是什么影响老年人加入社区中心参与健康老龄化项目?一项探索性研究。
What influences older people to join a community hub to engage in healthy ageing programs? An exploratory study.
作者信息
Naseri Chiara, Hill Anne-Marie, Xu Dan, Francis-Coad Jacqueline, Vaz Sharmila, Garswood Luke, Meakes Roger, Umbella Josephine, O'Brien Geraldine, Starling Trish, Weselman Tammy
机构信息
School of Allied Health, The University of Western Australia, Perth, Western Australia, Australia.
WA Centre for Health and Ageing, The University of Western Australia, Perth, Western Australia, Australia.
出版信息
Australas J Ageing. 2025 Sep;44(3):e70079. doi: 10.1111/ajag.70079.
OBJECTIVES
Most people seek to stay connected to their community as they age; this has been a major focus in the development of innovative community programs in Australia. This study aimed to explore what influences older people to join a community hub to engage in healthy ageing programs.
METHODS
Semi-structured interviews (n = 29) were conducted during an Open Day in early 2023 at an urban community hub in Western Australia, followed by telephone interviews (n = 9) of a purposive sample of older individuals, community hub facilitators and coordinators of national community hubs. Analysis used a socio-ecological framework.
RESULTS
Deductive content analysis identified social prescribing as an overarching influencer for older people to join and engage in healthy ageing programs and main themes of (i) supporting community hub facilitators to harness community assets, (ii) link-supports provided to older members by paid community hub concierges triggered positive outcomes at individual and community levels, (iii) online and in-person social and physical healthy ageing activities tailored to member interests and (iv) nurturing social networks and reciprocity between members sustained engagement in healthy ageing activities.
CONCLUSIONS
The dynamic process of social prescribing was a central influencer for older adults to engage in healthy ageing programs, and the social network perpetuated through community hubs was an immeasurable social investment that boosted the resilience of intergenerational populations in Australian communities. Policy support is required for communities to meet the challenge of being responsive to the needs of members who seek to remain independent as they age in place.
目标
大多数人随着年龄增长都希望与社区保持联系;这一直是澳大利亚创新社区项目发展的一个主要重点。本研究旨在探讨是什么因素影响老年人加入社区中心参与健康老龄化项目。
方法
2023年初在西澳大利亚的一个城市社区中心开放日期间进行了半结构化访谈(n = 29),随后对老年个体、社区中心促进者和全国社区中心协调员的一个有目的样本进行了电话访谈(n = 9)。分析采用社会生态框架。
结果
演绎性内容分析确定社会处方是老年人加入并参与健康老龄化项目的首要影响因素,主要主题包括:(i)支持社区中心促进者利用社区资产;(ii)社区中心付费礼宾为老年成员提供的链接支持在个人和社区层面引发了积极成果;(iii)根据成员兴趣量身定制的线上和线下社交及身体方面的健康老龄化活动;(iv)培养社交网络以及成员之间的互惠关系维持了对健康老龄化活动的参与。
结论
社会处方的动态过程是老年人参与健康老龄化项目的核心影响因素,通过社区中心延续的社交网络是一项不可估量的社会投资,增强了澳大利亚社区代际人口的复原力。社区需要政策支持,以应对响应那些希望在原地养老的成员需求的挑战。