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Zhou F, Zhang H, Wang HY, Liu LF, Zhang XG. Barriers and facilitators to older adult participation in intergenerational physical activity program: a systematic review. Aging Clin Exp Res 2024; 36:39. [PMID: 38345651 PMCID: PMC10861697 DOI: 10.1007/s40520-023-02652-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2023] [Accepted: 11/03/2023] [Indexed: 02/15/2024]
Abstract
BACKGROUND The intergenerational physical activity program aims to promote the health, social engagement, and well-being of older adults. It is essential to comprehend the barriers and facilitators that affect their involvement to develop successful intervention strategies. This systematic review critically examines available research to identify the factors that impact the participation of older adults in intergenerational physical activity programs. METHODS This study retrieved 13 electronic databases (from January 2000 to March 2023) and used a social-ecological model to classify and analyze the identified facilitators and barriers. RESULTS A total of 12 articles were included, which identified 73 facilitators and 37 barriers. These factors were condensed into 7 primary themes and 14 sub-themes in total. CONCLUSIONS The factors influencing the participation of older adults in intergenerational physical activities are multifaceted. These factors guide project developers, policymakers, and practitioners in developing and implementing intergenerational physical activity programs to help address global aging issues and promote intergenerational connections. TRIAL REGISTRY PROSPERO ID: CRD42023420758.
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Affiliation(s)
- Fan Zhou
- Chengdu University of Traditional Chinese Medicine, Chengdu, 610075, Sichuan, China
| | - Hong Zhang
- Chengdu University of Traditional Chinese Medicine, Chengdu, 610075, Sichuan, China
| | - Hong Yan Wang
- Sichuan Nursing Vocational College, Chengdu, 610100, Sichuan, China
| | - Lin Feng Liu
- Sichuan Nursing Vocational College, Chengdu, 610100, Sichuan, China
| | - Xian Geng Zhang
- Sichuan Nursing Vocational College, Chengdu, 610100, Sichuan, China.
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Sen K, Laheji N, Ramamonjiarivelo Z, Renick C, Osborne R, Beauvais B. Examining the Effect of Contactless Intergenerational Befriending Intervention on Social Isolation Among Older Adults and Students' Attitude Toward Companionship: Content Analysis. JMIR Aging 2024; 7:e47908. [PMID: 38175944 PMCID: PMC10865196 DOI: 10.2196/47908] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2023] [Revised: 08/23/2023] [Accepted: 12/28/2023] [Indexed: 01/06/2024] Open
Abstract
BACKGROUND Intergenerational friendship, a mechanism of social support, is an effective intervention to reduce the increasing risk of social isolation (SI) and develop companionship in the older adult population. The COVID-19 pandemic provided a unique opportunity to examine the psychosocial intervention of befriending via technology use as a primary form of contactless socialization. OBJECTIVE The study aims to explore the effectiveness of the befriending intervention through a contactless, intergenerational service-learning project on older adult emotions, especially boredom and loneliness as the key attributes of SI, and on students' attitude toward companionship. METHODS During the months of January to April 2022 , undergraduate students enrolled in a health administration course with a special focus on culture were asked to be involved in a contactless, intergenerational service-learning project (n=46). In this study, contactless intervention meant communication using the telephone and apps such as FaceTime and Zoom. Students were paired with older adults to have at least a 30-minute weekly conversation, for 8 weeks, via telephone or an internet-based app such as FaceTime. Students were asked to write a half-page diary after each interaction and a 1-page reflection at the end of the fourth week and at the end of the service-learning project. At the completion of the project, the researchers also surveyed the older adults to assess the impact of the project using a 5-item open-ended questionnaire. Following a heuristic approach and content analysis, student artifacts (110,970 words; 118-page, single-spaced Microsoft Word document) and the older adult surveys were analyzed using MAXQDA, (VERBI GmbH). Qualitative data were extracted to assess the impact of service learning on SI by measuring the attributes of boredom and loneliness among 46 older adults. Students' attitudes toward companionship were also assessed using data from their diaries and reflections. RESULTS Overall, three major constructs were identified: (1) meaningful engagement, defined as feeling safe, having increased confidence, and having reduced boredom; (2) internal motivation to participate in the weekly interaction, defined as discussion about daily life experience, level of happiness, and ability to exert personal control over the situation; and (3) intergenerational befriending, defined as perceived benefits from the friendly nature of the interaction, ability to comfortably connect with students, and positive feeling and attitude toward the student. CONCLUSIONS The contactless, intergenerational befriending intervention reduced boredom and loneliness among older adults and enhanced positive attitude and confidence among university students. Students helped older adults to develop digital skills for the use of apps and social media. Older adults showed interest in the intervention and shared their daily life experiences with the students, which helped to reduce the gap between generations. Findings indicate the effectiveness of an intergenerational service-learning intervention on SI reduction and increased positive attitude among college students.
