scholarly journals HEALTH-DISEASE-CARE PROCESS IN OLDER ADULTS LIVING IN RURAL AREAS: PERSPECTIVE OF CULTURALLY COHERENT CARE

2021 ◽  
Vol 30 ◽  
Author(s):  
Carla Weber Peters ◽  
Celmira Lange ◽  
Marcos Aurélio Matos Lemões ◽  
Juliana Graciela Vestena Zillmer ◽  
Eda Schwartz ◽  
...  
Keyword(s):  
Older Adults ◽  
Rural Area ◽  
Older Adult ◽  
Rural Areas ◽  
Health Condition ◽  
Care Process ◽  
Structured Interviews ◽  
Cultural Care ◽  
Development Evaluation ◽  
Social And Cultural Factors

ABSTRACT Objective: to understand the health-disease-care process of the older adult living in rural areas. Method: a qualitative research study from the perspective of Madeleine Leininger's Theory of Diversity and Universality of Cultural Care, carried out with the participation of 19 older adults living in the rural area of a municipality in southern Brazil. Data collection took place in July and August 2018 by means of semi-structured interviews and simple observation. And data analysis was performed following Laurence Bardin's Content Analysis proposal. Results: the conceptions of health and disease of the older adult living in rural areas are mainly related to the ability and inability to perform the activities of daily living and work, especially with the land and animals. We highlight the care practices of older adults living in rural areas with regard to the use of medications, food consumption and the practice of physical exercise. In addition, the notion about their health condition and the capacity for self-management and adaptation to the challenges of the health-disease-care process. Conclusion: the health-disease-care process of older adults living in rural areas is influenced by social and cultural factors of the context in which they are inserted. This suggests the planning, implementation, development, evaluation and (re)formulation of health policies, programs and actions focused on providing culturally congruent care, which encompasses more than the singularities of the rural area, in the sense of dichotomy in relation to the urban area.

scholarly journals Social participation needs of older adults living in a rural area: Toward reducing situations of isolation and vulnerability

2019 ◽  
Author(s):  
Melanie Levasseur ◽  
Sonia Routhier ◽  
Irma Clapperton ◽  
Chantal Doré ◽  
Frances Gallagher
Keyword(s):  
Older Adults ◽  
Action Research ◽  
Rural Area ◽  
Social Participation ◽  
Rural Areas ◽  
Community Organization ◽  
Health Condition ◽  
Personal Factors ◽  
Convenience Sample ◽  
The Social

Abstract 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, well-being 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 first part of this action research will be followed by community selection and implementation of initiatives to ultimately foster their social participation.

scholarly journals Homeless on Main Street: Using Photovoice to Highlight Older Adults Among the Hidden Homeless

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 728-728
Author(s):  
H Shellae Versey
Keyword(s):  
Older Adults ◽  
Rural Areas ◽  
Meaning Making ◽  
Small Towns ◽  
Photo Elicitation ◽  
Service Agency ◽  
Structured Interviews ◽  
Community Based Interventions ◽  
Community Based ◽  
Formerly Homeless

Abstract Homelessness is a reality for a growing number of Americans living in small towns and rural areas. However, unlike in cities, housing instability may be less visible. Using a photo-elicitation method (i.e., Photovoice), this study explores the meaning of place and obscured visibility to currently and formerly homeless older adults living in a small town in central Connecticut. Participants (N = 27) were recruited from a local service agency, given cameras and asked to photograph areas around town that were meaningful to them. Photographs were developed and followed by in-person, semi-structured interviews with participants in which photos and experiences during the project were discussed. Primary themes included belonging, generativity, social isolation, and place-making as meaning-making. The study culminated in a community photography exhibition in which photographs from the project were displayed in public spaces around town. Implications for community-based interventions to reach homeless groups in rural areas are discussed. Part of a symposium sponsored by the Qualitative Research Interest Group.

