Kruger Wendi A, Thompson Catherine E, McKenzie Rosemary A, Naccarella Lucio
Aged Care, Victorian State Government Department of Human Services, Melbourne, Victoria, Australia.
Ann N Y Acad Sci. 2007 Oct;1114:337-42. doi: 10.1196/annals.1396.034.
Well for Life is an innovative public program in Victoria, Australia that focuses on improving nutrition and increasing physical activity to promote healthy aging. For more than 4 years Aged Care has funded projects for frail older people who live in Public Sector Residential Aged Care (PSRAC) facilities or attend Home and Community Care (HACC) Planned Activity Groups (PAGs). Many stereotypes exist around what frail older people can or cannot do. Well for Life challenges many of these through organizational culture and policy change and workforce development. A person-centered approach to care is adopted that emphasizes improving participants' activities of daily living and encouraging exercise and involvement. An external provider used a participatory evaluation approach to support the first phase of Well for Life. This approach enabled funded agencies to plan, implement, and monitor progress in their projects and assist them to embed Well for Life into policy and practice. The evaluation not only revealed insight into the delivery and adoption of Well for Life, but also assisted management and staff to make Well for Life a reality. Many PSRAC residents and PAG participants have reported significant gains from their involvement in Well for Life. These achievements reflect staff enthusiasm and organizational commitment to Well for Life principles. Evidence supports the benefit of improved nutrition and physical activity for people of any age and Well for Life is adding to the evidence-base for frail older people.
“健康生活”是澳大利亚维多利亚州一项创新性公共项目，专注于改善营养状况和增加体育活动，以促进健康老龄化。四年多来，老年护理部门为居住在公共部门老年护理（PSRAC）机构或参加居家和社区护理（HACC）计划活动小组（PAG）的体弱老年人资助了项目。围绕体弱老年人能做或不能做的事情存在许多刻板印象。“健康生活”通过组织文化、政策变革和劳动力发展对其中许多刻板印象提出了挑战。该项目采用以人为本的护理方法，强调改善参与者的日常生活活动，并鼓励锻炼和参与。一家外部机构采用参与式评估方法来支持“健康生活”的第一阶段。这种方法使受资助机构能够规划、实施和监测其项目进展，并协助它们将“健康生活”理念融入政策和实践中。该评估不仅揭示了对“健康生活”项目实施和采用情况的见解，还帮助管理人员和工作人员将“健康生活”变为现实。许多PSRAC居民和PAG参与者都表示，参与“健康生活”项目让他们收获颇丰。这些成就反映了工作人员的热情以及组织对“健康生活”原则的承诺。有证据表明，改善营养和体育活动对任何年龄段的人都有益处，而“健康生活”项目正在为体弱老年人增添这方面的证据基础。
