Bolton Clarke Research Institute, Bentleigh, Vic., Australia.
Department of International Business and Asian Studies, Griffith University, Brisbane, Qld, Australia.
Health Soc Care Community. 2020 Mar;28(2):494-504. doi: 10.1111/hsc.12882. Epub 2019 Oct 30.
For many populations at risk of social isolation, including Older Women Living Alone (OWLA), existing services to maintain independence and optimise well-being are difficult to access, unsuitable or unavailable. Co-creation is a strategy to develop 'person-centred' services that meet the needs of individuals. We adapted an existing framework for co-creation and used participatory action research methods, supported by an evidence base comprising a systematic review, analysis of routinely collected data and interviews, to develop person-centred services for OWLA. This approach achieved co-creation through an iterative process of consultation and review, involving a series of facilitated discussions with women living alone and stakeholders. A total of 13 women living alone, aged ≥55 years, and 11 stakeholders representing service providers and advocacy groups, were recruited to participate in these discussions. Sessions with between three and five OWLA, were held across Melbourne. The information was compiled and presented to service stakeholders in a single facilitated forum, held in central Melbourne. Smaller facilitated sessions with OWLA followed, to review and discuss the collated service stakeholder input. The information from these OWLA sessions were again compiled and directed back to the service stakeholders for consideration and further discussion. The two groups came together for a final forum to prioritise the co-created ten services that they believed would be feasible and would address unmet need to support OWLA maintain independence. The process of co-creation was time-consuming and required considerable preparation to facilitate input from the target population. Small groups, gathering at convenient local locations, with transport support were essential in removing barriers to participation. However, co-creation was a viable method of eliciting the women's preferences and developing services more likely to meet their needs.
对于许多面临社交孤立风险的人群，包括独居老年女性（OWLA），现有的维持独立性和优化幸福感的服务难以获得、不适合或不可用。共同创造是一种制定“以个人为中心”服务的策略，以满足个人的需求。我们采用了现有的共同创造框架，并使用参与式行动研究方法，辅以系统评价、常规收集数据分析和访谈的证据基础，为 OWLA 开发了以个人为中心的服务。这种方法通过咨询和审查的迭代过程实现了共同创造，涉及与独居女性和利益相关者进行一系列的促进讨论。共有 13 名年龄在 55 岁及以上的独居女性和 11 名代表服务提供者和倡导团体的利益相关者被招募来参与这些讨论。在墨尔本各地举行了三到五名 OWLA 之间的会议。将信息汇总并在墨尔本中心的单一促进论坛上呈现给服务利益相关者。随后与 OWLA 进行了较小的促进会议，以审查和讨论汇总的服务利益相关者意见。再次将这些 OWLA 会议的信息汇总并直接反馈给服务利益相关者，供他们考虑和进一步讨论。这两个群体齐聚一堂，举行了最后一次论坛，确定他们认为可行且将解决支持 OWLA 保持独立性的未满足需求的十大共同创造服务。共同创造的过程既耗时又需要大量的准备工作，以促进目标人群的投入。小团体聚集在方便的当地地点，并提供交通支持，这对于消除参与障碍至关重要。然而，共同创造是一种可行的方法，可以引出女性的偏好并开发更有可能满足她们需求的服务。
