Journal of Evaluation in Clinical Practice
Volume 21, Issue 4, 2015, Pages 604-613

Bridging barriers to health promotion: A feasibility pilot study of the 'Promoting Aging Migrants' Capabilities study' (Article)

Lood Q.* , Gustafsson S. , Dahlin Ivanoff S.
  • a Department of Health and Rehabilitation, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden, Center of 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, Gothenburg, Sweden, Center of Ageing and Health - Agecap, University of Gothenburg, Gothenburg, Sweden
  • c Department of Health and Rehabilitation, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden, Center of Ageing and Health - Agecap, University of Gothenburg, Gothenburg, Sweden, University of Gothenburg Centre for Person-Centred Care (GPCC), Gothenburg, Sweden

Abstract

Rationale, aims and objectives Improving the possibilities for ageing persons to take control over their health is an increasingly important public health issue. Health promotion has previously been visualized to succeed with this goal, but research has primarily focused on ageing persons who are native-born, leaving the generalizability to persons who are foreign-born unexplored. Therefore, as part of the development of a larger health promotion initiative for ageing persons who have experienced migration, this study aimed to assess the feasibility of an adapted protocol. The specific feasibility objectives were to assess recruitment procedure, retention rates, study questionnaire administration and variability of collected data. Method Forty persons who were ≥70 years, and who had migrated from Finland, Bosnia and Herzegovina, Croatia, Montenegro or Serbia to Sweden were randomly allocated to a health promotion programme or a control group. The programme was linguistically adapted with regard to translated information material, bilingual health professionals and evaluators, and a person-centred approach was applied to both programme development and provision. The data analysis was explorative and descriptive. Results The results visualized structural and linguistic barriers to recruitment and study questionnaire administration, and describe strategies for how to bridge them. Retention rates and data variability were satisfying. Conclusions Calling for iterative and pragmatic programme design, the findings describe how to move towards a more inclusive health care environment. Person-centred and bilingual approaches with attention to the possibilities for building authentic relationships between participants and providers are emphasized, and a structured methodology for developing study questionnaires is suggested. © 2015 John Wiley & Sons, Ltd.

Author Keywords

person-centred emigrants and immigrants Delivery of health care Implementation

Index Keywords

clinical protocol Finland health promotion Croatia human aging Evidence-Based Practice controlled study priority journal randomized controlled trial Bosnia and Herzegovina Aged Feasibility Studies Surveys and Questionnaires evidence based practice Sweden health program migrant Humans Montenegro (republic) health services research male female Aged, 80 and over pilot study very elderly questionnaire Outcome Assessment (Health Care) Article feasibility study organization and management migration outcome assessment Transients and Migrants health practitioner Pilot Projects

Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84938095237&doi=10.1111%2fjep.12345&partnerID=40&md5=9b647ae815d4b2301b085d61ee548488

DOI: 10.1111/jep.12345
ISSN: 13561294
Cited by: 4
Original Language: English