College of Nursing and Health Sciences, Flinders University, Adelaide, Australia.
Flinders Digital Health Research Centre, Flinders University, Adelaide, Australia.
BMC Public Health. 2023 Jan 25;23(1):172. doi: 10.1186/s12889-023-15093-0.
With the increasing age of the global population, key components of healthy ageing including community, physical, and social participation continue to gain traction. However, management of the COVID-19 pandemic aimed to protect older adults and reduce the spread of the virus, this restricted community participation and reduced the opportunities for social interaction.
This mixed methods study investigates community dwelling older adults' community participation; physical activity and social interaction prior to, during, and following the COVID-19 lockdown in Adelaide, Australia. Twenty-six community dwelling older adults were monitored over three time-points between November 2018 and October 2020, with Global Positioning Systems, accelerometry and self-reported diaries. In addition, nineteen participants completed semi-structured interviews.
Community participation varied across the three time points, with significant reduction in the number of trips taken out-of-home (p = 0.021), social interactions (p = 0.001) and sleep quality (p = 0.008) during restrictions. Five themes were identified to explain personal experiences of community participation during restrictions: (1) Reframing of meaning, (2) Redefining to maintain activities, (3) Revision of risk, (4) Reflection and renewal and (5) Future planning.
During COVID-19 the physical and social activities of community dwelling older adults changed. Services that support older adults to adapt their activities , considering their capacities and preferences, to facilitate community participation are required.
随着全球人口老龄化的加剧，健康老龄化的关键组成部分，包括社区、身体和社会参与，继续受到关注。然而，为了保护老年人并减少病毒传播而实施的 COVID-19 大流行管理措施限制了社区参与并减少了社交互动的机会。
本混合方法研究调查了澳大利亚阿德莱德社区居住的老年人在 COVID-19 封锁之前、期间和之后的社区参与度、身体活动和社会互动情况。在 2018 年 11 月至 2020 年 10 月期间，通过全球定位系统、加速度计和自我报告的日记，对 26 名社区居住的老年人进行了三次监测。此外，19 名参与者完成了半结构式访谈。
社区参与度在三个时间点上有所不同，在限制期间外出活动的次数（p=0.021）、社交互动（p=0.001）和睡眠质量（p=0.008）显著减少。确定了五个主题来解释在限制期间个人社区参与的经验：（1）意义的重新定义，（2）重新定义以维持活动，（3）风险的修订，（4）反思和更新，以及（5）未来规划。
在 COVID-19 期间，社区居住的老年人的身体和社会活动发生了变化。需要提供支持老年人根据其能力和偏好调整活动以促进社区参与的服务。
