Section for Outcomes Research, Center for Medical Statistics, Informatics, and Intelligent Systems, Medical University of Vienna, Spitalgasse 23, 1090, Vienna, Austria.
FernFH Distance-Learning University of Applied Sciences, Zulingergasse 4, 2700, Wiener Neustadt, Austria.
BMC Public Health. 2019 Mar 1;19(1):254. doi: 10.1186/s12889-019-6572-0.
Limited evidence exists for intergenerational interventions to promote health and well-being in older adults and preschool children. We therefore aimed to evaluate the implementation, feasibility and outcome of an intergenerational health promotion program based on psycho-motor activity.
A multicenter mixed-methods study with preschool children and older adults as equivalent target-groups, and professionals and parents as additional informants was conducted in Austria. The study included a needs assessment, a pilot phase with a formative process evaluation and a subsequent rollout phase to evaluate the outcome and the adapted processes of the intervention program. To analyze the qualitative data, a modified form of the framework method was applied. Quantitative data were collected with a time-sampling method and were analyzed using descriptive and inferential statistical procedures.
One hundred ninety-six participants (93 older adults [54 to 96 years old, 83% female], 78 children [2 to 7 years old, 58% female], 13 professionals and 12 parents) from 16 institutions (eight kindergartens and eight geriatric facilities) were included in the study. The qualitative process evaluation revealed several aspects for improvement of the intervention program. Well-being as measured by observing spontaneous intergenerational contacts (p < 0.001) and facial expressions (effect size r = 0.34; p < 0.001) showed a significant increase between the rollout baseline and follow-up assessments.
Professionals in geriatric institutions and kindergartens could facilitate interactions between members of the different generations by offering an intergenerational intervention program based on psycho-motor activities in the future.
促进老年人和学龄前儿童健康和幸福的代际干预措施的证据有限。因此，我们旨在评估基于心理运动活动的代际健康促进计划的实施、可行性和结果。
在奥地利进行了一项多中心混合方法研究，将学龄前儿童和老年人作为同等目标群体，专业人员和家长作为额外的信息提供者。该研究包括需求评估、具有形成性过程评估的试点阶段以及随后的推广阶段，以评估干预计划的结果和调整后的过程。为了分析定性数据，应用了一种修改后的框架方法。使用时间抽样法收集定量数据，并使用描述性和推断性统计程序进行分析。
共有 196 名参与者（93 名老年人[54 至 96 岁，83%为女性]，78 名儿童[2 至 7 岁，58%为女性]，13 名专业人员和 12 名家长）来自 16 个机构（8 个幼儿园和 8 个老年护理设施）参加了研究。定性过程评估揭示了干预计划需要改进的几个方面。通过观察自发的代际接触（p<0.001）和面部表情（效应大小 r=0.34；p<0.001）来衡量的幸福感在推广基线和随访评估之间显示出显著增加。
未来，老年护理机构和幼儿园的专业人员可以通过提供基于心理运动活动的代际干预计划，促进不同代际成员之间的互动。
