Innovative solutions to enhance safe and green environments for ageing well using co-design through patient and public involvement.
Innovative solutions to enhance safe and green environments for ageing well using co-design through patient and public involvement.
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DOI：
10.1186/s40900-020-00223-4
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发表时间：
2020-01-01
影响因子：
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通讯作者：
Goodwin, Victoria A
中科院分区：
文献类型：
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作者：
Hatton, Anna L;Haslam, Catherine;Goodwin, Victoria A
背景技术背景：有必要制定创新的解决方案，以加强安全和绿色的物理环境，优化老年人的健康，福祉和社区参与。为了制定满足多样化老龄人口需求的解决方案，需要采取跨学科方法。我们的目标是通过患者和公众参与将不同观点的知识汇集在一起，确定老年人在环境中良好老龄化的需求。方法：一个国际财团（通过了解和重新设计建筑环境联盟改善生活ReFURB）成立于2018年4月，包括十个核心成员，旨在（i）探索老龄人口安全生活的尖端解决方案，（ii）开发日常物理环境的创新方法，带来健康益处。我们使用了一个共同设计的跨学科框架，涉及来自英国和澳大利亚的老年人，护理人员，物理治疗师，老年病学家，工程师，人体运动专家，地理学家和心理学家。这让人们参与了为期一天的研讨会，其中包括国际演讲者关于城市设计，社会联系，危害和伤害预防以及物理环境的一系列演讲。发言后进行了小组讨论（由联合会成员主持），审议老龄化问题所面临的机遇、挑战和障碍，其中包括利用创造性参与活动（乐高严肃游戏、思维导图、海报画廊步行），帮助与会者分享个人故事并思考所提出的问题。专题编码被用来合成的小组work.RESULTS的产出：五个主题被确定在整个讲习班：访问和运输;参与整个社区;恢复，而不是重新设计;辅助和数字技术;和代际方法。这些方面涉及到的物理，社会和自然为基础的日常环境的质量，因为它们涉及到老化well.CONCLUSIONS：共同设计是一个有价值的工具，有助于了解参与者的看法，并制定有效的干预措施和解决方案至关重要。与会者强调了随着年龄的增长影响人们的几个问题以及促进福祉、活动和参与的关键环境因素。该联盟确定了现有证据基础中的差距，现在正在计划与我们的共同设计参与者合作进一步发展研究思路的活动。
BACKGROUND: There is a need to develop innovative solutions to enhance safe and green physical environments, which optimise health, wellbeing and community participation among older adults. To develop solutions that meet the needs of a diverse ageing population, an interdisciplinary approach is needed. Our aim was to identify the needs of older people in relation to ageing well in the environment by bringing together knowledge from different perspectives using Patient and Public Involvement.METHODS: An international consortium (Retrofit living For ageing well through Understanding and Redesign of Built environments consortium: ReFURB) was established in April 2018, including ten core members, to (i) explore cutting-edge solutions to safe living for ageing populations and (ii) develop innovative approaches to everyday physical environments, which bring about health benefits. We used a co-design, interdisciplinary framework involving older adults, carers, physiotherapists, geriatricians, engineers, human movement experts, geographers and psychologists from the UK and Australia. This engaged people in a 1 day workshop that comprised a series of presentations from international speakers on urban design, social connectedness, hazards and injury prevention, and the physical environment. Small group discussions (facilitated by consortium members) followed presentations to consider the opportunities, challenges and barriers encountered with ageing, which included the use of creative engagement activities (LEGO Serious Play, mind maps, poster gallery walk), to help participants share personal stories and reflect on the issues raised. Thematic coding was used to synthesise the outputs of the small group work.RESULTS: Five themes were identified across the workshops: access and transport; involvement of the whole community; restoration rather than redesign; assistive and digital technology; and intergenerational approaches. These dimensions related to the physical, social and nature-based qualities of everyday environments, as they pertain to ageing well.CONCLUSIONS: Co-design was a valuable tool that helped understand the perceptions of participants and essential to develop effective interventions and solutions. Participants highlighted several issues affecting people as they age and key environmental considerations to promote wellbeing, activity, and participation. The consortium identified gaps in the existing evidence base and are now planning activities to further develop research ideas in collaboration with our co-design participants.