Civic Engagement for Older Adults With Functional Limitations: Piloting an Intervention for Adult Day Health Participants
Civic Engagement for Older Adults With Functional Limitations: Piloting an Intervention for Adult Day Health Participants
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DOI：
10.1093/geront/gnq019
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发表时间：
2010-10-01
期刊：
影响因子：
5.7
通讯作者：
Spinks, Katie
中科院分区：
文献类型：
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作者：
Dabelko-Schoeny, Holly;Anderson, Keith A.;Spinks, Katie
目的：过去的研究已经证明了公民参与对老年人的重要性，但之前的研究并没有专门关注公民参与对功能受限的老年人的潜在好处。这项试点研究探讨了旨在促进这一不断增长且经常被忽视的人口的公民参与的干预措施的可行性和有效性。设计和方法：从 2 个成人日间健康中心（N = 43）招募了一个方便样本。实施了多方面的干预措施，包括教育、服务和认可阶段。研究人员使用非等效切换复制设计，将接受公民参与干预的参与者与照常接受治疗的参与者进行比较。结果：就可行性而言，干预措施没有问题并且适合该人群；然而，数据收集方面存在挑战。与对照组相比，接受干预的参与者的生活目标、自尊和身体健康感知水平较高，但并不显着。然而，在停止干预 5 周后，参与者报告称自尊心和对身体健康的感知显着下降。启示：公民参与干预措施似乎非常可行，并且对于身体和认知受限的老年人（例如参加成人日间健康计划的老年人）可能有益。未来的研究应该考察最大限度地发挥此类干预措施的效益所需的参与性质和数量。
Purpose: Past research has demonstrated the importance of civic engagement for older adults, yet previous studies have not focused specifically on the potential benefits of civic engagement for older adults with functional limitations. This pilot study explored the feasibility and effectiveness of an intervention designed to promote civic engagement in this growing and often overlooked population. Design and Methods: A convenience sample was recruited from 2 adult day health centers (N = 43). A multicomponent intervention was implemented comprising education, service, and recognition phases. Using a nonequivalent switching replications design, researchers compared participants receiving the civic engagement intervention with participants receiving treatment as usual. Results: In terms of feasibility, the intervention was unproblematic and amenable to this population; however, challenges existed in data collection. Participants receiving the intervention reported higher, yet nonsignificant, levels of purpose in life, self-esteem, and perceived physical health when compared with those in the control group. However, 5 weeks following the withdrawal of the intervention, participants reported a significant decrease in self-esteem and perceived physical health. Implications: Civic engagement interventions appear to be quite feasible and possibly beneficial for older adults with physical and cognitive limitations, such as those enrolled in adult day health programs. Future studies should examine the nature and amount of engagement needed to maximize the benefits of such interventions.