Frailty in Ageing Research Department, Vrije Universiteit Brussel, Laarbeeklaan 103, 1090, Brussels, Belgium.
Qual Life Res. 2013 Jun;22(5):929-37. doi: 10.1007/s11136-012-0216-5. Epub 2012 Jun 8.
Active Ageing (AA), as described by the WHO (Active Ageing: a policy framework. World Health Organisation, Geneva 5), is an important concept in gerontology. Since the AA-concept has not been examined in the context of residential long-term care facilities, our study addresses this gap by describing the determinants of AA within this setting.
A qualitative study with semi-structured focus groups, followed by a thematic analysis, was conducted. Through purposive sampling, four focus groups of either residents of long-term care facilities (n = 8), children of residents (n = 8), community-dwelling older people (n = 8) and gerontologists (n = 6) were formed.
The thematic analysis yielded nine determinants of AA. Seven correspond to those identified by the WHO: Culture, Behaviour, Psychological Factors, Physical Environment, Social Environment, Economic Characteristics and Health and Social Care. Two new determinants were identified: Meaningful Leisure and Participation. The determinant Participation is seen as crucial to AA in residential care.
This study points to a more extensive set of determinants of AA than those identified by the WHO (Active Ageing: a policy framework. World Health Organisation, Geneva 5). Staff of long-term care facilities can make use of these determinants to promote AA in their residents.
世界卫生组织（积极老龄化：政策框架。世界卫生组织，日内瓦 5）所描述的积极老龄化（AA）是老年学中的一个重要概念。由于 AA 概念尚未在住宅长期护理设施的背景下进行研究，因此我们的研究通过描述该环境下 AA 的决定因素来填补这一空白。
采用半结构式焦点小组的定性研究，并进行主题分析。通过目的性抽样，形成了四个焦点小组，分别是长期护理设施的居民（n=8）、居民的子女（n=8）、居住在社区的老年人（n=8）和老年学家（n=6）。
主题分析产生了九个 AA 的决定因素。其中七个与世界卫生组织（积极老龄化：政策框架。世界卫生组织，日内瓦 5）确定的因素相对应：文化、行为、心理因素、物理环境、社会环境、经济特征以及健康和社会保健。另外两个新的决定因素是有意义的休闲和参与。决定因素“参与”被视为住宅护理中 AA 的关键。
这项研究指出了比世界卫生组织（积极老龄化：政策框架。世界卫生组织，日内瓦 5）确定的 AA 决定因素更广泛的因素。长期护理设施的工作人员可以利用这些决定因素来促进其居民的 AA。
