How older citizens engage in their health promotion: a qualitative research-driven taxonomy of experiences and meanings

Menichetti, Julia; Graffigna, Guendalina

doi:10.1136/bmjopen-2015-010402

Cited by 14 publications

(13 citation statements)

References 39 publications

(29 reference statements)

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“…Older people interviewed across the three ‘hard to reach’ groups reported engaging in health promotion to some extent. This is comparable to other research in the general older population that has reported engagement in various health behaviours to stay well [23, 24]. Participants who were members of the two ‘hard to reach’ groups ‘BME’ and ‘living in deprived areas’ reported conflicting messages on taking health advice from health professionals; some of them only trusted their GP for health advice, some were selective in what advice from health professionals they practised, and some were indifferent to health advice, thinking that nothing could be done due to their old age.…”

Section: Discussionsupporting

confidence: 89%

“…In the current study, some older people living in deprived areas reported themselves or their peers of the same age being reluctant to accept health advice and unwilling to participate in health promotion accompanied by little social interaction. This supports previous studies investigating older people’s attitudes towards health promotion concluding that older people in deprived areas are excluded from involvement in social relationships and activities within their wider communities [23, 33]. Targeting and support older people in deprived areas are therefore essential to improve their health and reduce health inequalities [33].…”

Section: Discussionsupporting

confidence: 85%

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Engaging ‘hard to reach’ groups in health promotion: the views of older people and professionals from a qualitative study in England

et al. 2019

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Background Older people living in deprived areas, from black and minority ethnic groups (BME) or aged over 85 years (oldest old) are recognised as ‘hard to reach’. Engaging these groups in health promotion is of particular importance when seeking to target those who may benefit the most and to reduce health inequalities. This study aimed to explore what influences them practicing health promotion and elicit the views of cross-sector professionals with experiences of working with ‘hard to reach’ older people, to help inform best practice on engagement. Methods ‘Hard to reach’ older people were recruited through primary care by approaching those not attending for preventative healthcare, and via day centres. Nineteen participated in an interview ( n = 15) or focus group ( n = 4); including some overlaps: 17 were from a deprived area, 12 from BME groups, and five were oldest old. Cross-sector health promotion professionals across England with experience of health promotion with older people were identified through online searches and snowball sampling. A total of 31 of these 44 professionals completed an online survey including open questions on barriers and facilitators to uptake in these groups. Thematic analysis was used to develop a framework of higher and lower level themes. Interpretations were discussed and agreed within the team. Results Older people’s motivation to stay healthy and independent reflected their everyday behaviour including practicing activities to feel or stay well, level of social engagement, and enthusiasm for and belief in health promotion. All of the oldest old reported trying to live healthily, often facilitated by others, yet sometimes being restricted due to poor health. Most older people from BME groups reported a strong wish to remain independent which was often positively influenced by their social network. Older people living in deprived areas reported reluctance to undertake health promotion activities, conveyed apathy and reported little social interaction. Cross-sector health professionals consistently reported similar themes as the older people, reinforcing the views of the older people through examples. Conclusions The study shows some shared themes across the three ‘hard-to-reach’ groups but also some distinct differences, suggesting that a carefully outlined strategy should be considered to reach successfully the group targeted. Electronic supplementary material The online version of this article (10.1186/s12889-019-6911-1) contains supplementary material, which is available to authorized users.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionsupporting

confidence: 85%

Engaging ‘hard to reach’ groups in health promotion: the views of older people and professionals from a qualitative study in England

et al. 2019

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“…shopping, gardening, crosswords) and internal processes (e.g. accepting decline and interdependency) to maintain positive well‐being (Birkeland & Natvig, ; Boggatz & Meinhart, ; D'Avanzo et al., ; Holm & Severinsson, ; Lloyd et al., ; Lommi et al., ; Menichetti & Graffigna, ; Nicholson, Meyer, Flatley, Holman, & Lowton, ; Warmoth et al., ). Our study showed that people with mild frailty, whose needs have not previously been explored, engage in similar health promotion activities and have similar motivational barriers.…”

Section: Discussionmentioning

confidence: 99%

“…Older people's views have been widely canvassed regarding self‐care, health promotion and lived experiences of frailty (Birkeland & Natvig, ; Lloyd, Kendall, Starr, & Murray, ; Lommi, Matarese, Alvaro, Piredda, & De Marinis, ; Menichetti & Graffigna, ). However, to our knowledge, no study has focussed specifically on community‐dwelling populations with mild frailty in the United Kingdom (UK), explored the acceptability of different health promotion behaviours or offered practical recommendations for designing new health promotion services.…”

Section: Introductionmentioning

confidence: 99%

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Identifying acceptable components for home-based health promotion services for older people with mild frailty: A qualitative study

Frost

Jovicić

Liljas

et al. 2017

Health Soc Care Community

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Mild frailty is common in later life, increasing the risk of hospitalisation, loss of independence and premature death. Targeted health promotion services may reduce adverse outcomes and increase quality of life; however, effective, well-developed theory-based interventions are lacking. We aimed to explore perceptions of health promotion behaviours undertaken by older people with mild frailty, barriers and facilitators to engagement, and identify potential components for new home-based health promotion services. We carried out 17 semi-structured qualitative interviews and six focus groups with 53 stakeholders, including 14 mildly frail older people, 12 family carers, 19 community health and social care professionals, and 8 homecare workers, in one urban and one semi-rural area of England. Transcripts were thematically analysed.Older people with mild frailty reported engaging in a variety of lifestyle behaviours to promote health and well-being. Key barriers or facilitators to engaging in these included transport, knowledge of local services, social support and acceptance of personal limitations. Older people, carers and professionals agreed that any new service should address social networks and mobility and tailor other content to each individual. Services should aim to increase motivation through focussing on independence and facilitate older people to continue carrying out behaviours that improve their wellbeing, as well as provide information, motivation, psychological support and practical support. Stakeholders agreed services should be delivered over a sustained period by trained non-specialist workers. New services including these components are likely to be acceptable to older people with mild frailty. K E Y W O R D Shealth behaviours, health promotion, older people, older people's services, qualitative researchThis is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

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Health Promotion and Quality of Life in Old Age

Boggatz

2019

Quality of Life and Person-Centered Care for Older People

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How older citizens engage in their health promotion: a qualitative research-driven taxonomy of experiences and meanings

Cited by 14 publications

References 39 publications

Engaging ‘hard to reach’ groups in health promotion: the views of older people and professionals from a qualitative study in England

Engaging ‘hard to reach’ groups in health promotion: the views of older people and professionals from a qualitative study in England

Identifying acceptable components for home-based health promotion services for older people with mild frailty: A qualitative study

Health Promotion and Quality of Life in Old Age

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