Hostname: page-component-8448b6f56d-c4f8m Total loading time: 0 Render date: 2024-04-24T21:26:27.132Z Has data issue: false hasContentIssue false
  • English
  • Français

Characterizing Social and Recreational Programming in Assisted Living*

Published online by Cambridge University Press:  11 August 2014

Heather M. Hanson ,
Christiane A. Hoppmann ,
Karen Condon ,
Jane Davis ,
Fabio Feldman ,
Mavis Friesen ,
Pet Ming Leung ,
Angela D. White ,
Joanie Sims-Gould  and
Maureen C. Ashe
Heather M. Hanson
Affiliation:
Centre for Hip Health and Mobility Vancouver Coastal Health Research Institute Department of Family Practice, University of British Columbia
Christiane A. Hoppmann
Affiliation:
Centre for Hip Health and Mobility Department of Psychology, University of British Columbia
Karen Condon
Affiliation:
Vancouver Coastal Health Authority
Jane Davis
Affiliation:
Fraser Health Authority
Fabio Feldman
Affiliation:
Fraser Health Authority Department of Biomedical Physiology and Kinesiology, Simon Fraser University
Mavis Friesen
Affiliation:
Vancouver Coastal Health Authority
Pet Ming Leung
Affiliation:
Fraser Health Authority
Angela D. White
Affiliation:
Centre for Hip Health and Mobility Vancouver Coastal Health Research Institute Department of Family Practice, University of British Columbia
Joanie Sims-Gould
Affiliation:
Centre for Hip Health and Mobility Vancouver Coastal Health Research Institute
Maureen C. Ashe*
Affiliation:
Centre for Hip Health and Mobility Vancouver Coastal Health Research Institute Department of Family Practice, University of British Columbia
*
†La correspondance et les demandes de tirés-à-part doivent être adressées à: / Correspondence and requests for offprints should be sent to: Maureen C. Ashe, P.T., Ph.D. Center for Hip Health and Mobility 7/F 2635 Laurel St. Vancouver, BC V5Z 1M9 (Maureen.Ashe@ubc.ca)
Get access Rights & Permissions [Opens in a new window]

Abstract

The objectives of this three-phased investigation were to (1) characterize existing recreational programming opportunities for tenants residing in assisted living (AL) and (2) gather perceptions on factors influencing activity program planning and delivery. Using an integrated knowledge translation framework during a one-year collaboration, we targeted 51 publicly funded AL sites from two health authorities in British Columbia. We conducted an activity calendar review, staff survey, and interactive symposia to identify factors that enabled or restricted recreational programming. From the information obtained, we determined that all AL sites delivered recreational programming. Although exercise and physical activity opportunities were perceived as having high importance, most activities were social. Staff reported confidence in delivering this type of programming and believed it met the holistic needs of tenants, including their mental well-being, and fostered a sense of community. Future avenues for increasing physical activity of AL tenants should address individual, site, and organizational characteristics.

Résumé

Les objectifs de cette étude en trois phases étaient (1) de caractériser les opportunités existantes dans les programmes de loisirs pour les locataires résidant avec aide à la vie autonome (AVA)* et (2) de recueillir les perceptions sur les facteurs qui influent sur la planification et la prestation des programmes. Au cours d'une collaboration d'un an, nous avons utilisé un cadre de l'application des connaissances intégrées qui a ciblé 51 sites AVA subventionnés par l'État de deux autorités de la santé en Colombie-Britannique. Nous avons effectué une revue des activités, une enquête auprès du personnel et des symposia interactifs pour identifier les facteurs qui ont permis ou restreint les programmes de loisirs. D'après les informations obtenues, nous avons déterminé que tous les sites AVA livraient programmes de loisirs. Bien que les possibilités d'exercice et de l'activité physique ont été perçus comme ayant une grande importance, la plupart des activités étaient de nature sociale. Le personnel a signalé leur confiance dans la prestation de ce type de programmation et a estimé qu'il répondait aux besoins holistiques des locataires, y compris leur bien-être mental, favorisant un sentiment d'appartenance à la communauté. Futures pistes pour augmenter l'activité physique pour les locataires AVA devraient aborder les caractéristiques de l'individu, du site, et de l’organisation.

Keywords

agingassisted livingmobilityolder adultsphysical activitysocial environmentvieillissmentaide à la vie autonomemobilitéaînésactivité physiqueenvironnement social
Type
Articles
Information
Canadian Journal on Aging / La Revue canadienne du vieillissement , Volume 33 , Issue 3 , September 2014 , pp. 285 - 295
Copyright
Copyright © Canadian Association on Gerontology 2014 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

*

We gratefully acknowledge the contribution of our study participants. This work was supported by a grant from the Canadian Institutes of Health Research (FRN 114494). We also acknowledge career award support for Maureen Ashe from CIHR and the Michael Smith Foundation for Health Research (MSFHR), and career award support for Christiane Hoppmann from MSFHR and Canada Research Chairs Program.

