Faculté de médecine et des sciences de la santé, Université de Sherbrooke, 3001, 12e Avenue Nord, Sherbrooke, QC, J1H 5N4, Canada.
Research Centre on Aging, Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke (CIUSSS de l'Estrie-CHUS), 1036, Belvédère Sud, Sherbrooke, QC, J1H 4C4, Canada.
Aging Clin Exp Res. 2018 Jul;30(7):845-859. doi: 10.1007/s40520-017-0849-x. Epub 2017 Nov 27.
Although some social participation initiatives exist to counter the isolation of older adults, none were identified and prioritized according to the needs of rural regional county municipalities (RCM), including in Canada.
To identify and prioritize social participation initiatives for older Canadians, and to document the feasibility of their implementation in a rural RCM.
An action research was used to identify, based on a review of scientific and grey literature, social participation initiatives, enriched and prioritized by the community. Facilitators, challenges, and advice for the implementation of these initiatives were documented through nine group discussions (n = 85).
Two social participation initiatives were identified as more relevant to the RCM, combined and adapted as the Benevolent Community to locate and assist isolated older adults. Two other initiatives were prioritized to identify transportation needs and solutions, and create a website on social participation activities available. Most participants perceived these initiatives as feasible, and will address older adults' social participation needs. Two facilitators were a field worker for older adults and the preoccupations of the community toward isolated older adults. The main challenges concerned the difficulty in recruiting volunteers and locating isolated older adults, exacerbated by the RCM's vast territory. Main advice involved suggestions of people for the recruitment of volunteers.
Through valuable collaboration with the community, initiatives were identified and prioritized, and challenges were raised, with anticipated success.
Further studies are needed to document the implementation and effects of these initiatives on the social participation of older adults in the RCM.
尽管存在一些针对老年人孤立问题的社会参与举措,但在加拿大等农村地区的县级行政区(RCM),尚未根据需求对这些举措进行识别和优先排序。
确定和优先考虑加拿大老年人的社会参与举措,并记录在农村 RCM 中实施这些举措的可行性。
采用行动研究方法,根据对科学和灰色文献的审查,确定社会参与举措,并由社区进行充实和优先排序。通过九次小组讨论(n=85)记录了这些举措的实施情况,包括促进因素、挑战和实施建议。
确定了两项与 RCM 更相关的社会参与举措,将其合并并改编为“仁慈社区”,以定位和帮助孤立的老年人。另外两项举措被优先考虑,以确定交通需求和解决方案,并创建一个关于社交活动的网站。大多数参与者认为这些举措是可行的,并且将满足老年人的社交参与需求。两个促进因素是老年人领域的工作人员和社区对孤立老年人的关注。主要挑战涉及招募志愿者和定位孤立老年人的困难,这因 RCM 的广阔领土而加剧。主要建议涉及招募志愿者的人选建议。
通过与社区的宝贵合作,确定并优先考虑了举措,并提出了挑战,预计会取得成功。
需要进一步研究,以记录这些举措对 RCM 中老年人社交参与的实施和效果。