“It’s My Time”: Older Adults’ Experiences and Perceived Benefits of Participation in an Intergenerational Rock Band

2019 ◽  
Vol 38 (2) ◽  
pp. 187-194
Author(s):  
Natalie Wlodarczyk
Keyword(s):  
Older Adults ◽  
Older Adult ◽  
Positive Impact ◽  
Qualitative Content Analysis ◽  
Perceived Benefits ◽  
Structured Interviews ◽  
Rock Band ◽  
Ability Levels ◽  
Free Environment ◽  
First Time

Abstract The purpose of this qualitative content analysis was to explore the experiences and perceived benefits for older adult members who participated in an intergenerational rock band (IGRB) pairing older adults with college students. Participants (n = 29) were first-time older adult IGRB members who completed semi-structured interviews over the course of 5 years. Interviews were completed within 1 week of the conclusion of the semester-long participation in the IGRB. Each interview was digitally recorded, manually transcribed, and analyzed using an iterative approach to thematic analysis. Experiences and perceived benefits associated with participation in the IGRB for these older adults were encompassed by four themes: Staying Active, Wanting to Try Something New, Feeling Connected, and Seeking Positive Experiences. Findings indicate that an IGRB is an innovative, collaborative, and inclusive intergenerational music-making experience that leaves a multifaceted and overall positive impact on its older adult members. Themes suggest that older adults with musical backgrounds may enjoy an experience like an IGRB because it brings a level of familiarity coupled with the opportunity to try something new and different from their previous experiences with music. A key contribution of this study is the importance of promoting a judgment-free environment for singing that is inclusive of all ability levels. Developing a better understanding of older adults’ motivations for participating in an IGRB may help us to plan future music experiences for older adults and broaden our reach to the older adult community.

scholarly journals Older Adult Caregivers’ Experiences in an Online, Interactive Mindfulness Intervention

2020 ◽  
Vol 25 ◽  
pp. 2515690X2096065
Author(s):  
Janella Hudson ◽  
Rachel Ungar ◽  
Laurie Albright ◽  
Rifky Tkatch ◽  
James Schaeffer ◽  
...  
Keyword(s):  
Social Support ◽  
Older Adults ◽  
Older Adult ◽  
Stress Reduction ◽  
Perceived Social Support ◽  
Qualitative Content Analysis ◽  
Structured Interviews ◽  
Mindfulness Intervention ◽  
Adult Caregivers ◽  
Older Adult Caregivers

Background. While today’s older adults experience longevity, they often manage several chronic conditions and increasingly serve as informal caregivers for aging parents, children with life-long disabilities, and spouses. Older adult caregivers managing personal chronic illness often experience significant psychosocial hardships. Objective. The primary purpose of this study was to explore the experiences of older adult caregivers in an online, interactive mindfulness intervention. Methods. Self-reported older caregivers who participated in an online-based mindfulness program (n = 20) were recruited for semi-structured interviews. Participants were asked to provide feedback about any previous experience with mindfulness and/or meditation, hopes or goals held prior to the start of the program, desired expectations, motivation for joining, impressions of sessions, most beneficial topics, potential application of content, and any perceived effects. Participants’ responses were analyzed using qualitative content analysis. Results. Five themes emerged from the analysis: Managing the Comprehensive Effects of Caregiving, Openness to Meditation and Mindfulness, Course Engagement and Incremental Growth, Building Rapport through Shared Experiences, and Ongoing Application and Opportunities for Refinement. Participants reported both short-term post-exercise benefits such as increased calm, relaxation, and stress relief, as well as long-term positive outcomes. Notably, participants found the program’s unique interactive feature to be particularly beneficial as a form of perceived social support. Conclusions. Caregivers for older adults may derive benefit and potentially experience reduced subjective caregiver burden as a result of participating in a Mindfulness-Based Stress Reduction (MBSR) program, particularly when the program is augmented with a self-compassion approach and perceived social support.

scholarly journals The role of transportation in older adult social activity participation: a qualitative study in Mississauga, Ontario

