Xu Ying, Lv Fei, Bian Ze-Kun, Sun Wei-Yi, Luo Cai-Feng
Department of Nursing, School of Medicine, Jiangsu University, Zhenjiang, China.
Department of Medicine and Nursing, Hanlin College, Nanjing University of Chinese Medicine, Taizhou, China.
Medicine (Baltimore). 2025 May 9;104(19):e42403. doi: 10.1097/MD.0000000000042403.
Gaining a better understanding of community-dwelling older adults' experience of participating in intergenerational programs (IGPs) is required to better care for older adults. This meta-synthesis aimed to synthesize qualitative research exploring community-dwelling older adults' experience of participating in intergenerational programs.
Seven databases (PubMed, Web of Science, Embase, CINAHL, PsycINFO, Cochrane Library, and ProQuest) were systematically searched for eligible studies exploring the experience of older adults after participating in community-based intergenerational programs. Studies were included if they: had a qualitative research method; included experiences or feelings of community-dwelling older adults to the non-family intergenerational programs; and involved intergenerational programs designed for older adults over the age of 55 and children or youth from the age of 3 to 18. The Critical Appraisal Skills Program checklist was used for the quality appraisal. Data synthesis was performed by Noblit and Hare's methodology.
Thirteen articles were reviewed and synthesized. Four themes were identified. The experiences of participating in intergenerational programs among community-dwelling older adults included fostering familial connections, creating and facilitating self-worth, building community cohesion, and issues and challenges.
The meta-synthesis proves that intergenerational programs have potential perceived benefits for older adults, but there can also be some risks and challenges if not managed well. Researchers need further research on facilitators and barriers to providing more targeted intergenerational interventions.
为了更好地照顾老年人，需要更深入地了解居家老年人参与代际项目（IGPs）的体验。本综合分析旨在综合探索居家老年人参与代际项目体验的定性研究。
系统检索了七个数据库（PubMed、科学网、Embase、护理学与健康领域数据库、心理学文摘数据库、考克兰图书馆和ProQuest），以查找有关老年人参与社区代际项目后体验的合格研究。纳入标准为：采用定性研究方法；包括居家老年人对非家庭代际项目的体验或感受；涉及为55岁以上老年人以及3至18岁儿童或青少年设计的代际项目。使用批判性评估技能计划清单进行质量评估。采用诺布利特和黑尔的方法进行数据综合分析。
共审查并综合了13篇文章。确定了四个主题。居家老年人参与代际项目的体验包括促进家庭联系、创造并提升自我价值、增强社区凝聚力以及问题与挑战。
该综合分析证明，代际项目对老年人有潜在的益处，但如果管理不善也可能存在一些风险和挑战。研究人员需要进一步研究促进因素和障碍，以提供更具针对性的代际干预措施。
