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Process evaluation of a complex group-based intervention for older adults living alone

Bibliographic Data

ID21537598
AuthorsHanna Ristolainen (0000-0002-1721-1010, Department of Social Sciences, University of Eastern Finland, Kuopio, Finland, corresponding author), Elisa Tiilikainen (0000-0002-3947-6036, Department of Social Sciences, University of Eastern Finland, Kuopio, Finland), Sirpa Kannasoja (0000-0002-4286-4988, University of Jyväskylä), Sari Rissanen (0000-0002-9882-7991, Department of Social Sciences, University of Eastern Finland, Kuopio, Finland)
Year2024
Volume50
Issue4
Pages265-281
Publication date2024-04-02
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueEducational Gerontology (JOURNAL)
Journal identifiersISSN: 0360-1277 • E-ISSN: 1521-0472
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/03601277.2023.2259134
OpenAlexW4386820108
LanguageEN
References cited34

A complex intervention called 'participatory group-based care management' was developed and carried out in Central and Eastern Finland to promote older adults' wellbeing and quality of life. This study analyses the process of the intervention using two types of qualitative data. Firstly, during the sixmonth intervention, 120 reflection diaries in total were written by researchers and care managers, based on their observations of the group meetings. Secondly, 24 focus group discussions were carried out with the intervention participants. Both data were analyzed jointly by using the grounded theory method to evaluate the intervention process. Based on the data, three important elements of the intervention were social support exchange, needs-based counseling, and scheduled group meetings. These elements support older people in terms of social wellbeing, resources and capacity, experiences of meaningfulness, participation and routines, and empowerment. Contextual and intervening factors related to the intervention, group tutors, and participants, are essential for achieving outcomes. The three important elements of the intervention (social support exchange, needsbased counseling, and scheduled group meetings) appear to empower some older adults and engage some of them in activities. According to the results, the effectiveness of the intervention is based on socially and individually constructed causal pathways, but the intervention should be refined before its further implementation

Empowerment · Focus group · Grounded theory · Medical education · Psychotherapist · Qualitative research · Social support · Sociology · Geriatric Care and Nursing Homes · Health disparities and outcomes · Health, psychology, and well-being · Medicine · Nursing · Psychology · Social Psychology

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Highly citedNo

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