Develop a “Benevolent Community” to identify and integrate older adults in situations of isolation and vulnerability: a partnership between research, a community organization, and a CIUSSS.
To support older adults to age in place, and to promote their health, and quality of life, older adults' social participation, i.e., their involvement in activities that provide them with interactions with others in the community1 is important. Despite their recognized impacts, interventions aimed at promoting social participation offered to older adults remain rare, discontinuous, and poorly adapted to their needs.2–3. Action research offers tools to promote the development of communities and the implementation of a continuum of actions adapted to the needs of older adults, likely to encourage their social participation. This continuum must also be supported by both the health network and the community.
Quelles sont les actions mises de l’avant dans votre région pour repérer et intégrer les aînés en situation d’isolement et de vulnérabilité ?
Resulting from the consultation and exceptional collaboration between the actors of a rural Regional County Municipality (MRC) and researchers, this action research project aims to identify and implement initiatives to promote older adults' social participation. This action research involves the commitment of the main concerned actors, the planning for a change in practices to stimulate social change, and the need to follow an iterative development, validation, and implementation process.4. Thus, from January 2015 to today, meetings with various community stakeholders have taken place to: 1) identify the needs, facilitators, and obstacles to older adults' social participation; 2) prioritize the identified needs; and 3) target, based on scientific writings and community opportunities, the initiatives likely to improve social participation to be implemented. A total of 19 discussion groups, two individual interviews, and 21 forums with key informants were organized, making it possible to meet older adults, caregivers, stakeholders, and managers (n = 166).
What priority needs are identified by older adults, caregivers, social workers, community organizations, and the CIUSSS?
Les participants ont identifié trois besoins jugés prioritaires : i) être informés sur les activités et les services offerts aux aînés; ii) être accompagnés d’une personne pour s’initier ou réaliser une activité; et iii) avoir des activités adaptées à leurs besoins. Ainsi, l’initiative Benevolent community, combining a Network of scouts5 and Personalized support6–7, aims to help identify vulnerable older adults and offer them personalized support based on their life plan. Other initiatives concern creating a website on opportunities for social participation (activities and services available) and transportation options for older adults. The implementation of these initiatives is underway and targets the entire MRC, i.e., 12 municipalities. This project demonstrates that a partnership between research, a community organization, and a CIUSSS can promote the development of communities and the social participation of older adults.
Pre Levasseur's research program offers many research opportunities with community organizations and CISSS/CIUSSS. For example, in the coming weeks, CISSS/CIUSSS in Montreal and Quebec will be asked to support a community organization in their region in the implementation of Personalized Support for Community Integration (APIC). Offered to help older adults carry out social and leisure activities that are important to them, the APIC allows the pairing of older adults who lose their autonomy and live in the community with a volunteer guide.
In addition, the CISSS/CIUSSS are also invited to indicate their interest in collaborating in the evaluation of the Lifestyle Redesign®, an innovative health-promoting occupational therapy intervention developed in California. Promoting the development of a healthy and personally meaningful lifestyle among community-dwelling older adults8, the Lifestyle Redesign®is carried out by an occupational therapist over six to nine months, including weekly group meetings and monthly individual meetings. According to a systematic literature review9, studies have demonstrated the effectiveness of the original intervention in improving older adults' physical and mental health, as well as its efficiency. The Lifestyle Redesign® was recently translated and adapted to the Quebec context and successfully tested by our research team.
For more details on partnership offers, contact Joanie Lacasse-Bedard (819-780-2220 ext. 45690; preferable by email during telework).