Social Participation Among Older Adults Receiving Community Care Services (original) (raw)
Related papers
Social Participation of Older Adults
Encyclopedia of Quality of Life and Well-Being Research, 2014
Background: Social participation is critical in fostering community vitality, promoting health, and preventing disabilities, but is restricted for approximately half the older adult population. Social participation involves social and leisure activities, such as visiting friends, bowling, etc., that meet fundamental needs for interaction, wellbeing and self-actualization. Although targeted through interventions by community organizations, healthcare professionals and municipalities, little is known about the needs of older adults to participate socially, especially in rural areas. This study thus aimed to identify and prioritize the social participation needs of older adults living in a rural area. Methods: A participatory action research was conducted in a rural regional county municipality (RCM) in Quebec, Canada with convenience sample of 139 stakeholders, including older adults, caregivers, healthcare and community organization managers, healthcare and community organization workers, RCM partners and key informants. Results: Facilitators and barriers to social participation related to personal factors (e.g., health, interests, motivation), the social environment (e.g., availability of assistance or volunteers) and the physical environment (e.g., distance to resources, recreational facilities and social partners). Nine needs emerged and were prioritized as follows: 1) having access to and being informed about transportation options, 2) being informed about available activities and services, 3) having access to activities, including volunteering opportunities, suited to their interests, schedule, cost, language and health condition, 4) being accompanied to activities, 5) having access to meeting places near home and adapted to their health condition, and 6-9 (no preferred order) being reached when isolated, being personally invited and welcomed to activities, having a social support network, and being valued and recognized. Differences emerged when prioritizing needs of older adults with disabilities (greater need for assistance, accessibility and adapted activities) and older adults living in a rural area (greater need for transportation). Conclusions: To promote active participation in the community, the social participation needs of older women and men living in rural areas must be addressed, especially in regard to transportation, information, adapted activities, assistance and accessibility. The rst part of this action research will be followed by community selection and implementation of initiatives to ultimately foster their social participation.
Social participation of community living older persons: importance, determinants and opportunities
Socio-psychological models of successful ageing emphasize life satisfaction, social participation and functioning as the keys to ageing successfully. Some studies suggest that maintaining social participation in late life has a positive influence on quality of life, psychological wellbeing, health, cognitive functioning and life expectancy. However, there is an increasing trend for older people to live alone, some of them in unsafe and insecure environments. The purpose of the paper is to identify factors that hinder or support the social participation of older persons living in the community. The importance of older people's engagement in physical, social and productive activities was studied. Opportunities for older people socialize in the housing environment were explored. These tasks were carried out through literature review.
SocioEconomic Impact Of Social Ties On Community Care For Older Australians
2002
Mounting pressure on government expenditure, from the needs of an ageing population, has led to the introduction of the Home and Community Care (HACC) programme, based upon the self-reliance principle. This programme may, however, disadvantage certain groups, as its success depends, in part on the informal support from family and friends. It is essential, therefore that we examine older Australians individual characteristics to help explain the levels of informal care and support presently available, as represented by the social network. Using a regression analysis of the information collected from 401 non-institutionalised older Gold Coast residents sampled in a household survey conducted in 1999, we test two hypotheses: 1. gender, education and household type explain levels of social network accessed by older people; 2. older males are more vulnerable than older females to the social network effect of living alone. Based on the findings of our study, we have concerns about the acc...
BMC Geriatrics, 2015
Background: Participation is a key determinant of successful aging and enables older adults to stay in their homes and be integrated into the community. Assessing participation needs involves identifying restrictions in the accomplishment of daily and social activities. Although meeting participation needs involves older adults, their caregivers and healthcare providers, little is known about their respective viewpoints. This study thus explored the participation needs of older adults having disabilities as perceived by the older adults themselves, their caregivers and healthcare providers. Methods: A qualitative multiple case study consisted of conducting 33 semi-structured interviews in eleven triads, each composed of an older adult, his/her caregiver and a healthcare provider recruited in a Health and Social Services Centre (HSSC) in Québec, Canada. Interview transcripts and reviews of clinical records were analyzed using content analysis and descriptive statistics based on thematic saliency analysis methods. Results: Aged 66 to 88 years, five older adults had physical disabilities, five had mild cognitive impairment and one had psychological problems, leading to moderate to severe functional decline. Caregivers and healthcare providers were mainly women, respectively retired spouses and various professionals with four to 32 years of clinical experience. Participation needs reported by each triad included all domains of participation. Needs related to daily activities, such as personal care, nutrition, and housing, were generally met. Regarding social activities, few needs were met by various resources in the community and were generally limited to personal responsibilities, including making decisions and managing budgets, and some community life activities, such as going shopping. Unmet needs were mainly related to social activities, involving leisure, other community life activities and interpersonal relationships, and some daily activities, including fitness and mobility. Conclusions: This study highlights the complexity of older adults' participation needs, involving daily as well as social activities. Properly assessing and addressing these needs is thus necessary to improve older adults' health and well-being. Discrepancies in the various actors' perceptions of participation needs must be further explored. Additional research would help better understand how to optimize the contribution of community organizations and caregivers.
