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老年人对参与多组分衰弱预防计划的看法:一项定性研究。

Older Adults' Perspective towards Participation in a Multicomponent Frailty Prevention Program: A Qualitative Study.

机构信息

Ruby Yu, Department of Medicine and Therapeutics, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, SAR, China, Tel: (852) 3943 5142, Fax: (852) 2637 9215, E-mail:

出版信息

J Nutr Health Aging. 2020;24(7):758-764. doi: 10.1007/s12603-020-1369-5.

DOI:10.1007/s12603-020-1369-5
PMID:32744573
Abstract

OBJECTIVES

This study aimed to explore pre-frail and frail older Chinese people's perspectives on a multi-component, group-based frailty prevention program in Hong Kong, along with their views regarding factors determining participation and sustainability of such program.

DESIGN

Seven focus groups were conducted.

SETTING

Community elderly centres.

PARTICIPANTS

A total of 38 community-dwelling older people aged 54 - 84 (mean age, 64.9 years; female, 58%; married, 68%; retired, 97%) screened with pre-frailty or frailty completing a 12-week multi-component (involving physical, cognitive, and social activities), group-based frailty prevention program were interviewed.

MEASUREMENTS

Thematic analysis was conducted.

RESULTS

Using thematic analysis, perceived health benefits, peer support and social networking were identified as key motivators concerning intention to participate in the frailty prevention program; whereas perceived health benefits, socializing, sense of connectedness, expert guidance and sense of dignity were identified as key motivators concerning program adherence.

CONCLUSION

Majority of participants provided positive feedbacks about the multi-component intervention program in regards to their physical health, psychological well-being and social life. These findings highlighted several important factors for consideration in future design of frailty interventions regarding the needs of pre-frail and frail older adults, which could help to motivate and sustain their participation in community-based frailty prevention programs.

摘要

目的

本研究旨在探讨香港多组分、基于小组的衰弱预防计划中,衰弱前期和衰弱的老年华人的观点,以及他们对决定参与和维持此类计划的因素的看法。

设计

进行了 7 个焦点小组。

地点

社区老年人中心。

参与者

共有 38 名社区居住的年龄在 54-84 岁之间的老年人(平均年龄 64.9 岁;女性占 58%;已婚占 68%;退休占 97%)接受了衰弱前期或衰弱的筛查,完成了为期 12 周的多组分(包括身体、认知和社会活动)、基于小组的衰弱预防计划,随后对他们进行了访谈。

测量

进行了主题分析。

结果

通过主题分析,发现健康益处感知、同伴支持和社交网络是参与衰弱预防计划的主要动机;而健康益处感知、社交、联系感、专家指导和尊严感是坚持计划的主要动机。

结论

大多数参与者对多组分干预计划在他们的身体健康、心理健康和社会生活方面都给予了积极的反馈。这些发现强调了在未来设计针对衰弱前期和衰弱老年人需求的衰弱干预措施时需要考虑的几个重要因素,这有助于激励和维持他们参与社区衰弱预防计划。

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