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前瞻性实用类准实验研究,以评估一项创新型大规模公共卫生干预措施对促进就地健康老龄化的影响和效果:SoBeezy项目方案

Prospective pragmatic quasi-experimental study to assess the impact and effectiveness of an innovative large-scale public health intervention to foster healthy ageing in place: the SoBeezy program protocol.

作者信息

Pérès Karine, Zamudio-Rodriguez Alfonso, Dartigues Jean-Francois, Amieva Hélène, Lafitte Stephane

机构信息

Univ. Bordeaux, INSERM, Bordeaux Population Health, U1219, Bordeaux, France

Univ. Bordeaux, INSERM, Bordeaux Population Health, U1219, Bordeaux, France.

出版信息

BMJ Open. 2021 Apr 29;11(4):e043082. doi: 10.1136/bmjopen-2020-043082.

DOI:10.1136/bmjopen-2020-043082
PMID:33926977
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8094369/
Abstract

INTRODUCTION

With the accelerating pace of ageing, healthy ageing has become a major challenge for all societies worldwide. Based on that Healthy Ageing concept proposed by the WHO, the SoBeezy intervention has been designed through an older person-centred and integrated approach. The programme creates the environments that maximise functional ability to enable people to be and do what they value and to stay at home in best possible conditions.

METHODS AND ANALYSIS

Five levers are targeted: tackling loneliness, restoring feeling of usefulness, finding solutions to face material daily life difficulties, promoting social participation and combating digital divide. Concretely, the SoBeezy programme relies on: (1) a digital intelligent platform available on smartphone, tablet and computer, but also on a voice assistant specifically developed for people with digital divide; (2) a large solidarity network which potentially relies on everyone's engagement through a participatory intergenerational approach, where the older persons themselves are not only service receivers but also potential contributors; (3) an engagement of local partners and stakeholders (citizens, associations, artisans and professionals). Organised as a hub, the system connects all the resources of a territory and provides to the older person the best solution to meet his demand. Through a mixed, qualitative and quantitative (before/after analyses and compared to controls) approach, the research programme will assess the impact and effectiveness on healthy ageing, the technical usage, the mechanisms of the intervention and conditions of transferability and scalability.

ETHICS AND DISSEMINATION

Inserm Ethics Committee and the Comité Éthique et Scientifique pour les Recherches, les Études et les Évaluations dans le domaine de la Santé approved this research and collected data will be deposited with a suitable data archive.

摘要

引言

随着老龄化步伐的加快,健康老龄化已成为全球所有社会面临的一项重大挑战。基于世界卫生组织提出的健康老龄化概念,“苏比齐”干预措施通过以老年人为中心的综合方法进行设计。该计划营造环境,最大限度地提升功能能力,使人们能够成为他们所珍视的人、做他们所珍视的事,并在尽可能好的条件下居家生活。

方法与分析

该计划针对五个关键因素:解决孤独感、恢复有用感、找到应对日常生活物质困难的方法、促进社会参与以及消除数字鸿沟。具体而言,“苏比齐”计划依赖于:(1)一个可在智能手机、平板电脑和计算机上使用的数字智能平台,此外还有专门为存在数字鸿沟的人群开发的语音助手;(2)一个庞大的团结网络,该网络可能通过参与式代际方法依靠每个人的参与,其中老年人不仅是服务接受者,也是潜在贡献者;(3)当地合作伙伴和利益相关者(公民、协会、工匠和专业人士)的参与。该系统作为一个枢纽进行组织,连接一个地区的所有资源,并为老年人提供满足其需求的最佳解决方案。通过混合的定性和定量方法(前后分析以及与对照组比较),该研究计划将评估对健康老龄化的影响和效果、技术使用情况、干预机制以及可转移性和可扩展性条件。

伦理与传播

法国国家健康与医学研究院伦理委员会以及健康领域研究、研究与评估伦理及科学委员会批准了这项研究,所收集的数据将存放在合适的数据档案库中。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34d4/8094369/ba20f96c9422/bmjopen-2020-043082f03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34d4/8094369/c5094fdbe84a/bmjopen-2020-043082f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34d4/8094369/0e723deebba5/bmjopen-2020-043082f02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34d4/8094369/ba20f96c9422/bmjopen-2020-043082f03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34d4/8094369/c5094fdbe84a/bmjopen-2020-043082f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34d4/8094369/0e723deebba5/bmjopen-2020-043082f02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34d4/8094369/ba20f96c9422/bmjopen-2020-043082f03.jpg

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