Background: The various complex needs for assistance among home-based older adults have increased dramatically. Thus, it would be advantageous to recruit volunteers with medical knowledge and a better understanding to support and assist the elderly living in urban communities. Aim: This study aimed to explore the experiences and expectations of receiving volunteer services among the home-based elderly in Chinese urban areas. Design, Setting and Participants: A descriptive qualitative study was conducted following the Consolidated Criteria for Reporting Qualitative Research (COREQ)guidelines. This study was performed in two communities in Wuhan, Hubei Province.A purposive sampling method, which includes criterion and maximum variation sampling, was used to identify and select a diverse range of participants. Semistructured face-to-face interviews with 20 older adults (aged 62-90 years old) were performed.The conventional content analysis method was used for thematic analysis.Results: Three categories with associated subcategories were identified: experiences of receiving volunteer services including negative and positive experiences; specific needs for volunteer services involving physiological, psychosocial, health-related behaviours and environmental domains; characteristics of expected volunteer services including availability, formats, recipients, providers and service strategies. Conclusions:The volunteer services provided to the home-based elderly were found to be unsatisfactory, and lacking relevance and effectiveness. Due to a lack of family support or difficulty in meeting some high-level needs, the home-based elderly expressed a strong demand for volunteer services involving physiological, psychosocial, health-related behaviours and environmental domains. This finding can

Background Person-centered care (PCC) is a critical approach to improving the quality of care for community-dwelling older people. Old-age care services could be provided according to older peoples’ choices, needs, and preferences. The purpose of this study was to synthesize research evidence on the experiences of older people, healthcare providers, and caregivers with PCC and to identify the enablers and barriers to implementing PCC for community-dwelling older people. Methods A meta-synthesis of qualitative research design was adopted. Data searches were performed using CINAHL (EBSCOhost), PubMed (OvidSP), Embase (Ovid), Cochrane Database, and PsycINFO (Ovid) in published articles and were reviewed from the earliest date to February 2023. The Qualitative Method Appraisal Tool was used to conduct a quality appraisal on selected articles. Data were extracted based on the capacity, opportunity, and motivation-behavior model (COM-B model), and the findings were synthesized using the meta-aggregative approach. Results Twelve included articles were analyzed to identify 122 findings that were organized into 11 categories and combined into three synthesized findings—capacities of older people, healthcare providers, and caregivers; opportunities in the implementation of PCC; motivation in implementing PCC. Capacities consisted of a lack of person-centered knowledge and skills, negative attitudes toward shared decision-making, and a lack of formal training to enhance capabilities among HCPs. Opportunities included a lack of coordination in resource allocation, strengthening multidisciplinary teamwork, establishing a desirable environment, and time constraints. Motivation in implementing PCC included encouraging self-reflection and regulation, respecting the autonomy of older people, lack of clear reward and empowerment mechanisms, and being resilient and optimistic. Conclusions The findings of this research provide a reference for implementing successful PCC in the community. The researchers identified barriers and facilitators of implementing PCC, facilitating through stakeholder’s person-centered knowledge and skills being valued and respecting the autonomy of older people. Establishing a positive environment and strengthening multidisciplinary team members also promotes the implementation of PCC. However, additional studies are required to explore the influencing factors and address the barriers.

Background Person-centred care is a critical approach to improve the quality of care targeted to community-dwelling older people. The old-age care services could be provided according to the choices, needs and preferences of the elderly. However, there have been few studies to synthesize qualitative studies and no consensus about influencing factors on providing person-centred care in community. The aim of this study was to synthesize research evidence on perceptions and experiences of older people and healthcare providers on person-centred care and determine the enablers and barriers to implementing person-centred care for community-dwelling older people. Methods Searches were performed in PubMed, Embase, Cochrane, PsycINFO and CINAHL in published articles and were reviewed from the earliest available date to April 2022. A quality appraisal was undertaken targeted to selected articles by the Qualitative Method Appraisal Tool. And the results from the included studies were interpreted and synthesized through a meta-synthesis. Results Nine included articles were analyzed to identify 89 findings that were organized into 11 categories and combined into three synthesized findings—stakeholder capability; opportunities in the implementation of person-centred care; motivation in the implementation of person-centred care. Summarizing these themes helps stakeholders to identify influencing factors that improve the implementation of person-centred care. Conclusions The findings of this study provide a reference for implementing successful person-centred care in the community. Improving person-centred care service should develop the capability and motivation of stakeholders, and increase opportunities to build a positive environment for meaningful interactions between caregivers and older people.

Background With a rapidly aging population in China, it is becoming increasingly challenging to meet the growing diversified care needs of the elderly. Although social voluntary services has numerous advantages and is popular among the elderly, little information is available on the assistance requirements of the volunteer-based social service, particularly those with a medical background and influencing factors among the urban home-based elderly. Methods A cross-sectional study was conducted in four urban communities in Wuhan, Ezhou, Xinxiang, and Zhengzhou. Assistance needs was assessed using the 27-item Home-based Elderly Assistance Need Scale in 498 participants, aged 60 years and over. Multiple linear regression models were conducted to identify salient variables associated with assistance needs for social voluntary services. Results The mean score of assistance needs was 88.60 +/- 24.37. The item mean scores examining 4 dimensions, namely, health maintenance, visiting communication, social intercourse, and daily life were 3.64 +/- 1.08, 3.49 +/- 1.04, 3.33 +/- 1.08, and 2.78 +/- 1.08, respectively. The level of depression, willingness to help other elderly people, attaching importance to health preservation, willingness to seek help from others, existence of more children, and living parents were positively associated with assistance needs for social voluntary services, while social care from government departments was a negative factor. The aforementioned seven factors explained 28.4% of the total variance. Conclusions The urban home-based elderly population exhibited a high assistance demand for social volunteer services in China, and several complex factors were associated with an elevated assistance need. Our findings are beneficial for the extremely limited social volunteers, particularly, those with a medical background, to identify the priority of providing assistance services to the huge urban home-based elderly population, and improve service behavior.