Tonkin Rochelle, Freeman Shannon, Martin Jenny, Ward Valerie, Skinner Kelly
Northern Medical Program, Faculty of Medicine, University of British Columbia, 317-2194 Health Sciences Mall, Vancouver, BC, V6T 1Z3, Canada.
School of Nursing, University of Northern British Columbia, 3333 University Way, Prince George, BC, V2N 4Z9, Canada.
Can J Public Health. 2018 Sep 12;109(5-6):717-25. doi: 10.17269/s41997-018-0125-7.
Meaningful social engagement is important to reduce risk for social isolation and loneliness. First Nations Elders are a unique group and little knowledge currently exists of their preferred forms of social interaction. The objective of this study was to describe the types of programs Nak'azdli Elders desire, identify barriers to participation, and improve creation of programs that address Elders' needs and interests.
This project was co-created by the Nak'azdli Health Centre and Elders, located in Northern British Columbia, with support from academic partners when and where asked. An advisory committee selected participants perceived as able to complete the survey and available for interviewing. Participants were interviewed orally in English or Carrier in their homes or at a drop-in centre, by a well-respected Nak'azdli Elder. The Elder entered participant responses (including self-reported health, awareness and utilization for existing programs, and preferences for new programs) into a paper-based survey. Descriptive and content analysis were conducted.
Nak'azdli Elders (N = 38) were interested in wisdom sharing, social programs, and health-related activities. Elders wanted to be actively engaged in programs/activity selection, helping organize programs, knowledge sharing, skills, and stories. Barriers to participation included lack of transportation, personal health concerns, scheduling conflicts, and lack of knowledge about programs/activities.
Nak'azdli Elders were interested in culturally relevant programs involving sharing cultural knowledge, teachings, and/or language with younger generations. Elders wanted to be engaged in all stages of activities, including planning, participation, and evaluation. Future programs should prioritize community collaboration and co-creation with Elders.
有意义的社会参与对于降低社会孤立和孤独风险至关重要。原住民长者是一个独特的群体，目前对他们偏爱的社交互动形式了解甚少。本研究的目的是描述纳卡兹利长者期望的项目类型，确定参与的障碍，并改进能够满足长者需求和兴趣的项目的创建。
该项目由位于不列颠哥伦比亚省北部的纳卡兹利健康中心和长者共同创建，在需要时会得到学术伙伴的支持。一个咨询委员会挑选了被认为能够完成调查并可接受访谈的参与者。由一位备受尊敬的纳卡兹利长者在参与者家中或临时接待中心用英语或卡里尔语进行口头访谈。长者将参与者的回答（包括自我报告的健康状况、对现有项目的认知和利用情况以及对新项目的偏好）录入纸质调查问卷。进行了描述性分析和内容分析。
纳卡兹利长者（N = 38）对智慧分享、社会项目和与健康相关的活动感兴趣。长者希望积极参与项目/活动的选择、帮助组织项目、知识分享、技能传授和故事讲述。参与的障碍包括缺乏交通、个人健康问题、时间安排冲突以及对项目/活动缺乏了解。
纳卡兹利长者对与文化相关的项目感兴趣，这些项目包括与年轻一代分享文化知识、教义和/或语言。长者希望参与活动的各个阶段，包括规划、参与和评估。未来的项目应优先考虑与长者的社区合作和共同创建。
