Leo Yeona, Compton Roslyn M, Hubbard Murdoch Natasha, Krahn Dori
College of Nursing, University of Saskat-chewan, Saskatoon, Canada (Ms Leo and Drs Compton and Hubbard Murdoch); and Community Relations, Saskatoon Fire Department, Saskatoon, Canada (Ms Krahn).
Fam Community Health. 2023;46(4):220-228. doi: 10.1097/FCH.0000000000000378. Epub 2023 Aug 7.
Many health promotion programs are designed for older adults who live in the community. This research describes a health promotion program called "Remembering When" (a fire and fall prevention program). In 2020, a quality improvement project was developed to examine the effectiveness and impact of Remembering When among community-dwelling older adults. After analyzing the qualitative data collected for the project, an interesting observation of why older adults attended Remembering When emerged. Older adults might attend Remembering When because they experience social isolation and/or loneliness. The concepts of objective and subjective social isolation and loneliness were defined, and the implications of Remembering When around social isolation and loneliness were discussed. Secondary data analysis followed Braun and Clarke's (2006) thematic analysis steps. Four themes were generated: It is about me having choices, Joining the program as an old friend, We all need referrals , and I am housebound . Overall, 2 significant observations were made: (1) some older adults valued the opportunity to interact with Remembering When's team, which might help older adults decrease social isolation and loneliness, and (2) older adults needed more individualized programs to address their emotional and mental health and well-being needs.
许多健康促进项目是为居住在社区的老年人设计的。这项研究描述了一个名为“铭记当下”（火灾与跌倒预防项目）的健康促进项目。2020年，开展了一个质量改进项目，以检验“铭记当下”项目在社区居住的老年人中的有效性和影响。在分析了为该项目收集的定性数据后，出现了一个关于老年人参加“铭记当下”项目原因的有趣观察结果。老年人可能参加“铭记当下”项目是因为他们经历了社会隔离和/或孤独。定义了客观和主观社会隔离及孤独的概念，并讨论了“铭记当下”项目在社会隔离和孤独方面的影响。二次数据分析遵循了布劳恩和克拉克（2006年）的主题分析步骤。生成了四个主题：这关乎我有选择的权利、像老朋友一样加入项目、我们都需要推荐、我足不出户。总体而言，得出了两个重要观察结果：（1）一些老年人重视与“铭记当下”项目团队互动的机会，这可能有助于老年人减少社会隔离和孤独感；（2）老年人需要更多个性化项目来满足他们的情感、心理健康和幸福需求。
