Suchergebnisse

Purpose: Medical respite provides postacute care to people experiencing homelessness upon hospital discharge if they are too sick to recover on the streets or in a traditional shelter. The current study examined the feasibility of conducting a study to test the effectiveness of a medical respite intervention for older people experiencing homelessness. Methods: Fifteen patient and 11 provider participants were interviewed between July and November 2018. Results: Participants' considerations for how to design a program of research included (1) desired qualities of researchers; (2) preferences for study design; (3) mechanisms for participant recruitment and retention; (4) what, where, and how to collect data; and (5) barriers and motivations to participation. Conclusions: Findings from this study build on an emerging research base on how to appropriately engage vulnerable patient groups, including older people experiencing homelessness, in trauma-informed research by including peer researchers on research teams to serve as advisors throughout the research process.

AbstractGiven the significant impact the pandemic has had on the lives of older adults, research is needed to understand how conceptions of ageing in place and attitudes about living independently may have shifted during a time marked by significant environmental change. There is a gap in knowledge about how older adults characterise positive support for ageing in place in response to rapid changes in physical and social environments, including home confinement, reduced social interaction and greater barriers to resources. To fill this knowledge gap, we conducted a photovoice study with community-dwelling older adults (N = 17) to understand how their experiences of adapting to pandemic conditions influenced their attitudes and behaviours towards ageing in place. We organised data into five themes: (1) the importance of proximity to family and loved ones; (2) the ability to balance safety and social connectivity; (3) an increased appreciation for the outdoors; (4) new platforms for learning; and (5) the role of inner belief systems. Adapting attitudes, expectations and behaviours through physical, social and personal domains highlights the role of change within an ecological framework of ageing. Findings contribute to the ongoing discourse about ageing in place within an ecological framework by identifying changes that older adults make at individual, interpersonal and system levels. This paper adds to the literature by identifying characteristics of ageing in place that community-dwelling older adults prioritise in the pandemic era. The paper also contributes to a growing body of research that elicits participation and offers the co-creation of knowledge with older adults. Lessons learned from the pandemic will continue to shape and inform future policies on ageing in place.

Purpose
The provision of home and community supports can enable people to successfully age-in-place by improving physical and mental health, supporting social participation and enhancing independence, autonomy and choice. One challenge concerns the integration of place-based supports available as older people transition into affordable housing. Sustainable solutions need to be developed and implemented with the full involvement of communities, service organizations and older people themselves. Partnership building is an important component of this process. The purpose of this paper is to detail the intricacies of developing partnerships with low-income older people, local service providers and nonprofit housing associations in the context of a Canadian housing development.


Design/methodology/approach
A community-based participatory approach was used to inform the data collection and partnership building process. The partnership building process progressed through a series of democratized committee meetings based on the principles of appreciative inquiry, four collaboration cafés with nonprofit housing providers and four community mapping workshops with low-income older people. Data collection also involved 25 interviews and 15 photovoice sessions with the housing tenants. The common aims of partnership and data collection were to understand the challenges and opportunities experienced by older people, service providers and nonprofit housing providers; identify the perspectives of service providers and nonprofit housing providers for the provision and delivery of senior-friendly services and resources; and determine actions that can be undertaken to better meet the needs of service providers and nonprofit housing providers in order to help them serve older people better.


Findings
The partnership prioritized the generation of a shared vision together with shared values, interests and the goal of co-creating meaningful housing solutions for older people transitioning into affordable housing. Input from interviews and photovoice sessions with older people provided material to inform decision making in support of ageing well in the right place. Attention to issues of power dynamics and knowledge generation and feedback mechanisms enable all fields of expertise to be taken into account, including the experiential expertise of older residents. This resulted in functional, physical, psychological and social aspects of ageing in place to inform the new build housing complex.


Research limitations/implications
The time and effort required to conduct democratized partnerships slowed the decision-making process.


Originality/value
The findings confirm that the drive toward community partnerships is a necessary process in supporting older people to age well in the right place. This requires sound mechanisms to include the voice of older people themselves alongside other relevant stakeholders. Ageing well in a housing complex requires meaningful placemaking to include the functional, physical, psychological and social aspects of older people's everyday life in respect to both home and community.

Understanding how creative interventions can help develop social connectivity and resilience for older people is vital in developing a holistic cross-sector approach towards ageing well. Academics with a wide range of expertise critically reflect on how the built environment, community living, cultural participation, lifelong learning, and artist-led interventions encourage older people to thrive and overcome both challenging life events and the everyday changes associated with ageing. The book uses a range of approaches, including participatory research methods, to bring the voices of older people themselves to the foreground. It looks at how taking part in creative interventions develops different types of social relationships and fosters resilience