School of Health Sciences, University of Dundee, Dundee, United Kingdom.
Department of Gerontology, Science and Ageing Technology (STAR) Research Institute, Simon Fraser University, Vancouver, BC, Canada.
Front Public Health. 2023 Jan 4;10:996520. doi: 10.3389/fpubh.2022.996520. eCollection 2022.
INTRODUCTION: Evolving aging societies, ongoing digitalisation and circumstances of COVID-19 are changing living conditions for growing older. There is an increased urgency to view public health with a focus on integrating people of all ages into the matrix of opportunities afforded in their communities. This study initiates the conceptualization of an intergenerational, age-friendly living ecosystem (AFLE) to enhance public health planning. METHODOLOGY: A participatory study was conducted using a multi-methods approach. Six virtual co-creation sessions ( = 35-50 participants), alongside a mainly open-ended INTERGEN survey designed specifically for this study ( = 130) were conducted to conceptualize multilevel ideas for building intergenerational age-friendly places using Bronfenbrenner's ecological systems model. At the height of COVID-19, virtual applications (Zoom, Moodboard) and case studies, creative methods (drawing, photography, storytelling and spotlight sessions) were applied to engage academic and non-academic participants between ages 5 - 80+ years, across eight countries. Sessions were video-recorded with visual themes captured by a graphic facilitator. The survey covered issues of multigenerational interactions; intergenerational and age-friendly place features; place safety; and necessary stakeholders required for creating intergenerational and age-friendly places. Data were reflexively analyzed using a team approach to thematic analysis. RESULTS: Findings present both the thematic analysis of Virtual Co-creation Camps (VCCs) and the INTERGEN survey results. These findings are addressed in three overarching categories that highlight the necessary characteristics of AFLEs as suggested by the VCC participants and survey respondents: (i) Sensory factors: feeling and emotion as starting points for physical design; (ii) Physical and digital factors in designing AFLE spaces and places; and (iii) Socio-cultural factors: tackling ageism and exclusion as part of the solution. DISCUSSION: The analysis resulted in a pathway toward enhanced understandings on how multi-generations can better interact with fluctuating organizational domains (industry, voluntary, academic and public sectors) in urban and rural settings to facilitate intergenerational connectivity. Through processes of co-creation, an AFLE proof of concept and roadmap for public health planning was developed to support and provide opportunities for people as they age to reap the socioeconomic benefits of their local and virtual communities and help them become well integrated, valued and contributory members of society.
引言:不断发展的老龄化社会、持续的数字化以及 COVID-19 大流行的情况正在改变人们的生活条件。现在迫切需要关注公共卫生,将各个年龄段的人纳入其社区提供的机会矩阵中。本研究旨在通过构建代际友好型生活生态系统(AFLE)的概念化来加强公共卫生规划。
方法:采用多方法参与式研究。为了利用布伦芬布伦纳的生态系统模型构思构建代际友好型场所的多层次理念,共进行了六次虚拟共创会议(= 35-50 名参与者),以及一项主要采用开放式的 INTERGEN 调查(= 130 名参与者)。在 COVID-19 高峰期,虚拟应用程序(Zoom、Moodboard)和案例研究、创意方法(绘画、摄影、讲故事和聚光灯会议)被用于吸引来自 8 个国家、年龄在 5 岁至 80 岁以上的学术和非学术参与者。会议进行了视频录制,由图形协调员记录视觉主题。调查涵盖了多代际互动问题、代际和年龄友好场所的特点、场所安全问题,以及创建代际和年龄友好场所所需的必要利益相关者。使用团队方法对数据进行反思性分析,进行主题分析。
结果:研究结果呈现了虚拟共创营(VCC)的专题分析和 INTERGEN 调查结果。这些发现通过三个总体类别来阐述,突出了 VCC 参与者和调查受访者建议的 AFLE 的必要特征:(i)感觉因素:感觉和情感作为物理设计的起点;(ii)AFLE 空间和场所的物理和数字设计因素;(iii)社会文化因素:作为解决方案的一部分,解决年龄歧视和排斥问题。
讨论:分析结果为更好地理解多代人如何更好地在城乡环境中与波动的组织领域(工业、志愿、学术和公共部门)互动提供了途径,以促进代际联系。通过共创过程,制定了 AFLE 的概念验证和公共卫生规划路线图,以支持和为人们提供机会,让他们在年老时从当地和虚拟社区中获得社会经济效益,并帮助他们成为社会中融合、受重视和有贡献的成员。
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