A review on healthy ageing interventions addressing physical, mental and social health of independent community-dwelling older adults

Seah, Betsy; Kowitlawakul, Yanika; Jiang, Ying; Ang, Emily; Chokkanathan, Srinivasan; Wang, Wenru

doi:10.1016/j.gerinurse.2018.06.002

Cited by 35 publications

(15 citation statements)

References 40 publications

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“…Some authors [113,114] underline the need to achieve consensus and interdisciplinary complementariness in the design of intervention programmes, based on the fostering of stakeholder communication, environmental optimisation and fit to participant needs and preferences. In turn, the formulation of intervention programmes must be underpinned by a diagnosis of potential participants' care needs and preferences, as well as their functional, cognitive and sensory capacities, environmental and sociocultural characteristics, the legal and political framework, and training of professionals based on an interdisciplinary approach [33,115].…”

Section: Discussion: Success Of Interventionsmentioning

confidence: 99%

Environmental and Psychosocial Interventions in Age-Friendly Communities and Active Ageing: A Systematic Review

Sánchez-González

Rojo-Pérez

Rodríguez-Rodríguez

et al. 2020

IJERPH

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Background: The academic literature contains little information regarding the interventions that create age-friendly cities and communities in order to promote active ageing. Objectives: A systematic review was carried out to determine the available empirical evidence in relation to the characteristics, content and effectiveness of interventions aimed at improving environmental and psychosocial risk factors for older people, from the perspective of age-friendly communities and the promotion of active ageing. Methods: Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, the studies retained in this review were identified through a systematic search of the academic literature in selected electronic databases including Web of Science and Scopus. Independent critical appraisal and data extraction were conducted by two reviewers. The checklist was used to assess the quality of the articles. Findings: The search identified 1020 potentially eligible documents, of which 11 satisfied the established criteria. Non-exhaustive practices prevailed over rigorous investigations, with a high proportion of studies observed to be of low methodological quality and at high risk of bias. This reflected the predominance of uncontrolled interventions. Environmental interventions were focused on reducing risk and adapting the everyday environmental setting, while psychosocial interventions prioritised social strategies (behavioural changes, promotion of participation) and training. Interventions were more effective in certain domains of age-friendly cities and communities such as transportation and housing, followed by increased participation as a lifestyle-related behavioural change. The inferred changes were associated with providing information and enhancing skills; modifying access, barriers, exposures, and opportunities; enhancing services and support; continuity and effectiveness of changes over time; and modifying policies based on the bottom-up approach of age-friendly cities and communities (AFCC). Discussion and conclusion: Interventions focused on personal and organisational aspects might have positive effects in the longer term. However, fewer changes would be observed in interventions revolving around changing lifestyles owing to the impact of complex multi-causal factors. The relative effectiveness in terms of health calls into question the design of interventions and the supposed “friendliness” of certain communities. There is a need to encourage sound longitudinal research aimed at providing key knowledge for the implementation and evaluation of public policies, and to encourage age-friendly community programmes to promote active ageing.

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Section: Discussion: Success Of Interventionsmentioning

confidence: 99%

Environmental and Psychosocial Interventions in Age-Friendly Communities and Active Ageing: A Systematic Review

Sánchez-González

Rojo-Pérez

Rodríguez-Rodríguez

et al. 2020

IJERPH

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“…Moreover, to promote health, the health development model emphasises a multilevel approach involving both the individual and the society with its environment around the person. However, even though both an individual and societal perspective are needed, health interventions tend to be focused on the individual level and the person’s behaviours to improve or maintain health and lack a multilevel approach [ 8 , 9 ].…”

Section: Introductionmentioning

confidence: 99%

Give Older Persons a Voice in the Society—By Using Information Compiled during Preventive Home Visits on a Societal Level

Nivestam

Haak

Westergren

et al. 2021

IJERPH

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Preventive home visits (PHVs) are offered to older persons with the purpose of promoting health and preventing risks on an individual level. However, aspects of health need to be considered on a societal level as well. This study aims to get a deeper understanding of perceptions of the usability of the information compiled during the PHVs to promote health, among older persons, on a societal level. Three online focus groups were conducted with heads of unit of PHVs, heads of department, and politicians responsible for health and welfare in seven municipalities in Sweden (n = 12). The findings were visualised in the core category Enable an inclusive society and the interrelated categories Monitoring determinants of health and Enabling exchange of information. The information from the PHVs could be used to monitor determinants of health by identifying assets, challenges, shifts, trends, and future needs in the society. Moreover, exchange of information from the PHVs could occur within and outside the health and welfare organisation. However, the potential use was affected by hindrances illustrated in the category Obstacles to interpreting and communicating the information. To conclude, using the information from the PHVs could possibly contribute to an inclusive society, where persons not usually represented in decision making are given a voice.

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“…The inventory of health assets may exist at the individual, community, or population level to buffer against stressors encountered by older adults and can be mapped in accordance to older adults’ interactions with their communities and ecosystems [ 13 ]. These health assets can subsequently be incorporated in healthy aging interventions that adopt a person-focused or environment-focused approach to address the biopsychosocial health of older community dwellers [ 14 ].…”

Section: Introductionmentioning

confidence: 99%

Supporting the mobilization of health assets among older community dwellers residing in senior-only households in Singapore: a qualitative study

et al. 2020

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Background Care activities provided by community health practitioners for older adults primarily focused on disease prevention and management. However, healthy longevity can go beyond disease prevention and management and promote greater well-being by tapping into the accrual of resources that older adults possess using the salutogenic approach. This study explored how health resources are used among older adults who are residing in senior-only households to promote and maintain health, with the intent of providing insights into how community health practitioners can support these older adults via asset-based strategies. Methods We adopted a descriptive qualitative study design using focus group discussions. Twenty-seven older adults who either lived alone or with their spouses were purposively sampled from an elderly populated residential estate in Singapore. Six focus group discussions, conducted from December 2016 to May 2017, were audio-recorded, transcribed, and analyzed using thematic analysis. Results The themes that emerged were ‘tapping on internal self-care repository’, ‘maintaining and preserving informal social support’, and ‘enabling self by using environmental aids’, and an eco-map of aging assets was used to capture an overview of internal and external resources. With the repository of personal strengths, knowledge, and experiences, these older adults were generally resourceful in navigating around their resource-rich environments to cope with everyday life stressors and promote health. However, they were occasionally limited by individual factors that affected their comprehension, access, maintenance, and utilization of resources. Conclusion The eco-map of aging assets can be used as an assessment framework by community health practitioners to recognize, consider, and build a repertoire of resources among these older adults. It serves as a gentle reminder to adopt an ecological approach in considering and tapping into older adults’ wide-ranging personal, social, and environmental resources. Community health practitioners can support resource integration as resource facilitators via cognitive, behavioral, and motivational salutogenic pathways to overcome resource mobilization barriers faced by older adults. Such an approach helps older adults to find their internal capabilities and abilities to know who, where, what, and how to seek external resources to identify solutions, creating the intrinsic value to sustain their actions on resource utility.

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A review on healthy ageing interventions addressing physical, mental and social health of independent community-dwelling older adults

Cited by 35 publications

References 40 publications

Environmental and Psychosocial Interventions in Age-Friendly Communities and Active Ageing: A Systematic Review

Environmental and Psychosocial Interventions in Age-Friendly Communities and Active Ageing: A Systematic Review

Give Older Persons a Voice in the Society—By Using Information Compiled during Preventive Home Visits on a Societal Level

Supporting the mobilization of health assets among older community dwellers residing in senior-only households in Singapore: a qualitative study

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