Erasmus School of Health Policy & Management, Erasmus University Rotterdam, P.O. Box 1738, 3000 DR, Rotterdam, the Netherlands.
BMC Geriatr. 2022 Apr 2;22(1):273. doi: 10.1186/s12877-022-02880-4.
BACKGROUND: With rapid population aging, policy makers and service providers are becoming increasingly aware of the importance of building and maintaining age-friendly communities. Clearly, "age-friendly" relates to the impact of context on people's well-being. But how? What is an age-friendly community, and does that differ for native and immigrant older people? Up until now, how native and immigrant older people in the Netherlands perceive community age-friendliness, and whether and how age-friendly communities help them realize well-being, remains unknown which limits opportunities to develop appropriate interventions. This article presents a study protocol to identify, theoretically and empirically, how and under what conditions age-friendly communities help native and immigrant older people in the Netherlands realize well-being. We present a theory-guided approach to elucidate differences in neighborhood age-friendliness and requirements for age-friendly community development between native Dutch and immigrant older people. Good interventions are built on good theory. The proposed research will add to theory building by systematically examining what older people get from their neighborhoods and the conditions that influence well-being realization, including the role of individual and neighborhood resources. We posit that physical and social well-being realization will be enhanced in age-friendly communities that support realization of multiple well-being needs and development of solidarity within and between groups in the neighborhood via cross-cutting sharing arrangements. METHODS: We present a mixed-methods design among native and immigrant older people (Turkish, Surinamese and Moroccan) consisting of: (i) Q-studies (combining in-depth interview-based and quantitative analyses); (ii) a pilot survey study; (iii) a main survey study in Rotterdam, the Hague, Utrecht, and Amsterdam; and (iv) focus groups. DISCUSSION: By exploring truly new ground in the field of age-friendly communities, the results of the proposed research will provide new empirical evidence, advance theory, and be helpful for the development of interventions aimed at improving age-friendliness and well-being for native and immigrant older populations, thereby contributing to resolving the societal challenges of caring for and supporting older people in the community.
背景:随着人口老龄化的快速发展,政策制定者和服务提供者越来越意识到建设和维护宜居社区的重要性。显然,“宜居”与环境对人们幸福感的影响有关。但是,具体是如何相关的呢?什么是宜居社区,对于本地和移民老年人来说是否有所不同?到目前为止,荷兰的本地和移民老年人如何看待社区的宜居性,以及宜居社区是否有助于他们实现幸福感,以及如何帮助他们实现幸福感,这些仍然未知,这限制了开发适当干预措施的机会。本文介绍了一项研究方案,旨在从理论和实证两方面确定宜居社区如何以及在何种条件下帮助荷兰本地和移民老年人实现幸福感。我们提出了一种理论指导的方法,阐明了本地荷兰老年人和移民老年人对邻里宜居性的差异以及宜居社区发展的要求。良好的干预措施建立在良好的理论基础上。拟议的研究将通过系统地研究老年人从他们的社区中获得的东西以及影响幸福感实现的条件来为理论建设做出贡献,包括个人和社区资源的作用。我们假设,在通过跨领域共享安排支持实现群体内部和群体之间的多种幸福感需求和团结的宜居社区中,老年人的身体和社会幸福感的实现将得到增强。
方法:我们提出了一项混合方法设计,涉及本地和移民老年人(土耳其人、苏里南人和摩洛哥人),包括:(i)Q 研究(结合基于深入访谈的定量分析);(ii)试点调查研究;(iii)鹿特丹、海牙、乌得勒支和阿姆斯特丹的主要调查研究;(iv)焦点小组。
讨论:通过探索宜居社区领域的真正新领域,该研究的结果将提供新的经验证据,推进理论,并有助于制定旨在改善本地和移民老年人的宜居性和幸福感的干预措施,从而有助于解决社区中照顾和支持老年人的社会挑战。
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