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Targeting preventive home visits to older adults in disadvantaged communities: Perspectives of professionals
Author(s) -
Kristiansen Maria,
Nedergaard Jensen Andrea,
Norredam Marie,
Srivarathan Abirami
Publication year - 2021
Publication title -
health and social care in the community
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.984
H-Index - 68
eISSN - 1365-2524
pISSN - 0966-0410
DOI - 10.1111/hsc.13139
Subject(s) - disadvantaged , focus group , diversity (politics) , context (archaeology) , medicine , participatory action research , gerontology , nursing , health care , sociology , paleontology , political science , anthropology , law , economics , biology , economic growth
This study explored the implementation of multidimensional preventive home visits targeted to older adults living in a disadvantaged community in Denmark. The intervention was adapted to include the following key components: involvement of community members in recruitment processes; a combination of individual and group‐based dissemination; adaptation of materials to overcome language barriers; and diversity‐sensitivity training for professionals. The study took place over 12 months between August 2016 and August 2017 and used various data sources: registry‐based data, participant observations, combined with individual and focus group interviews with the target population ( n = 22) and relevant health care professionals ( n = 8). Here, we report on findings pertaining to implementation barriers and facilitators as seen from the perspective of professionals. Socioeconomic vulnerability was prominent, and uptake of health care services was low, indicating under‐utilisation. Implementation facilitators and barriers were identified including potentials in nurturing local partnerships and proximity during recruitment; overcoming language barriers; offering diversity‐sensitivity training for professionals; and a need for a more multidisciplinary, comprehensive scope of preventive visits for diverse older adults in disadvantaged communities. Thus, more focus on participatory, comprehensive and community‐based health promotion are needed to ensure healthy ageing in the context of social inequality and ethnic diversity.