Viewing oneself as a capable person – experiences of professionals working with older Finnish immigrants

Arola, Annikki; Mårtensson, Lena; Kronlöf, Greta Häggblom

doi:10.1111/scs.12395

Cited by 7 publications

(11 citation statements)

References 27 publications

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“…Some of the perceived health benefits are believed to be a result of staff applying a power-sharing stance towards the residents at the NH. Signs of trust in the older persons' abilities to change their daily habits can increase their sense of self-worth, as shown in a study by Arola et al [28]. This also seems in line with findings from other NH interventions in which enhanced commitment to daily activities was observed when activities were selected out of personal interest [29] or personal aspirations [30].…”

Section: The Importance Of Taking Older Persons' Competencies and Persupporting

confidence: 83%

A health concept with a social potential: an interview study with nursing home residents

et al. 2020

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Background: A qualitative, interview-based study was embedded in a randomized intervention trial, the Older People Exercise and Nutrition (OPEN) study. Participants in the OPEN study were encouraged to conduct sessions of sit-to-stand (STS) exercises combined with Oral Nutritional Supplements (ONS) intake. The aim was to describe the older persons' perceptions and experiences of being given the daily opportunity to perform the STS exercise and drink ONS. Methods: In-depth interviews were conducted in six nursing homes with the participants using a semi-structured interview guide. One or two individual interviews were performed with each included participant. Twenty-three NH residents (16 women and 7 men) participated in the qualitative study. Their ages ranged between 76 and 96 years, and their Mini Mental State Examination (MMSE) scored between 8 and 29. The transcribed interviews and field notes written during the visits were analyzed inductively following a constant comparative method described in Grounded Theory. Results: The exercise and nutritional intervention was described as highly practical by the NH residents, who claimed it also had a social aspect as they felt acknowledged and empowered to engage others in the combined intervention. Experiences of the intervention ranged from neutral to mainly positive and could be sorted into 5 categories: 1. Perceived hopes and expectations, 2. Health-related driving forces, 3. Appreciated daily activities, 4. A concept easy to perform and integrate into daily life, 5. A beneficial health concept for all. The intervention created perceived benefits on various health aspects due to participants feeling energized and stronger. An overall theme was identified as A health concept with a social potential, as participants feel acknowledged and strong enough to help others. Conclusions: The intervention was described by participants as a health concept that could potentially be beneficial for a broader spectrum of NH residents. The findings indicate that health concepts, such as STS/ONS, might contribute to a more meaningful day for older people, even vulnerable NH residents approaching the end of life.

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Section: The Importance Of Taking Older Persons' Competencies and Persupporting

confidence: 83%

A health concept with a social potential: an interview study with nursing home residents

et al. 2020

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“…Some of the perceived health benefits are believed to be a result of staff applying a power-sharing stance towards the residents at the NH. Signs of trust in the older persons' abilities to change their daily habits can increase their sense of self-worth, as shown in a study by Arola et al [27]. This also seems in line with findings from other NH interventions in which enhanced commitment to daily activities was observed when activities were selected out of personal interest [28] or personal aspirations [29].…”

Section: Applying a Power-sharing Care Stance Can Results In Increasedsupporting

confidence: 83%

A health concept with a social potential: an interview study with nursing home residents

