Gardner Paula
Department of Community Health Sciences, Brock University , St. Catharines, ON , Canada and.
Disabil Rehabil. 2014;36(15):1249-57. doi: 10.3109/09638288.2013.837970. Epub 2013 Oct 7.
The purpose of this study was to understand how neighbourhoods - as physical and social environments - influence community mobility. Seeking an insider's perspective, the study employed an ethnographic research design. Immersed within the daily lives of 6 older adults over an 8-month period, auditory, textual, and visual data was collected using the "go-along" interview method. During these interviews, the researcher accompanied participants on their natural outings while actively exploring their physical and social practices by asking questions, listening, and observing. Findings highlight a process of community mobility that is complex, dynamic and often difficult as participant's ability and willingness to journey into their neighborhoods were challenged by a myriad of individual and environmental factors that changed from one day to the next. Concerned in particular with the social environment, final analysis reveals how key social factors - social engagement and identity - play a critical role in the community mobility of older adults aging in place.
Identity and social engagement are important social factors that play a role in community mobility. The need for social engagement and the preservation of identity are such strong motivators for community mobility that they can "trump" poor health, pain, functional ability and hazardous conditions. To effectively promote community mobility, the social lives and needs of individuals must be addressed.
本研究的目的是了解邻里环境——作为物理和社会环境——如何影响社区出行。为了寻求内部人士的观点,该研究采用了人种志研究设计。在8个月的时间里深入6位老年人的日常生活,使用“随行”访谈法收集听觉、文本和视觉数据。在这些访谈中,研究人员在参与者进行日常外出活动时陪伴他们,同时通过提问、倾听和观察积极探索他们的身体和社会实践。研究结果突出了一个社区出行的过程,这个过程复杂、动态且往往困难重重,因为参与者进入邻里社区的能力和意愿受到众多个人和环境因素的挑战,这些因素每天都在变化。特别关注社会环境,最终分析揭示了关键社会因素——社会参与和身份认同——如何在原地养老的老年人的社区出行中发挥关键作用。
身份认同和社会参与是在社区出行中发挥作用的重要社会因素。对社会参与的需求和身份认同的维护是社区出行如此强大的动力,以至于它们可以“战胜”健康不佳、疼痛、功能能力和危险状况。为了有效促进社区出行,必须关注个人的社会生活和需求。