van Biljon Hester M, van Niekerk Lana, Plastow Nicola A, Swanepoel Lizette
Department of Occupational Therapy, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa.
Afr J Disabil. 2023 May 16;12:1177. doi: 10.4102/ajod.v12i0.1177. eCollection 2023.
Access to, and occupational performance in, out-of-home-life-spaces is linked to health, wellbeing and quality of life for older adults. There is little evidence of how this relates to older adults with limited resources in an African urban context.
To describe the out-of-home-life-spaces accessed and valued by older adults with limited resources, living in an urban South African setting.
An exploratory concurrent mixed methods study saw 84 rehabilitation clinicians conduct 393 face-to-face interviews with older adults. Clinicians produced reflective field notes and participated in focus groups. Quantitative data were analysed using descriptive statistics with SPSS Version X. Qualitative data were analysed through inductive content analysis.
Older adults walked, used mini-bus taxis or private vehicles to get to places of worship, medical facilities, shops, family and friends and special interest gatherings on a weekly or monthly frequency. Lack of funds was the main barrier. Older adults aspired to travel, go on holiday and to visit out-of-town family homes.
Exploring the daily lived experience of older, urban South Africans with limited resources brought to light the value they attribute to participation in activities that contribute to the wellbeing of their families and communities. Such activities are found in a variety of life spaces.
Results could inform policy makers and service providers in their planning of community mobility, transportation services and health care, for older adults with limited resources.
在户外生活空间的可达性和职业表现与老年人的健康、幸福和生活质量相关。在非洲城市背景下,关于这一点如何与资源有限的老年人相关联的证据很少。
描述生活在南非城市环境中、资源有限的老年人所使用和重视的户外生活空间。
一项探索性同步混合方法研究中,84名康复临床医生对老年人进行了393次面对面访谈。临床医生撰写了反思性现场笔记并参与焦点小组。使用SPSS X版通过描述性统计分析定量数据。通过归纳性内容分析对定性数据进行分析。
老年人每周或每月步行、乘坐小型巴士出租车或私家车前往礼拜场所、医疗设施、商店、家人和朋友处以及特殊兴趣聚会场所。资金短缺是主要障碍。老年人渴望旅行、度假并探访城外的家庭住所。
探索资源有限的南非城市老年人的日常生活经历,揭示了他们对参与有助于家庭和社区福祉的活动所赋予的价值。此类活动存在于各种生活空间中。
研究结果可为政策制定者和服务提供者规划资源有限的老年人的社区出行、交通服务和医疗保健提供参考。