Vikström¹,

Grönstedt

Cederholm

et al. 2020

Preprint

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Background A qualitative, interview-based study was embedded in a randomized intervention trial, the Older People Exercise and Nutrition (OPEN) study. Participants in the OPEN study were encouraged to conduct sessions of STS exercises combined with ONS intake. The aim was to describe older persons’ perceptions and experiences of using sit-to-stand (STS) exercises and Oral Nutritional Supplements (ONS) in their daily life. Methods In-depth interviews were conducted in six nursing homes with the participants using a semi-structured interview guide. One or two individual interviews were performed with each included participant. Twenty-three NH residents (16 women and 7 men) participated in the qualitative study. Their ages ranged between 76 and 96 years, and their Mini Mental State Examination (MMSE) scored between 8 and 29. The transcribed interviews and field notes written during the visits were analyzed inductively following a constant comparative method described in Grounded Theory. Results The exercise and nutritional intervention was described as highly practical by the NH residents, who claimed it also had a social aspect as they felt acknowledged and empowered to engage others in the combined intervention. Experiences of the intervention ranged from neutral to mainly positive and could be sorted into 5 categories: 1. Perceived hopes and expectations, 2. Health-related driving forces, 3. Appreciated daily activities, 4. A concept easy to perform and integrate into daily life, 5. A beneficial health concept for all The intervention created perceived benefits on various health aspects due to participants feeling energized and stronger. An overall theme was identified as A health concept with a social potential, as participants feel acknowledged and strong enough to help others. Conclusions The intervention was described by participants as a health concept that could potentially be beneficial for a broader spectrum of NH residents. The findings indicate that health concepts, such as STS/ONS, might contribute to a more meaningful day for older people, even vulnerable NH residents approaching the end of life.

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“…Further, some individuals may have declined to participate due to a distrust of health care providers, which has been explored in qualitative studies describing older immigrants’ health perceptions. 43 – 45 Still, the OR calculations can be interpreted to support the hypothesis that the intervention had an impact on SOC, even if the effect did not last.…”

Section: Discussionmentioning

confidence: 72%

Distribution and evaluation of sense of coherence among older immigrants before and after a health promotion intervention – results from the RCT study promoting aging migrants’ capability

Arola

Barenfeld

Dahlin‐Ivanoff

et al. 2018

CIA

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BackgroundThe migration process can be a threat to a person’s sense of coherence (SOC) and to their ability to experience life as comprehensible, manageable, and meaningful. Seen from a salutogenic perspective, this may have a negative impact on the experience of health.PurposeWe describe the distribution of SOC and its components among older persons with an immigrant background now aging in Sweden. In addition, we evaluated whether a group-based health promotion program with a person-centered approach could support the SOC among older persons in this group.Materials and methodsA randomized controlled trial with postintervention follow-ups at 6 and 12 months was conducted with 131 independently living persons aged ≥70 years from Finland and the Balkan Peninsula. Participants were randomly allocated to an intervention group (4 weeks of group intervention and one follow-up home visit) and a control group (no intervention but access to ordinary health care services). The outcome measure was the SOC measured by SOC-13. Chi-square and ORs were calculated.ResultsThere was a significant improvement in total SOC scores for the intervention group at 6-month follow-up. Also, the ORs for the SOC components were higher in the person-centered intervention group. However, we found no significant between-group differences nor did the effect last until the 12-month follow-up.ConclusionPersons who have lived a long time in a host country after migration seem to have a SOC similar to native-born persons. Interventions with a person-centered approach could support the SOC by capturing individual life situations. Such interventions could support older persons by making everyday life more comprehensible and manageable and helping them to cope with challenges in daily life caused by aging.

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Viewing oneself as a capable person – experiences of professionals working with older Finnish immigrants

Cited by 7 publications

References 27 publications

A health concept with a social potential: an interview study with nursing home residents

A health concept with a social potential: an interview study with nursing home residents

A health concept with a social potential: an interview study with nursing home residents

Distribution and evaluation of sense of coherence among older immigrants before and after a health promotion intervention – results from the RCT study promoting aging migrants’ capability

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Viewing oneself as a capable person – experiences of professionals working with older Finnish immigrants

Cited by 7 publications

References 27 publications

A health concept with a social potential: an interview study with nursing home residents

A health concept with a social potential: an interview study with nursing home residents

A health concept with a social potential: an interview study with nursing home residents

Distribution and evaluation of sense of coherence among older immigrants before and after a health promotion intervention &ndash; results from the RCT study promoting aging migrants&rsquo; capability

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Distribution and evaluation of sense of coherence among older immigrants before and after a health promotion intervention – results from the RCT study promoting aging migrants’ capability