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      A mixed-methods study evaluating the impact of an excursion-based social group on quality of life of older adults

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          Abstract

          Background

          Social isolation is an increasing concern for older adults who live in the community. Despite some availability of social support programs to address social isolation, their effectiveness is not routinely measured. This study aimed to evaluate an innovative excursion-based program offering unique social experiences to older adults receiving aged care services.

          Methods

          This six-month before and after mixed-methods study evaluated the outcomes of an Australian excursion-based program which offered social and physical outings to bring older adults receiving aged care services into the wider community. The study combined two parts: Part 1 was a pre-post survey assessing the quality of life of older adults who received the excursion-based program for 6 months ( n = 56; two time-points, analysed using signed rank test) and Part 2 involved qualitative in-depth, semi-structured interviews ( n = 24 aged care staff, older adults and carers; analysed using thematic analysis).

          Results

          Older adults experienced a significant increase in quality of life scores ( p < 0.001) between baseline and 6 months. Interviews confirmed these observations and suggested that benefits of participation included increased opportunities for social participation, psychological wellbeing, physical function, and carer respite. Interviews also revealed being in a group setting, having tailored, convenient and accessible activities, alongside supportive staff were key drivers in improving the wellbeing of participants.

          Conclusions

          Participating in an excursion-based community program may improve wellbeing in older adults. Aging policy should focus on prioritizing initiatives that promote social connectivity with the wider community and assist in improving outcomes for older adults.

          Supplementary Information

          The online version contains supplementary material available at 10.1186/s12877-021-02295-7.

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          Most cited references33

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          Qualitative data analysis for applied policy research

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            Social isolation, loneliness and health in old age: a scoping review.

            The health and well-being consequences of social isolation and loneliness in old age are increasingly being recognised. The purpose of this scoping review was to take stock of the available evidence and to highlight gaps and areas for future research. We searched nine databases for empirical papers investigating the impact of social isolation and/or loneliness on a range of health outcomes in old age. Our search, conducted between July and September 2013 yielded 11,736 articles, of which 128 items from 15 countries were included in the scoping review. Papers were reviewed, with a focus on the definitions and measurements of the two concepts, associations and causal mechanisms, differences across population groups and interventions. The evidence is largely US-focused, and loneliness is more researched than social isolation. A recent trend is the investigation of the comparative effects of social isolation and loneliness. Depression and cardiovascular health are the most often researched outcomes, followed by well-being. Almost all (but two) studies found a detrimental effect of isolation or loneliness on health. However, causal links and mechanisms are difficult to demonstrate, and further investigation is warranted. We found a paucity of research focusing on at-risk sub-groups and in the area of interventions. Future research should aim to better link the evidence on the risk factors for loneliness and social isolation and the evidence on their impact on health.
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              Designing and conduction mixed methods research

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                Author and article information

                Contributors
                joyce.siette@mq.edu.au
                Journal
                BMC Geriatr
                BMC Geriatr
                BMC Geriatrics
                BioMed Central (London )
                1471-2318
                10 June 2021
                10 June 2021
                2021
                : 21
                : 356
                Affiliations
                [1 ]GRID grid.1004.5, ISNI 0000 0001 2158 5405, Centre for Health Systems and Safety Research, , Australian Institute of Health Innovation, Macquarie University, ; Macquarie, New South Wales 2109 Australia
                [2 ]GRID grid.1005.4, ISNI 0000 0004 4902 0432, St Vincent’s Clinical School, University of New South Wales, ; Sydney, Australia
                [3 ]Enrich Living Services, West Perth, Australia
                Author information
                http://orcid.org/0000-0001-9568-5847
                Article
                2295
                10.1186/s12877-021-02295-7
                8194178
                34112098
                03c47366-6a2f-4656-8bbd-ead5de40730b
                © The Author(s) 2021

                Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

                History
                : 12 October 2020
                : 24 May 2021
                Funding
                Funded by: Enrich Living Services
                Categories
                Research Article
                Custom metadata
                © The Author(s) 2021

                Geriatric medicine
                wellbeing,home and community care services,social networks,social capital
                Geriatric medicine
                wellbeing, home and community care services, social networks, social capital

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