Developing a Framework and Priorities to Promote Mobility Among Older Adults
| Autor: | Carol McPhillips-Tangum, Katherine H. Leith, Dori E. Rosenberg, Peg Allen, Rebecca H. Hunter, Irene H. Yen, Dina L. Jones, Amy Slonim, R. Turner Goins, Lynda A. Anderson, William A. Satariano |
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| Jazyk: | angličtina |
| Rok vydání: | 2014 |
| Předmět: |
environmental strategies
Program evaluation Aging Knowledge management Health Services for the Aged Best practice Delphi method Public policy Poison control concept mapping Health Promotion Delphi Medical and Health Sciences Article Residential Facilities Education Arts and Humanities (miscellaneous) Nursing Clinical Research health education Humans Health Education older adults Built environment Aged business.industry Multimethodology Psychology and Cognitive Sciences Public Health Environmental and Occupational Health mobility Snowball sampling Public Health business Psychology Locomotion Program Evaluation |
| Zdroj: | Health education & behavior : the official publication of the Society for Public Health Education, vol 41, iss 1 Suppl |
| Popis: | Mobility, broadly defined as movement in all of its forms from ambulation to transportation, is critical to supporting optimal aging. This article describes two projects to develop a framework and a set of priority actions designed to promote mobility among community-dwelling older adults. Project 1 involved a concept-mapping process to solicit and organize action items into domains from a broad group of stakeholders to create the framework. Concept mapping uses qualitative group processes with multivariate statistical analysis to represent the ideas visually through maps. A snowball technique was used to identify stakeholders ( n = 211). A 12-member steering committee developed a focus prompt, “One specific action that can lead to positive change in mobility for older adults in the United States is . . .” Project 2 included a Delphi technique ( n = 43) with three iterations to prioritize four to six items using results from the concept mapping rating process. Project 1 resulted in 102 items across nine domains (Research to Practice, Independence and Engagement, Built Environment and Safety, Transportation, Policy, Housing and Accessibility, Community Supports, Training, and Coordinated Action). The number of items ranged from 6 to 18 per domain. Project 2 resulted in agreement on four items that reflect the importance of promoting environmental strategies through collaborative initiatives aimed at planning and best practices focusing on environmental enhancements or transit, training of professionals, and integration of mobility into state and local public health plans. These findings can be applied to support coordinated, multidisciplinary research and practice to promote mobility among older adults. |
| Databáze: | OpenAIRE |
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