Community participation of community dwelling older adults: a cross-sectional study.

Community participation of community dwelling older adults: a cross-sectional study.
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DOI:
10.1186/s12889-021-10592-4
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发表时间:
2021-03-29
期刊:
影响因子:
4.5
通讯作者:
George S
George S
中科院分区:
医学2区
文献类型:
--
作者:
Gough C;Lewis LK;Barr C;Maeder A;George S

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随着人口老龄化和医疗服务需求的不断增加,社区参与已成为健康老龄化的重要考虑因素。社区参与度低与死亡率增加和社会孤立有关。客观衡量老年人的社区参与程度仍然很少。本研究旨在描述老年人在何处以及如何参与社区,并确定社区参与测量方法的可行性。这项观察性横断面研究获得了 46 名社区居住老年人的数据。在 7 天的监测期内,结合使用了全球定位系统 (GPS)、加速度计和自我报告日记。通过计算 GPS 数据的丢失、问卷以及自我报告的位置与 GPS 坐标的比较来确定方法的可行性。探讨了社区参与、体育活动、社交互动、健康相关的生活质量、睡眠质量和孤独感之间的关系。在 7 天的监测期内,老年人的中位数 (IQR) 为 15 次 (9.25–18.75) 次外出,最常去商业和娱乐场所。家庭活动本质上主要是久坐,而户外活动则取决于地点类型。外出旅行和访问地点的自我报告和 GPS 测量值显着相关(自我报告 15.7 (5.6) GPS 14.4 (5.8) (r = 0.94))。观察到在家出行次数与社交互动 (r = 0.62) 和中度至剧烈体力活动 (MVPA) 分钟数 (r = 0.43) 之间存在显着相关性。访问当地步行/绿地的参与者的每日 MVPA 较高 (r = 0.48)。参与者在户外进行更多社交互动活动,并且最常访问商业场所。 GPS、加速度测量和自我报告方法的结合提供了老年人社区参与的详细情况。需要对不同健康状况的老年人进行进一步研究,以概括社区参与、地点和身体活动之间的关系。获得了弗林德斯大学社会和行为研究伦理委员会的伦理批准(协议号 8176)。在线版本包含可在 10.1186/s12889-021-10592-4 获取的补充材料。
With the advancing age of the population, and increasing demands on healthcare services, community participation has become an important consideration for healthy ageing. Low levels of community participation have been linked to increased mortality and social isolation. The extent to which community participation has been measured objectively in older adults remains scarce. This study aims to describe where and how older adults participate in the community and determine the feasibility of measurement methods for community participation. This observational cross-sectional study obtained data from 46 community dwelling older adults. A combination of Global Positioning Systems (GPS), accelerometry, and self-reported diaries were used over a 7-day monitoring period. Feasibility of methods were determined by calculating the loss of GPS data, questionnaires, and comparison of self-reported locations with GPS co-ordinates. Relationships between community participation, physical activity, social interactions, health related quality of life, sleep quality and loneliness were explored. Older adults took a median (IQR) of 15 (9.25–18.75) trips out of home over the 7-day monitoring period, most frequently visiting commercial and recreational locations. In-home activities were mainly sedentary in nature, with out of home activities dependent on location type. Self-reported and GPS measures of trips out of home and the locations visited were significantly correlated (self-report 15.7 (5.6) GPS 14.4 (5.8) (r = 0.94)). Significant correlations between both the number of trips taken from home, with social interactions (r = 0.62) and the minutes of moderate to vigorous physical activity (MVPA) (r = 0.43) were observed. Daily MVPA was higher in participants who visited local walk/greenspaces (r = 0.48). Participants performed more activities with social interactions out of home and visited commercial locations most frequently. The combination of GPS, accelerometry and self-report methods provided a detailed picture of community participation for older adults. Further research is required with older adults of varying health status to generalise the relationships between community participation, location and physical activity. Ethical approval was gained from the Flinders University Social and Behavioural Research Ethics Committee (protocol no. 8176). The online version contains supplementary material available at 10.1186/s12889-021-10592-4.
DOI: 10.1016/j.socscimed.2016.06.001
发表时间: 2016-07-01
影响因子: 5.4
作者:
Brusilovskiy, Eugene;Klein, Louis A.;Salzer, Mark S.
通讯作者: Salzer, Mark S.
DOI: 10.3390/s140405845
发表时间: 2014-03-25
期刊: Sensors (Basel, Switzerland)
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影响因子: 4.7
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影响因子: 5.1
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发表时间: 1989-05-01
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