International Journal of Qualitative Studies on Health and Well-being
Volume 10, 2015

Understanding the "black box" of a health-promotion program: Keys to enable health among older persons aging in the context of migration (Article) (Open Access)

Barenfeld E.* , Gustafsson S. , Wallin L. , Dahlin-Ivanoff S.
  • a Department of Health and Rehabilitation, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Arvid Wallgrens Backe, House 2, Box 455, Gothenburg, SE-405 30, Sweden, Department of Occupational Therapy and Physiotherapy, Sahlgrenska University Hospital, Gothenburg, Sweden, Centre for Ageing and Health - AgeCap, University of Gothenburg, Gothenburg, Sweden
  • b Department of Health and Rehabilitation, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Arvid Wallgrens Backe, House 2, Box 455, Gothenburg, SE-405 30, Sweden, Centre for Ageing and Health - AgeCap, University of Gothenburg, Gothenburg, Sweden
  • c School of Education, Health, and Social Studies, Dalarna University, Falun, Sweden, Division of Nursing, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Solna, Sweden
  • d Department of Health and Rehabilitation, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Arvid Wallgrens Backe, House 2, Box 455, Gothenburg, SE-405 30, Sweden, Centre for Ageing and Health - AgeCap, University of Gothenburg, Gothenburg, Sweden

Abstract

Although the need to make health services more accessible to persons who have migrated has been identified, knowledge about health-promotion programs (HPPs) from the perspective of older persons born abroad is lacking. This study explores the design experiences and content implemented in an adapted version of a group-based HPP developed in a researchercommunity partnership. Fourteen persons aged 70-83 years or older who had migrated to Sweden from Finland or the Balkan Peninsula were included. A grounded theory approach guided the data collection and analysis. The findings showed how participants and personnel jointly helped raise awareness. The participants experienced three key processes that could open doors to awareness: enabling community, providing opportunities to understand and be understood, and confirming human values and abilities. Depending on how the HPP content and design are being shaped by the group, the key processes could both inhibit or encourage opening doors to awareness. Therefore, this study provides key insights into how to enable health by deepening the understanding of how the exchange of health-promoting messages is experienced to be facilitated or hindered. This study adds to the scientific knowledge base of how the design and content of HPP may support and recognize the capabilities of persons aging in the context of migration. © 2015 E. Barenfeld et al.

Author Keywords

group intervention Occupation Immigrant Grounded theory Emigrant Person-centeredness Health-promoting messages

Index Keywords

Health Personnel comprehension Finland health promotion Communication demography health care personnel interpersonal communication human Aged Personhood ethnology Residence Characteristics knowledge Sweden Humans migrant male Emigrants and Immigrants female Aged, 80 and over very elderly patient satisfaction community participation awareness program evaluation migration age Age Factors Balkan Peninsula Emigration and Immigration Health Services for the Aged elderly care

Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84961784267&doi=10.3402%2fqhw.v10.29013&partnerID=40&md5=d583c5f5a17e06e342756eb5c3a26c15

DOI: 10.3402/qhw.v10.29013
ISSN: 17482623
Cited by: 6
Original Language: English