Enhancing Community Participation through Age-Friendly Ecosystems: A Rapid Realist Review

Sixsmith, Judith; Makita, Meiko; Menezes, Deborah; Cranwell, Marianne; Chau, Isaac; Smith, Mark; Levy, Susan; Scrutton, Pat; Fang, Mei Lan

doi:10.3390/geriatrics8030052

Cited by 4 publications

(3 citation statements)

References 59 publications

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“…Education can facilitate and shape the wellbeing of older adults and is a key driver for attaining a demographic dividend and the SDGs. Education is a key mechanism to prepare for old age, especially when complemented by community-contextual factors such as social support, access to healthcare and a better socioeconomic status [ 27 ].…”

Section: Discussionmentioning

confidence: 99%

“…Community-contextual characteristics for this article include environmental factors, accessibility of health and social services and the quality of available infrastructure [ 15 ]. The wellbeing of older Zambians also involves community support and care, anchored in the intergenerational extended family [ 27 ]. However, the family system is in flux [ 28 , 29 ]: a dynamic compounded by the impact of HIV and AIDS, with a significant number of orphans left under the care of older people with no steady income to support themselves and their dependents [ 30 , 31 ].…”

Section: Introductionmentioning

confidence: 99%

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Individual and Community-Contextual Level Factors Associated With Wellbeing Among Older Adults in Rural Zambia

Banda,

Hoffman,

Roos

2024

Int J Public Health

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Objective: This article aims to identify individual and community-contextual level factors associated with the wellbeing of older adults (50 years and older) in rural Zambia.Methods: Data from the nationally representative 2015 Living Conditions Monitoring Survey (LCMS) was used. Employing multilevel mixed effects, the individual and community-contextual factors on wellbeing were determined.Results: Overall, 31.7% of rural older adults perceived their wellbeing as good. Both individual and community-contextual level factors are associated with the wellbeing of older adults in rural communities. At the individual level, wellbeing was associated with higher education attainment. Community-contextual factors significantly associated with wellbeing included improved housing, access to piped tap water within the premises, own charcoal or income to purchase firewood.Conclusion: The findings foreground the imperative to analyse both individual and community-contextual level factors of wellbeing to generate and present evidence for investments in education across the life course and for the development of infrastructure towards increasing the wellbeing of rural older adults. Additionally, the results provide a basis for planning by devising policies and programmes for older people to thrive and for no one to be left behind regardless the setting.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Individual and Community-Contextual Level Factors Associated With Wellbeing Among Older Adults in Rural Zambia

Banda,

Hoffman,

Roos

2024

Int J Public Health

View full text Add to dashboard Cite

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“…However, this behavior is the result of multiple factors working together. Understanding community issues from the perspective of communication ecology has been applied in various studies on older adult health and hygiene, emphasizing the role of the community's physical, social, and digital environments, as well as their supportive infrastructure, in active aging [71][72][73]. In the context of active aging, we believe it is necessary to connect the discussion with the concept of "communicative villages" by breaking down the isolation between the physical, social, and psychological environments.…”

Section: Discussionmentioning

confidence: 99%

Towards a Communication Ecology in the Life of Rural Senior Citizens: How Rural Public Spaces Influence Community Engagement

Feng,

Li,

Zhang

et al. 2024

Sustainability

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The dilemma of weak participation and non-participation of rural communities is a universal topic of global development. The rural public space is an important field for local residents to interact, communicate, and engage with each other, and is an important place for the sustainable development of rural areas. However, previous studies have neglected to understand the intrinsic connection between rural public space and community participation from the perspective of community communication ecology. Based on the concept of age-friendly communities, this study’s fieldwork in rural Shanghai, China, using the methodology of grounded theory, found that physical, social, and psychological factors all have an impact on community engagement among rural residents. Specifically, environmental quality, facility support, community networks, social participation, call to action, place attachment, spatial perception, and self-transformation are identified as the core elements that significantly influence community engagement among rural residents. This study further reveals that the multiple factors influencing community engagement among rural residents are complex and interdependent rather than operating independently. Spatial support, communicative triggers, and symbolic identification, respectively, operate at the technological level (physical–social factors), social level (social–psychological factors), and discursive level (psychological–physical factors) to promote community engagement among older adults in Chinese rural areas. Through this research, we hope to further the realization of rural civic engagement and the sustainability of local communities and to provide scholarly insights into the promotion of more equitable community life.

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The Experiences of Skilled Nursing Staff in Memory Care Units During the COVID-19 Pandemic

et al. 2023

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Background and Objectives The novel coronavirus 2019 (COVID-19) resulted in the need for multiple mitigation strategies. The impacts of these safety measures were felt more extremely by healthcare providers. This qualitative study focused on the experiences of staff in skilled nursing facilities, specifically in locked memory care units, during the first year of the COVID-19 pandemic. Research Design and Methods This study used a basic interpretive methodology. In-depth interviews were conducted with skilled nursing staff members who worked in a locked memory care unit during the 2020 calendar year. Thematic analysis was used to organize and interpret the data. Results A total of 11 participants provided data that resulted in themes around reasons for working on a locked memory care unit, experiences working with people who have behavioral and psychological symptoms due to dementia, training, outcomes of shared experiences, outcomes of policy changes, management support, and suggestions for a future pandemic. Discussion and Implications The results of this study may have implications for skilled nursing facilities with locked memory care units that continue to grapple with the realities of providing care during a pandemic. Providing appropriate training, social support, and the appropriate protective equipment are among some of the suggestions.

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Enhancing Community Participation through Age-Friendly Ecosystems: A Rapid Realist Review

Cited by 4 publications

References 59 publications

Individual and Community-Contextual Level Factors Associated With Wellbeing Among Older Adults in Rural Zambia

Individual and Community-Contextual Level Factors Associated With Wellbeing Among Older Adults in Rural Zambia

Towards a Communication Ecology in the Life of Rural Senior Citizens: How Rural Public Spaces Influence Community Engagement

The Experiences of Skilled Nursing Staff in Memory Care Units During the COVID-19 Pandemic

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