Iranian community-dwelling older adults' perceptions of prosociality: A qualitative study

BACKGROUND

The world population is aging at an accelerating rate, and prosociality aspects increase in people with age. This study aimed to explore Iranian community-dwelling older adults' perspectives of the prosociality concept.

MATERIALS AND METHODS

This qualitative study was conducted among older adults aged 60 years and older in Qom City, Iran. A purposive sampling method was used to collect data between July and October 2022. Semi-structured interviews were conducted with 25 older adults engaged in various types of prosocial activities. Data were analyzed applying a directed content analysis approach. All interviews were audio recorded, transcribed verbatim, and coded using MAXQDA 20 software.

RESULTS

Overall, 5 main categories and 19 subcategories emerged from the content data analysis. The two emerged categories were related to the predetermined dimensions of the prosociality concept, namely, "prosocial behaviors" and "prosocial dispositions." The remaining three newly emerged categories included "egocentric motives," "facilitators," and "barriers" to prosocial behaviors. As participants reported, "informal spontaneous helping" was the most prevalent subcategory of prosocial behaviors. "Prosocial norms" and "social reward-seeking" were identified as the most common subcategories of prosocial dispositions and egocentric motives, respectively. Likewise, participants mentioned "religious and metaphysic beliefs" and "social distrust" as important facilitators and barriers, respectively.

CONCLUSIONS

The results of this qualitative study provide a new understanding of the prosociality concept among older adults in the context of Iran. In conclusion, to improve prosocial behaviors in this population, the interaction between all factors that influence it such as motives, facilitators, and barriers must be considered.

Information and Communication Technology Adoption Strategies Among Iranian Older Adults: A Qualitative Evaluation

In today's world, it is unavoidable for older adults to use technology, which causes some challenges for them. In this qualitative study, we used grounded theory to evaluate information and communication technology (ICT) adoption strategies among Iranian older adults. The participants included 18 older adults, five experts, and five family members of older adults. The data collection method included conducting semi-structured interviews, taking field notes, and observation. The data were analyzed using the Corbin and Strauss approach. Three main themes were extracted as follows: support from others, effort for learning, and smart choice. The subthemes of support from others included creativity in educating older adults; having access to an educational supporter; and receiving informational, emotional, and financial support. The subthemes of effort for learning included utilizing aids, adaptive measures, shortcut techniques, and self-learning. The subthemes of smart choice included physical characteristics, technical features, price sensitivity, and availability of an active sales representative. Accordingly, it is essential to teach older adults to increase their ICT adoption rate and continued use of technology. In this respect, developing a standard ICT manual for older adults can be beneficial.

Home care in COVID-19 patients with the home-quarantined condition: A study from Iran

Objectives

During the COVID-19 home-quarantines, home care services may act as an auxiliary component of health care system, which reduces the burden on the formal health care system. This study aimed to investigate the status of informal home care provided for home quarantined patients with COVID-19 in southwest Iran.

Methods

This descriptive study was conducted on 288 patients with COVID-19 in Ahvaz (southwest Iran). Inclusion criteria included a known case of COVID-19, willingness to participate in the study, recommendation of home quarantine from a health center, having a smartphone, and fluency in reading and writing in Persian, and the exclusion criterion was a history of COVID-19 longer than 3 months. The data collection method was structured interviews based on a questionnaire (face-to-face-telephone calls-video call). SPSS software was used for the analysis of data.

Results

45.5% of the participants in the study were women with a mean age of 37.82 (10.48%) and 55.5% were men with a mean age of 36.12 (11.93%). Findings showed that in most cases, the spouse (61.4) is responsible for the care of the patient, and in other cases, parents are responsible for this duty. 57.3% of the patients stated that they themselves had to leave home to provide for necessities of life, and 37.2% stated that they were in charge of cooking. 47.9% of the patients evaluated the quality of quality of care provided at home as good. Most of patients and caregivers referred to hospital for getting information (35.8% patients and 34% caregivers). Most of patients recovered from diseases (60.8%) and 39.2% were hospitalized. Although 43.9% of men and 33.6% of women were hospitalized and a there was a significant difference between men and women (P < 0.04).

Conclusion

During COVID-19 pandemic home care to reduce the burden on the health system are very important. We must also know that this type of care requires informed and planned support and sufficient community education. The health care system needs to put self-care and family care among its top priorities. The focus should be on educational and mental support of informal caregivers along with measures that protect their relatives from COVID-19.