21st Century Good Neighbor Program: An Easily Generalizable Program to Reduce Social Isolation in Older Adults.

21st Century Good Neighbor Program: An Easily Generalizable Program to Reduce Social Isolation in Older Adults.
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DOI:
10.3389/fpubh.2021.766706
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发表时间:
2021
影响因子:
5.2
通讯作者:
Carrion A
Carrion A
中科院分区:
医学3区
文献类型:
--
作者:
Sandu S;Sreedhar S;Chang L;Cohen L;Cruz A;Olson HR;Sreedhar R;Gomez K;Carrion A

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目的:在这场千载难逢的人道主义危机中,做一个好邻居意味着什么?这意味着,作为一个社区,我们必须解决老年人等弱势群体面临的孤独和护理障碍。我们共享一个由卫生专业人员和本科生志愿者实施的廉价的纵向体验式服务学习计划,旨在帮助缓解老年人的孤独感,同时向志愿者传授有意义的经验。干预设计和背景:21世纪好邻居项目是对2020年5月开始的体验式服务学习项目的观察性队列研究,本文分享了1年后收集的结果。这个纵向的、每周一次的电话通话计划是在美国中西部的一个单一社区环境中进行的。由当地社区服务机构(CSA)提供服务的60岁以上的老年人被邀请参加。志愿者由18岁或以上的学生组成。在为期一年的过程中,学生志愿者按照标准化的通话脚本,定期给两名老年人打电话。老年人的孤独感是由志愿者使用加州大学洛杉矶分校的3个项目的孤独评估来衡量的。结果:261名老年人参与了与一名志愿者的对话。共有1,391个来电被老年人接受,欢迎来电的中位数时长为11分钟。平均基线孤独感得分为4.156±1.4 1,社交孤立感发生率为19.5%。在第一年的随访中,加州大学洛杉矶分校的孤独感得分没有显著变化。然而,大多数志愿者(88%)同意或强烈同意该计划对他们有积极影响。此外,该项目确定了老年人面临的257个需要跟进的问题。志愿者向社区服务机构提交的最普遍的关切是与公用事业、食物和交通准入有关的问题。结论:21世纪好邻居计划是一种独特的干预措施,学生志愿者和社区服务机构配对的老年人通过一个基于电话的纵向计划建立关系。这一易于实施的计划提供了另一层支持,以确定和提交影响健康的社会决定因素的问题。在19型新冠病毒大流行的背景下,志愿者的满意带来的额外好处令人振奋。我们希望继续研究这种干预对这一弱势群体中社会孤立的影响。
Aim: In this once-in-a-lifetime humanitarian crisis, what does it mean to be a good neighbor? It means that as a community, we must address loneliness and barriers to care faced by vulnerable populations such as older adults. We share an inexpensive longitudinal experiential service-learning program implemented by health professions and undergraduate student volunteers that aims to help alleviate loneliness in older adults while imparting meaningful experiences to volunteers. Intervention Design and Setting: The 21st Century Good Neighbor Program is an observational cohort study of an experiential service-learning program started in May 2020, and this article shares the results collected after 1 year. This longitudinal, weekly phone call program was conducted in a single community setting in the Midwestern part of the United States. Older adults over the age of 60 served by a local community service agency (CSA) were invited to participate. Volunteers consisted of students 18 or older. Student volunteers made regular phone calls to a pair of older adults throughout the course of 1 year following standardized call scripts. The loneliness of the older adults was measured by volunteers using the 3-item UCLA Loneliness Assessment. Results: 261 older adults were engaged in conversations with a volunteer. A total of 1,391 calls were accepted by older adults and the median length of a welcomed call was 11 min. The average baseline loneliness score was 4.156 ± 1.41 and the prevalence of social isolation was 19.5%. There was no significant change in the UCLA loneliness score in the first year of follow up. However, a majority of volunteers (88%) agreed or strongly agreed that the program had a positive impact on them. In addition, the program identified 257 issues older adults faced that required follow-up. The most prevalent concerns referred to the community service agency by volunteers were issues related to utilities, food and transportation access. Conclusion: The 21st Century Good Neighbor Program is a unique intervention in which student volunteers and older adults paired by a community service agency forge relationships though a longitudinal phone call-based program. This easy-to-implement program provides another layer of support to identify and refer issues that impact social determinants of health. The added benefit of volunteer satisfaction in the setting of COVID 19 pandemic is heartening. We hope to continue to study the impact of this intervention on social isolation in this vulnerable population.
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