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Affiliation(s)
- Keya Sen
- School of Health Administration, Texas State University, San Marcos, TX, United States
| | - Nida Laheji
- School of Health Administration, Texas State University, San Marcos, TX, United States
| | - Zo Ramamonjiarivelo
- School of Health Administration, Texas State University, San Marcos, TX, United States
| | - Cecil Renick
- School of Health Administration, Texas State University, San Marcos, TX, United States
| | - Randall Osborne
- Department of Psychology, Texas State University, San Marcos, TX, United States
| | - Brad Beauvais
- School of Health Administration, Texas State University, San Marcos, TX, United States
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Lee H, Choi JY, Kim SW, Ko KP, Park YS, Kim KJ, Shin J, Kim CO, Ko MJ, Kang SJ, Kim KI. Digital Health Technology Use Among Older Adults: Exploring the Impact of Frailty on Utilization, Purpose, and Satisfaction in Korea. J Korean Med Sci 2024; 39:e7. [PMID: 38193326 PMCID: PMC10782036 DOI: 10.3346/jkms.2024.39.e7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/12/2023] [Accepted: 10/24/2023] [Indexed: 01/10/2024] Open
Abstract
BACKGROUND The importance of digital technology is increasing among older adults. In this study, the digital health technology utilization status, purpose, and satisfaction of older adults were investigated according to frailty. METHODS A face-to-face survey was conducted among adults aged 65 years or older. Frailty was defined using the Korean version of the fatigue, resistance, ambulation, illnesses, and loss of weight scale. RESULTS A total of 505 participants completed the survey, with 153 (30.3%) identified as pre-frail or frail and 352 (69.7%) as healthy. All respondents used smartphones; 440 (87.1%) were application users, and 290 (57.4%) were healthcare application users. Wearable devices were used by only 36 patients (7.1%). Pre-frail or frail respondents used social media more frequently than healthy respondents (19.4% vs. 7.4%, P < 0.001). Among the respondents, 319 (63.2%) were not able to install or delete the application themselves, and 277 (54.9%) stated that the application was recommended by their children (or partner). Pre-frail and frail respondents used more healthcare applications to obtain health information (P = 0.002) and were less satisfied with wearable devices (P = 0.02). CONCLUSION The usage rate of digital devices, including mobile phones among older adults in Korea is high, whereas that of wearable devices is low. There was a notable difference in the services used by pre-frail and frail respondents compared to healthy respondents. Therefore, when developing digital devices for pre-frail and frail older adults, it is crucial to incorporate customized services that meet their unique needs, particularly those services that they frequently use.
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Affiliation(s)
- Hyejin Lee
- Department of Family Medicine, Seoul National University Bundang Hospital, Seongnam, Korea
- Department of Family Medicine, Seoul National University College of Medicine, Seoul, Korea
| | - Jung-Yeon Choi
- Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Korea
- Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea
| | - Sun-Wook Kim
- Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Korea
- Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea
| | - Kwang-Pil Ko
- Clinical Preventive Medicine Center, Seoul National University Bundang Hospital, Seongnam, Korea
| | - Yang Sun Park
- Devision of Geriatrics, Department of Internal Medicine, Yonsei University of College of Medicine, Seoul, Korea
- Institute for Innovation in Digital Healthcare, Yonsei University Health System, Seoul, Korea
| | - Kwang Joon Kim
- Devision of Geriatrics, Department of Internal Medicine, Yonsei University of College of Medicine, Seoul, Korea
- Institute for Innovation in Digital Healthcare, Yonsei University Health System, Seoul, Korea
| | - Jaeyong Shin
- Department of Preventive Medicine & Institute of Health Services Research, Yonsei University College of Medicine, Seoul, Korea
| | - Chang Oh Kim
- Devision of Geriatrics, Department of Internal Medicine, Yonsei University of College of Medicine, Seoul, Korea
| | - Myung Jin Ko
- Silvia Health, Seoul, Korea
- Seoul National University College of Medicine, Seoul, Korea
| | | | - Kwang-Il Kim
- Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Korea
- Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea.
