, Auckland University of Technology, Auckland, New Zealand
| | - Sara Napier
- School of Clinical Sciences, Auckland University of Technology, Auckland, New Zealand
| | - Kay Shannon
- Department of Nursing, Auckland University of Technology, Auckland, New Zealand
| | - Jeffery Adams
- Shore and Whariki Research Centre, Massey University, Auckland, New Zealand
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Davern M, Winterton R, Brasher K, Woolcock G. How Can the Lived Environment Support Healthy Ageing? A Spatial Indicators Framework for the Assessment of Age-Friendly Communities. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17207685. [PMID: 33096773 PMCID: PMC7588877 DOI: 10.3390/ijerph17207685] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/01/2020] [Revised: 10/14/2020] [Accepted: 10/14/2020] [Indexed: 12/25/2022]
Abstract
The Age-Friendly Cities and Communities Guide was released by the World Health Organization over a decade ago with the aim of creating environments that support healthy ageing. The comprehensive framework includes the domains of outdoor spaces and buildings, transportation, housing, social participation, respect and inclusion, civic participation and employment, communication and information, and community and health services. A major critique of the age-friendly community movement has argued for a more clearly defined scope of actions, the need to measure or quantify results and increase the connections to policy and funding levers. This paper provides a quantifiable spatial indicators framework to assess local lived environments according to each Age-Friendly Cities and Communities (AFC) domain. The selection of these AFC spatial indicators can be applied within local neighbourhoods, census tracts, suburbs, municipalities, or cities with minimal resource requirements other than applied spatial analysis, which addresses past critiques of the Age-Friendly Community movement. The framework has great potential for applications within local, national, and international policy and planning contexts in the future.
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Affiliation(s)
- Melanie Davern
- Healthy Liveable Cities Group, Centre for Urban Research, RMIT University, Melbourne, VIC 3000, Australia
- Centre for Health Equity, Melbourne School of Population and Global Health, University of Melbourne, Parkville, VIC 3010, Australia
- Correspondence:
| | - Rachel Winterton
- John Richards Centre for Rural Ageing Research, La Trobe Rural Health School, La Trobe University, Bendigo, VIC 3550, Australia;
| | - Kathleen Brasher
- Age-Friendly Northeast Victoria, Central Hume Primary Care Partnership, Benalla, VIC 3672, Australia;
| | - Geoff Woolcock
- Institute for Resilient Regions, University of Southern Queensland, Toowoomba, QLD 4350, Australia;
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Pitilin EDB, Massaroli A, Luzardo AR, Lentsck MH, Baratieri T, Gasparin VA. Factors associated with leisure activities of elderly residents in rural areas. Rev Bras Enferm 2020; 73 Suppl 3:e20190600. [DOI: 10.1590/0034-7167-2019-0600] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2019] [Accepted: 03/13/2020] [Indexed: 11/22/2022] Open
Abstract
ABSTRACT Objective: To identify factors associated with leisure activities of elderly residents in rural areas. Method: Quantitative cross-sectional study carried out with 258 elderly living in the rural area of Paraná. The collection instrument addressed sociodemographic, economic, and self-reported leisure activities. The association between variables and leisure activities was verified by means of bivariate and multivariate analysis. Results: Among the elderly interviewed, 63.9% were female, and 36.1% were male, with an average of 68.3 years old (± 5.8 years). Participation in leisure activities was high (79.8%), and the factors associated with their practice were: marital status, gender, and education. Conclusion: Considering that the practice of leisure activities promotes better living and health conditions, we reinforce the need to implement actions and instruments that provide individual and collective leisure in rural areas.
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Access to Services in Rural Areas from the Point of View of Older Population-A Case Study in Finland. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 16:ijerph16234854. [PMID: 31810348 PMCID: PMC6926713 DOI: 10.3390/ijerph16234854] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/15/2019] [Revised: 11/23/2019] [Accepted: 11/25/2019] [Indexed: 12/03/2022]
Abstract
Independence and having control over one’s own life are important factors for residential satisfaction. In rural areas, the mobility of people is based on owning a private car, due to the lack of public transport. Furthermore, planning in rural municipalities is highly car oriented. Small municipalities with shrinking and aging populations have many challenges to ensure access to services for their residents. This paper focuses on a case study of a small municipality with less than 2000 inhabitants. The objective of the study was to enhance sustainable change in shrinking rural areas and maintain them as good places to live even in the future. Access to local services and social activities is a major challenge for older people, who no longer have the possibility to use their own car. The problem with relocation is the lack of suitable apartments for older people. A dense and walkable municipal centre with accessible apartments may help municipalities provide for their older populations. Moreover, in Finland, second homeowners are an important resource for small municipalities. Spaces for social intercourse between residents and between permanent residents and second homeowners may enhance vitality and community building in these municipalities.
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Neville S, Napier S, Adams J, Shannon K. Accessing rural health services: Results from a qualitative narrative gerontological study. Australas J Ageing 2019; 39:e55-e61. [PMID: 31254326 PMCID: PMC7079086 DOI: 10.1111/ajag.12694] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2019] [Revised: 05/17/2019] [Accepted: 06/10/2019] [Indexed: 12/26/2022]
Abstract
Objective Explore how older adults’ talk about accessing rural community health services. Methods A qualitative narrative gerontological approach explored issues related to accessing health services in their community. Semi‐structured digitally recorded individual interviews were undertaken with 32 community‐dwelling older people aged between 75 and 93 years. A narrative data analytic process was undertaken. The COnsolidated criteria for REporting Qualitative research guidelines were followed to ensure rigour in this study. Results Three collective narratives resulted from the data analytic process: (a) “accessing local health services”; (b) “accessing specialist services”; and (c) “accessing emergency services.” Conclusions Narrators identified a number of issues related to accessing rural health services. These included long waiting times, lack of continuity in care provision by doctors and difficulties accessing specialist and emergency services. Nurses were frequently cited as a reliable point of contact for these older people. Expansion of nursing roles would enhance the provision of rural health‐care services.
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Affiliation(s)
- Stephen Neville
- Department of Nursing, Auckland University of Technology, Auckland, New Zealand
| | - Sara Napier
- School of Clinical Sciences, Auckland University of Technology, Auckland, New Zealand
| | - Jeffery Adams
- Shore & Whariki Research Centre, Massey University, Auckland, New Zealand
| | - Kay Shannon
- Department of Nursing, Auckland University of Technology, Auckland, New Zealand
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Shannon K, Bail K, Neville S. Dementia‐friendly community initiatives: An integrative review. J Clin Nurs 2019; 28:2035-2045. [DOI: 10.1111/jocn.14746] [Citation(s) in RCA: 32] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2018] [Revised: 10/22/2018] [Accepted: 11/30/2018] [Indexed: 11/30/2022]
Affiliation(s)
- Kay Shannon
- Department of NursingAUT University Auckland New Zealand
| | - Kasia Bail
- University of Canberra Canberra Australian Capital Territory Australia
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