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自然形成的退休社区支持服务项目对老年参与者社交网络的影响:半结构化访谈研究

The Impact of a Naturally Occurring Retirement Community Supportive Services Program on Older Adult Participants' Social Networks: Semistructured Interview Study.

作者信息

Mills Christine Marie, Parniak Simone, Hand Carri, McGrath Colleen, Laliberte Rudman Debbie, Chislett Cassandra, Giberson Mariah, White Lauren, DePaul Vincent, Donnelly Catherine

机构信息

School of Rehabilitation Therapy, Faculty of Health Sciences, Queen's University, Kingston, ON, Canada.

Health Services and Policy Research Institute, Queen's University, Kingston, ON, Canada.

出版信息

JMIR Aging. 2022 Nov 21;5(4):e37617. doi: 10.2196/37617.

Abstract

BACKGROUND

Most older adults want to age in place, in their homes and communities. However, this can be challenging for many, frequently owing to lack of supports that allow for aging in place. Naturally occurring retirement community supportive services programs (NORC-SSPs) offer an approach to help older adults age in place. Although qualitative studies have examined the experiences of NORC-SSP participants, little is known about how participation in NORC-SSP programming affects participants' social networks.

OBJECTIVE

This study aimed to explore the experiences of 13 NORC-SSP residents who participated in Oasis Senior Supportive Living (Oasis) and how participating in NORC-SSP programming, specifically based on the Oasis model, influenced their social networks.

METHODS

Participants were recruited, using convenience sampling, from 4 naturally occurring retirement communities (NORCs) in Ontario, Canada. All participants (13/13, 100%) had participated in Oasis programming. Semistructured qualitative interviews were conducted with participants. Social network theory informed the interview guide and thematic analysis.

RESULTS

In total, 13 participants (n=12, 92% women and n=1, 8% men) were interviewed. These participants were from 4 different NORCs where Oasis had been implemented, comprising 2 midrise apartment buildings, 1 low-rise apartment building, and 1 mobile home community. Overall, 3 main themes were identified from the interviews with Oasis participants: expansion and deepening of social networks, Oasis activities (something to do, someone to do it with), and self-reported impact of Oasis on mental health and well-being (feeling and coping with life better). Participants noted that Oasis provided them with opportunities to meet new people and broaden their social networks, both within and outside their NORCs. They also indicated that Oasis provided them with meaningful ways to spend their time, including opportunities to socialize and try new activities. Participants stated that participating in Oasis helped to alleviate loneliness and improved their quality of life. They noted that Oasis provided them with a reason to get up in the morning. However, the experiences described by participants may not be reflective of all Oasis members. Those who had positive experiences may have been more likely to agree to be interviewed.

CONCLUSIONS

On the basis of the participants' interviews, Oasis is an effective aging-in-place model that has been successfully implemented in low-rise apartment buildings, midrise apartment buildings, and mobile home communities. Participating in Oasis allowed participants to expand their social networks and improve their mental health and well-being. Therefore, NORCs may offer an ideal opportunity to build strong communities that provide deep, meaningful social connections that expand social networks. NORC-SSPs, such as Oasis, can support healthy aging and allow older adults to age in place.

摘要

背景

大多数老年人希望在自己家中和社区安度晚年。然而,对许多人来说,这可能具有挑战性,这通常是由于缺乏支持他们居家养老的条件。自然形成的退休社区支持服务项目(NORC-SSP)提供了一种帮助老年人居家养老的方法。尽管定性研究已经考察了NORC-SSP参与者的经历,但对于参与NORC-SSP项目如何影响参与者的社交网络却知之甚少。

目的

本研究旨在探讨13名参与绿洲高级支持生活(Oasis)项目的NORC-SSP居民的经历,以及参与基于Oasis模式的NORC-SSP项目如何影响他们的社交网络。

方法

采用便利抽样的方法,从加拿大安大略省的4个自然形成的退休社区(NORC)招募参与者。所有参与者(13/13,100%)都参与了Oasis项目。对参与者进行了半结构化定性访谈。社交网络理论为访谈指南和主题分析提供了指导。

结果

总共对13名参与者(n = 12,92%为女性,n = 1,8%为男性)进行了访谈。这些参与者来自实施了Oasis项目的4个不同的NORC,包括2栋中层公寓楼、1栋低层公寓楼和1个移动房屋社区。总体而言,从对Oasis参与者的访谈中确定了3个主要主题:社交网络的扩展和深化、Oasis活动(有事可做,有人一起做)以及自我报告的Oasis对心理健康和幸福感的影响(感觉生活更好并能应对生活)。参与者指出,Oasis为他们提供了结识新朋友并扩大其在NORC内外社交网络的机会。他们还表示,Oasis为他们提供了有意义的消磨时间的方式,包括社交和尝试新活动的机会。参与者称,参与Oasis有助于减轻孤独感并提高他们的生活质量。他们指出,Oasis给了他们早上起床的理由。然而,参与者描述的经历可能并不反映所有Oasis成员的情况。那些有积极经历的人可能更愿意接受访谈。

结论

根据参与者的访谈,Oasis是一种有效的居家养老模式,已在低层公寓楼、中层公寓楼和移动房屋社区成功实施。参与Oasis使参与者能够扩大其社交网络并改善其心理健康和幸福感。因此,NORC可能提供了一个建立强大社区的理想机会,这些社区能提供深厚、有意义的社会联系,从而扩展社交网络。诸如Oasis这样的NORC-SSP可以支持健康老龄化,并让老年人能够居家养老。

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