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Simionato J, Vally H, Archibald D. Circumstances that promote social connectedness in older adults participating in intergenerational programmes with adolescents: a realist review. BMJ Open 2023; 13:e069765. [PMID: 37848294 PMCID: PMC10583064 DOI: 10.1136/bmjopen-2022-069765] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/04/2022] [Accepted: 09/21/2023] [Indexed: 10/19/2023] Open
Abstract
OBJECTIVES Limited social connectedness in older adults is a risk factor for poor physical and mental health. Older adults who are socially isolated, lonely and disconnected have a higher risk of chronic illness, depression and premature death. Current literature suggests that improved social connectedness reduces these risks. Intergenerational programmes are an effective way to improve health outcomes. Despite this, there is yet to be a review using realist review methods that seeks to identify the circumstances that promote social connectedness in older adults participating in intergenerational programmes with adolescents. DESIGN A realist review methodology was chosen to account for the complexity of intergenerational interventions. Nine studies were included. In line with realist review methodology, iterative data extraction and analysis was conducted to identify the specific contexts, mechanisms and outcomes of the programmes. Specific circumstances were identified to develop theories relating to improved social connectedness in older adults. DATA SOURCES MEDLINE, PsycINFO, CINAHL were searched using English language limitation. ELIGIBILITY CRITERIA Included participants were aged 65 and over (older adults) and between 13 and 19 years (adolescents) participating in intergenerational programmes from non-familial generations. Studies had to be published in English between 2000 and 2020 and could be quantitative, qualitative or mixed-methods primary research studies. DATA EXTRACTION AND SYNTHESIS Two independent reviewers used a bespoke data extraction form. All authors were involved in the synthesis process which used the extracted data to illuminate the contexts, mechanisms and outcomes that underpinned reviewed programmes. RESULTS The nine included studies were set in different contexts, including community organisations, schools and aged care facilities. They used an array of interventions including reminiscence therapy, craft or space for conversation. Despite study heterogeneity, the parallels in psychosocial development between older adults and adolescents were shown to be a likely driver for improved social health outcomes. Programmes most likely to improve social health outcomes were those that acknowledged psychosocial development, were delivered in community settings, leveraged pedagogical frameworks, used trained facilitators and supported participants to build relationships through shared purpose. CONCLUSIONS This review contributes a logic model to support the design and development of intergenerational programmes involving adolescents to improve social connectedness in older adults. Future research to test the logic model in practice is needed.
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Affiliation(s)
- Jessica Simionato
- Department of Public Health, La Trobe University, Melbourne, Victoria, Australia
| | - Hassan Vally
- Institute for Health Transformation, Deakin University, Burwood, Victoria, Australia
| | - Daryll Archibald
- Department of Public Health, La Trobe University, Melbourne, Victoria, Australia
- School of Health Sciences, University of Dundee, Dundee, UK
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Sixsmith J, Makita M, Menezes D, Cranwell M, Chau I, Smith M, Levy S, Scrutton P, Fang ML. Enhancing Community Participation through Age-Friendly Ecosystems: A Rapid Realist Review. Geriatrics (Basel) 2023; 8:geriatrics8030052. [PMID: 37218832 DOI: 10.3390/geriatrics8030052] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2023] [Revised: 04/28/2023] [Accepted: 05/05/2023] [Indexed: 05/24/2023] Open
Abstract
This rapid realist review explored the key components of age-friendly ecosystems that promote community participation among older adults. The study (undertaken in 2021 and updated in 2023) synthesized evidence from 10 peer-reviewed and grey literature databases to identify the underlying mechanisms and contextual factors that shape why, under what circumstances, and for whom an age-friendly ecosystems might be effective as well as the intervention outcomes. A total of 2823 records were initially identified after deduplication. Title and abstract screening produced a potential dataset of 126 articles, reducing to 14 articles after full text screening. Data extraction focused on the contexts, mechanisms, and outcomes of ecosystems for older adults' community participation. Analysis suggested that age-friendly ecosystems that aim to promote community participation are characterized by the provision of accessible and inclusive physical environments, the availability of supportive social networks and services, and the creation of opportunities for meaningful engagement in community life. The review also highlighted the importance of recognizing the diverse needs and preferences of older adults and involving them in the design and implementation of age-friendly ecosystems. Overall, the study has provided valuable insights into the mechanisms and contextual factors that contribute to the success of age-friendly ecosystems. Ecosystem outcomes were not well discussed in the literature. The analysis has important implications for policy and practice, emphasizing the need to develop interventions that are tailored to the specific needs and contexts of older adults, and that promote community participation as a means of enhancing health, wellbeing, and quality of life in later life.
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Affiliation(s)
- Judith Sixsmith
- School of Health Sciences, University of Dundee, Dundee DD1 4HJ, Scotland, UK
| | - Meiko Makita
- School of Health Sciences, University of Dundee, Dundee DD1 4HJ, Scotland, UK
| | - Deborah Menezes
- The Urban Institute, Heriot-Watt University, Edinburgh EH14 4AS, Scotland, UK
| | - Marianne Cranwell
- School of Health Sciences, University of Dundee, Dundee DD1 4HJ, Scotland, UK
| | - Isaac Chau
- School of Health Sciences, University of Dundee, Dundee DD1 4HJ, Scotland, UK
| | - Mark Smith
- School of Humanities, Social Sciences and Law, University of Dundee, Dundee DD1 4HN, Scotland, UK
| | - Susan Levy
- School of Humanities, Social Sciences and Law, University of Dundee, Dundee DD1 4HN, Scotland, UK
| | - Pat Scrutton
- Intergenerational National Network, Glasgow G41 1BA, Scotland, UK
| | - Mei Lan Fang
- School of Health Sciences, University of Dundee, Dundee DD1 4HJ, Scotland, UK
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