Match between needs and services for participation of older adults receiving home care
Leadership in Health Services, 2014
Purpose – This paper aims to explore the match between needs and services related to participation for frail older adults receiving home care. Design/methodology/approach – A qualitative multiple case study was conducted with 11 triads each involving an elder, a caregiver and a healthcare provider working in a Health and Social Services Centers (HSSCs). Findings – Although HSSCs in Québec are supposed to promote social integration and participation of older adults, services provided to the older adults in this study focused mainly on safety and independence in personal care, dressing, mobility and nutrition, without fully meeting older adults’ needs in these areas. Discrepancies between needs and services may be attributable to the assessment not covering all the dimensions of social participation or accurately identifying older adults’ complex needs; older adults’ and their caregivers’ difficulties identifying their needs and accepting their limitations and the assistance offered; ...
Identifying the enablers and barriers to community participation amongst older adults
British Journal of Occupational Therapy, 2016
Introduction The proportion of older adults throughout the world has increased significantly over the last decade and continues to rise. Such substantial growth highlights the importance of facilitating older people’s wellbeing. This research aimed to identify enablers and barriers to participation in community-based activities experienced by active older adults. Method This qualitative study employed the evidence-based paradigm of occupation and Model of Human Occupation to underpin protocol and discussion. Ten participants (females = 9, males = 1) who were aged 64–83 years and actively engaged in their community took part in semi-structured interviews. Participants reported mixed health levels including chronic/terminal illnesses and normal degenerative changes. Interview transcripts were analysed using thematic analysis. Findings Analysis identified four themes of enablers and barriers to community participation. These were: relationships; interests; personal knowledge and awaren...
International Journal of Qualitative Methods, 2019
This article provides methodological guidance to researchers wishing to develop collaborative research projects with local governments and other agencies, by describing the process adopted in a mixed methods study conducted in the City of Wanneroo (the City), a local government area in Perth, Western Australia. The study explored factors related to older people’s (60+ years) participation in community-based activities and links between their participation and levels of social isolation, loneliness, and social connectedness. The research incorporated four interrelated stages: (1) an audit of existing programs in the City and program participant characteristics; (2) focus groups with program participants and interviews with nonparticipants; (3) a cross-sectional survey to assess factors associated with participation and links to social isolation, loneliness, and social connectedness; (4) face-to-face interviews with survey respondents screened at risk for loneliness. Methodological re...
Scandinavian Journal of Occupational Therapy
Background: Social participation can be described as engaging in activities that provide interaction with others, and support for social participation may reduce loneliness and improve health. However, there is limited knowledge about social participation in a home care context. Aim: To explore the perceptions and experiences of community-dwelling older adults with regard to aspects related to social participation in a home care context. Materials and methods: Seven home care recipients, aged 79-94 years, from two Swedish municipalities participated in semi-structured interviews. The interviews were analyzed using qualitative content analysis. Results: The study identified the central theme, Personhood in aloneness and in affinity, as important in accomplishing satisfactory social participation. The results incorporated cultivating personal interests and navigating occupations, as well as having one's needs seen and experiencing mutuality in social encounters. Conclusions: The study nuances existing knowledge about social participation among older home care recipients, and the findings strengthen the importance of framing a home care environment where recipients can cultivate personhood and be recognized as valuable individuals with relevant needs. Significance: This study extends current understandings of the variety and richness of the social participation and occupational engagement enjoyed by older home care recipients, to be considered in research and practice.