Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Department of Social Work, Faculty of Arts & Social Sciences, National University of Singapore, Singapore, Singapore.
J Adv Nurs. 2018 Apr;74(4):946-956. doi: 10.1111/jan.13502. Epub 2017 Dec 5.
To evaluate the effectiveness of a multi-dimensional community-based health promotion and risk prevention programme, named Salutogenic Healthy Ageing Programme Embracement (SHAPE) for senior-only households in Singapore.
In view of ageing population and its significant impacts on economy, societal structure and policy-making, healthy ageing emerges as an important concept in maintaining health through the engagement of health-promoting behaviour and risk prevention actions in older people.
A stratified randomized control trial with process evaluation is proposed.
The salutogenic model, which focuses on positive well-being and optimizing health outcomes, provides an underpinning theoretical framework for this study. SHAPE is a 12-week intervention programme comprising of both weekly group-based activity sessions and home visits. One hundred and fifty-four eligible participants will be stratified and randomly allocated to either the SHAPE intervention or the control group. Both outcome and process evaluation will be conducted. Outcome measures include sense of coherence, quality of life, health-promoting behaviours, self-efficacy and other health-related outcomes. These data will be collected at four time points: baseline, 3 months, 6 months and 12 months. Individual qualitative face-to-face interviews will be conducted for older people receiving SHAPE to explore their views on the programme.
The use of salutogenic model breaks away from the negatively connoted conventional biomedical model and addresses optimization of positive health, providing an overall holistic approach to care of older people. The intervention SHAPE seeks to identify, equip and strengthen resources for senior-only households, encouraging the adaption of health-promoting and risk-preventing actions to achieve better health outcomes and higher quality of life.
评估名为“拥抱健康老龄化计划”（SHAPE）的多维社区健康促进和风险预防计划对新加坡仅老年人家庭的有效性。
鉴于人口老龄化及其对经济、社会结构和决策制定的重大影响，健康老龄化作为一种通过老年人参与促进健康的行为和预防风险的行动来保持健康的重要概念出现。
提出了一项分层随机对照试验和过程评估。
该研究的理论基础是关注积极幸福感和优化健康结果的健康促进模型。SHAPE 是一个为期 12 周的干预计划，包括每周的小组活动和家访。将有 154 名符合条件的参与者进行分层和随机分配到 SHAPE 干预组或对照组。将进行结果和过程评估。结果评估包括心理一致感、生活质量、健康促进行为、自我效能感和其他健康相关结果。这些数据将在四个时间点收集：基线、3 个月、6 个月和 12 个月。将对接受 SHAPE 的老年人进行个别定性面对面访谈，以探讨他们对该计划的看法。
使用健康促进模型打破了带有负面含义的传统生物医学模式，解决了积极健康的优化问题，为老年人的护理提供了一种整体的方法。干预措施 SHAPE 旨在识别、装备和加强仅老年人家庭的资源，鼓励采取促进健康和预防风险的行动，以实现更好的健康结果和更高的生活质量。
