Social Participation Among Older Adults Receiving Community Care Services

Siette, Joyce; Berry, Helen; Jorgensen, Mikaela; Brett, Lindsey; Georgiou, Andrew; McClean, Tom; Westbrook, Johanna I.

doi:10.1177/0733464820938973

Cited by 24 publications

(18 citation statements)

References 39 publications

(51 reference statements)

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“…Environmental and infrastructure factors refers to the existence and availability of the social activities [ 14 ]. Demographic characteristics including age, education level, and income were found to be factors, although the results have been inconsistent [ 13 , 15 ]. Personal health, skills, motivations, and social networks also serve as barriers/facilitators, especially social and family networks, which are protective against later barriers in ageing [ 16 ].…”

Section: Introductionmentioning

confidence: 99%

Obstacles to access to community care in urban senior-only households: a qualitative study

et al. 2022

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Background The increased number of older adults living alone has created a substantial care need. However, the utilization rate of services and facilities to meet these needs are surprisingly low. Many of older adults experience difficulties accessing these services, although it remains unclear how these obstacles impede access to services. This study explored the obstacles and difficulties experienced by urban older adults in seeking community care. Methods A phenomenological study was carried out and participatory observation and in-depth interviews were employed to investigate the process of seeking care of older adults in urban communities. A total of 18 urban community-dwelling older adults aged 75 years and over were included. Data collected were analysed by content analysis. Results We identified the pathways by which senior-only households sought community care and encountered obstacles. (1) lack of community care information: older adults did not know where and how to get services, even though the care institutions scattered throughout the community; (2) limited mobility: older adults often suffered from various chronic diseases, which physically hindered their access to care resources; (3) complex process of achieving care: the functional fragmentation and geographical dispersion of care institutions made the care-seeking process challenging and confusing for older adults; (4) incomprehension of needs expression: limited interaction time and communication barriers between staff of institutions and the older adults were the final obstacle. Only by surmounting these obstacles one by one can older adults access the care resources effectively. Conclusions When older adults in the community initiated calls for help, they encountered several obstacles. Their physiological and social disadvantages limited their ability to seek care physically. Lack of integration and clear guidance in the process of providing community care exacerbated these difficulties. Reform of care services should focus on the visibility and accessibility of services for older adults.

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Section: Introductionmentioning

confidence: 99%

Obstacles to access to community care in urban senior-only households: a qualitative study

et al. 2022

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“…Further studies should be conducted to assess whether and how drinking and smoking affect healthy ageing. People who are involved in social life are more likely to be healthy, related to the environmental factors in which they live [ 42 – 44 ]. We should encourage older people to participate more in social activities to develop a good environment and outlook.…”

Section: Discussionmentioning

confidence: 99%

Urban-rural disparities in the healthy ageing trajectory in China: a population-based study

Zeng

Gan

et al. 2022

BMC Public Health

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Purpose The aim of this study is to measure the trajectory of healthy ageing among Chinese middle-aged and older population, and explore the disparity of the trajectory, as well as contributing factors, between urban and rural areas in China. Methods A total of 9402 respondents aged 45 years and older interviewed in four waves (2011, 2013, 2015 and 2018) were selected from the China Health and Retirement Longitudinal Study. Healthy ageing score was calculated through item response theory. A latent growth mixture model (LGMM) was applied to distinguish the trajectory of healthy aging. A multinomial logistics regression model (MLRM) was used to explore the relationship between urban-rural areas and healthy aging trajectories, and further to explore associated factors in rural and urban areas separately. Results The healthy ageing score was lower in rural areas than urban areas in each survey wave. Five classes (“continuing-low”, “continuing-middle”, “continuing-middle-to-high”, “significantly-declining”, “continuing-high”) were grouped through LGMM. The MLRM results showed that urban living was significantly associated with a higher likelihood of being healthy (for [continuing-low/continuing-high]: β = − 1.17, RRR = 0.31, P < 0.001, 95% CI = 0.18–0.53; and for [continuing-middle/continuing-high]: β = − 0.53, RRR = 0.59, P < 0.001, 95% CI = 0.49–0.71). Conclusion Healthy ageing is a prominent objective in the development of a country, and rural-urban disparities are an essential obstacle to overcome, with the rural population more likely to develop a low level of healthy ageing trajectory. Prevention and standardized management of chronic diseases should be enhanced, and social participation should be encouraged to promote healthy ageing. The policy inclination and resource investment should be enhanced to reduce disparity in healthy ageing between urban and rural areas in China.

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“…Staff reported they were unable to simultaneously provide social and clinical support to frail or incontinent clients, largely due to service structures and fees (Department of Health, 2020). However, now with more older and frailer people supported to live in their own homes for longer, this type of service needs to be updated to reflect the now more varied needs of clients (Department of Health, 2020) and be adaptable to the changing restrictions of the pandemic (e.g., online group sessions, virtual excursions) (Siette et al, 2020a).…”

Section: Discussionmentioning

confidence: 99%

‘I go home with a happy heart’. Enhancing community aged care services to sustain togetherness: Perspectives from Australian staff and clients

Siette

Knaggs

Nguyen

et al. 2021

Health Social Care Comm

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Social participation is critical to the health and well‐being of older adults, however, participation often declines with age. Research has identified that personal and environmental factors such as high socioeconomic status and accessible transportation are associated with higher levels of social participation. However, the barriers and facilitators to social participation experienced by older adults receiving community aged care services remains largely unexplored. This qualitative study aimed to generate context‐rich data and identify the barriers and facilitators to effective community care services that can support older adults’ participation in the community and contribute to individual well‐being. Semi‐structured focus groups were conducted with 40 community aged care clients and 21 staff members between January to July 2018 and thematic analysis was undertaken. Environmental factors, such as availability and accessibility of transportation services emerged as the most important factors influencing participation. Older age, self‐attitude towards one's own functional ability and limited social networks were important personal factors affecting participation. Proactive aged care services (e.g., engaged staff, tailored activities) were reported to assist with continual engagement in aged care services. In contrast, the type, location and accessibility of the activity, associated costs and limited options for accessible transportation were key barriers to older adults’ social participation. Pathways contributing to positive engagement were complex and variable, but personal well‐being and local community resources emerged as important factors encouraging higher social participation. These findings are discussed in the context of the ongoing pandemic and implications for future aged care services are provided.

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Social Participation Among Older Adults Receiving Community Care Services

Cited by 24 publications

References 39 publications

Obstacles to access to community care in urban senior-only households: a qualitative study

Obstacles to access to community care in urban senior-only households: a qualitative study

Urban-rural disparities in the healthy ageing trajectory in China: a population-based study

‘I go home with a happy heart’. Enhancing community aged care services to sustain togetherness: Perspectives from Australian staff and clients

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