2021 ◽  
Author(s):  
Sonia Suet Yi Tam
Keyword(s):  
Older Adults ◽  
Land Use ◽  
Older Adult ◽  
Social Activity ◽  
Health And Safety ◽  
Structured Interviews ◽  
Suburban Communities ◽  
Transportation Modes ◽  
Travel Diaries ◽  
Land Use Policies

The purpose of this research was to explore accessibility and how older adults in suburban communities are participating in social activities outside their home. Twenty older adults in Mississauga, Ontario took part in this study. A combination of activity-based travel diaries and semi-structured interviews were used to collect data. Findings suggest that understandings of accessibility vary between users of different transportation modes. Further, travel time rather than distance travelled may be a more significant indicator of participation. Land use mix also attracts participation, while conditions that risk the health and safety of older adults are deterrents. This research contributes to the limited literature on older adult social participation as related to transportation. Results from this study highlight potential problems for older adult accessibility in a suburban context. Research may inform the development of accessibility interventions, municipal land use policies, and public transit strategies to build healthier, more inclusive age-friendly communities.

scholarly journals Social participation needs of older adults living in a rural regional county municipality: Toward reducing situations of isolation and vulnerability

2020 ◽  
Author(s):  
Melanie Levasseur ◽  
Sonia Routhier ◽  
Irma Clapperton ◽  
Chantal Doré ◽  
Frances Gallagher
Keyword(s):  
Older Adults ◽  
Action Research ◽  
Social Participation ◽  
Rural Areas ◽  
Community Organization ◽  
Health Condition ◽  
Support Network ◽  
Personal Factors ◽  
Convenience Sample ◽  
The Social

Abstract Background: Social participation is restricted for approximately half the older adult population but is critical in fostering community vitality, promoting health, and preventing disabilities. 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 regional county municipality.Methods: A participatory action research was conducted in a rural regional county municipality (RCM) in Quebec, Canada, with a convenience sample of 139 stakeholders, including older adults, caregivers, healthcare and community organization managers, healthcare and community organization workers, community partners and key informants.Results: Facilitators and barriers to social participation are 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 older adults’ 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 first part of this action research will be followed by community selection and implementation of initiatives designed to ultimately foster their social participation.

scholarly journals Lifelong Learning in the County

2018 ◽  
Vol 27 (1) ◽  
Author(s):  
Donald N. Roberson, Jr.
Keyword(s):  
Older Adults ◽  
Public Schools ◽  
Rural Area ◽  
Rural Areas ◽  
Rural Life ◽  
Rural County ◽  
Positive Aspect ◽  
Personal Learning ◽  
Continued Education ◽  
The Impact

The purpose of this study was to understand more about the impact of living in a rural area on personal learning with older adults. This is important to consider because of the higher concentration of older adults in rural areas. This qualitative research was based on twenty interviews with older adults. All of the participants lived in the same rural county in south Georgia (USA). One of the results from this research was the positive description of living in a rural area. Despite literature that often describes rural areas in a negative light; all of the  participants spoke about the positive aspect of living in a rural area. These positive characteristics were discussed as simplicity, quiet, community, and nature. Negative aspects of rural life were mentioned as lack of resources and fewer people. Ten participants were purposefully chosen who were identified as active older adults who continue to learn. Two interviews with each person were conducted and the interviews were transcribed verbatim. The findings were based on recurring themes as a result of comparative analysis throughout the process. Public schools can contribute to the continued education of older adults by holding various classes as well as incorporating volunteerism.  

Older adult recovery: “What are we working towards?”

2016 ◽  
Vol 21 (1) ◽  
pp. 1-10 ◽  
Author(s):  
Samantha Rankin ◽  
Stephanie Petty
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Clinical Practice ◽  
Older Adult ◽  
Later Life ◽  
Mental Health Setting ◽  
Personal Recovery ◽  
Structured Interviews ◽  
Content Type ◽  
Inpatient Mental Health

Purpose – The perspectives of frontline clinical staff working with individuals in later life within an inpatient mental health setting, of their role in recovery, have not yet been explored. The purpose of this paper is to understand what recovery means within an inpatient mental health setting for older adults. The authors address clear implications for clinical practice. Design/methodology/approach – Semi-structured interviews were conducted with 11 multidisciplinary participants across two specialist older adult recovery units at an independent hospital in the UK. Thematic analysis was applied to the transcripts. Findings – Three main themes were identified: participants identified their normative task as the promotion of “moving on” (clinical recovery) and their existential task as personal recovery. The context in which recovery happens was highlighted as the third theme. These represented competing workplace goals of clinical and personal recovery. This highlights the need to give permission to personal recovery as the process that enables mental health recovery in older adults. Originality/value – Staff working in a inpatient mental health service for older adults discussed the meaning of recovery and their role in enabling recovery. This has implications for sustainable clinical practice in this setting. Recovery-orientated practice in this setting is required but the detail is not yet understood.

scholarly journals Barriers to Engage Low-Skilled Adults in Educational Opportunities: A Global Perspective

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 64-64
Author(s):  
Abigail Helsinger ◽  
Nytasia Hicks ◽  
Meghan Young ◽  
Oksana Dikhtyar ◽  
Phyllis Cummins ◽  
...  
Keyword(s):  
Older Adults ◽  
Older Adult ◽  
Learning Opportunities ◽  
Global Perspective ◽  
Middle Aged ◽  
Structured Interviews ◽  
Key Informants ◽  
Program Costs

Abstract The demand for adult education and training (AET) opportunities is substantial as older adults are remaining in the labor force at older ages, and are facing substantial technological changes in the workplace. Strategies to engage middle-aged and older adult workers in AET often exclude low-skilled and sub-populations. The engagement of these sub-populations in AET is challenging as access, awareness, and program costs associated with AET opportunities often target highly skilled populations. The inequality in AET participation warrants specific programs and strategies to address challenges low-skilled adult workers face in pursuing AET. The purpose of this study is to identify AET opportunities for low-skilled middle-aged and older adults, as well as highlight major barriers to engage and retain these sub-population in AET. Data were collected from 36 key informants through semi-structured interviews and through document reviews. Key informants represented Australia, Canada, Italy, Norway, the Netherlands, the U.K., and the U.S. Descriptive methods were used to identify barriers in recruiting and retaining low-skilled middle-aged and older adults. We particularly focused on the barriers related to cost, language, access, and awareness. Results highlighted opportunities tailored to support adult workers in the pursuit of adult learning opportunities both domestically and internationally. Barriers including learning histories, lack of long-term person-centered support, as well as the role of multiple forms of learning, such as formal and informal learning, were identified. Last, we provide recommendations for recruiting and retaining middle-aged and older adult workers in AET programs.

scholarly journals Social participation needs of older adults living in a rural regional county municipality: toward reducing situations of isolation and vulnerability

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Mélanie Levasseur ◽  
Sonia Routhier ◽  
Irma Clapperton ◽  
Chantal Doré ◽  
Frances Gallagher
Keyword(s):  
Older Adults ◽  
Action Research ◽  
Social Participation ◽  
Rural Areas ◽  
Community Organization ◽  
Health Condition ◽  
Support Network ◽  
Personal Factors ◽  
Convenience Sample ◽  
The Social

Abstract Background Social participation is restricted for approximately half the older adult population but is critical in fostering community vitality, promoting health, and preventing disabilities. 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 regional county municipality. Methods A participatory action research was conducted in a rural regional county municipality (RCM) in Quebec, Canada, with a convenience sample of 139 stakeholders, including older adults, caregivers, healthcare and community organization managers, healthcare and community organization workers, community partners and key informants. Results Facilitators and barriers to social participation are 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 older adults’ 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 first part of this action research will be followed by community selection and implementation of initiatives designed to ultimately foster their social participation.

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