References

Ashe, M. C., Miller, W. C., Eng, J. J., Noreau, L., & Physical Activity & Chronic Conditions Research Team. (2009). Older adults, chronic disease and leisure-time physical activity. Gerontology, 55(1), 64–72. doi:10.1159/000141518.Google Scholar
Baert, V., Gorus, E., Mets, T., Geerts, C., & Bautmans, I. (2011). Motivators and barriers for physical activity in the oldest old: A systematic review. Ageing Research Reviews, 10(4), 464–474. doi:10.1016/j.arr.2011.04.001.Google Scholar
British Columbia Ombudsperson. (2012). The best of care: Getting it right for seniors in British Columbia (Part 2) (Public Report No. 47 to the Legislative Assembly of British Columbia). Retrieved 25 April 2013 fromhttp://www.bcombudsperson.ca/images/pdf/seniors/Seniors_Report_Overview.pdf.Google Scholar
Brown, J., & Isaacs, D. (2005). The World Café: Shaping our futures through conversations that matter. San Francisco, CA: Barrett-Koehler.Google Scholar
Burke, C., & Sheldon, K. (2010). Encouraging workplace innovation using the ‘world cafe’ model. Nursing Management, 17(7), 14–19.Google Scholar
Canadian Society for Exercise Physiology. (2011). Canadian physical activity guidelines for older adults – 65 years and older: 2011 scientific statements. Retrieved 25 April 2013 fromwww.csep.ca/guidelines.Google Scholar
Chou, C. H., Hwang, C. L., & Wu, Y. T. (2012). Effect of exercise on physical function, daily living activities, and quality of life in the frail older adults: a meta-analysis. Archives of Physical Medicine and Rehabilitation, 93(2), 237–244. doi:10.1016/j.apmr.2011.08.042.Google Scholar
Darton, R., Baumker, T., Callaghan, L., Holder, J., Netten, A., & Towers, A. M. (2012). The characteristics of residents in extra care housing and care homes in England. Health & Social Care in the Community, 20(1), 87–96. doi:10.1111/j.1365-2524.2011.01022.x.Google Scholar
Dattilo, J., Martire, L., & Proctor, D. (2012). B-Active: An interdisciplinary approach to healthy aging. Therapeutic Recreation Journal, 46(3), 191–201.Google Scholar
Denkinger, M. D., Nikolaus, T., Denkinger, C., & Lukas, A. (2012). Physical activity for the prevention of cognitive decline: Current evidence from observational and controlled studies. Zeitschrift für Gerontologie und Geriatrie, 45(1), 11–16. doi:10.1007/s00391-011-0262-6.CrossRefGoogle ScholarPubMed
Emlet, C. A., & Moceri, J. T. (2012). The importance of social connectedness in building age-friendly communities. Journal of Aging Research, 2012, 1–9. doi:10.1155/2012/173247.Google Scholar
Gagnon, M. (2009). Knowledge dissemination and exchange of knowledge. In Strauss, S., Tetroe, J., & Graham, I. D. (Eds.), Knowledge translation in health care: Moving from evidence to practice (pp. 235–245). Hoboken, NJ: Blackwell.Google Scholar
Gardner, M. M., Robertson, M. C., & Campbell, A. J. (2000). Exercise in preventing falls and fall related injuries in older people: a review of randomised controlled trials. British Journal of Sports Medicine, 34(1), 7–17.Google Scholar
Gauvin, L., Riva, M., Barnett, T., Richard, L., Craig, C. L., Spivock, M. L., et al. (2008). Association between neighborhood active living potential and walking. American Journal of Epidemiology, 167(8), 944–953. doi:10.1093/Aje/Kwm391.CrossRefGoogle ScholarPubMed
Hanson, H. M., & Salmoni, A. W. (2011). Stakeholders’ perceptions of programme sustainability: Findings from a community-based fall prevention programme. Public Health, 125(8), 525–532. doi:10.1016/j.puhe.2011.03.003.Google Scholar
Harris-Kojetin, L., Kiefer, K., Joseph, A., & Zimring, C. (2005). Encouraging physical activity among retirement community residents: the role of campus commitment, programming, staffing, promotion, financing, and accreditation. Seniors Housing & Care Journal, 13(1), 3–20.Google Scholar
Hatch, J., & Lusardi, M. M. (2010). Impact of participation in a wellness program on functional status and falls among aging adults in an assisted living setting. Journal of Geriatric Physical Therapy, 33(2), 71–77.Google Scholar
Hirvensalo, M., Heikkinen, E., Lintunen, T., & Rantanen, T. (2005). Recommendations for and warnings against physical activity given to older people by health care professionals. Preventative Medicine, 41(1), 342–347. doi:10.1016/j.ypmed.2004.11.020.Google Scholar
Joseph, A., & Zimring, C. (2007). Where active older adults walk – Understanding the factors related to path choice for walking among active retirement community residents. Environment and Behavior, 39(1), 75–105. doi:10.1177/0013916506295572.Google Scholar
King, A. C. (2001). Interventions to promote physical activity by older adults. Journals of Gerontology: Series A Biological Sciences & Medical Sciences, 56(Spec No 2), 36–46.Google Scholar
Lexell, J., Frändin, K., & Helbostad, J. L. (2010). Chapter 14: Elderly. In Swedish National Institute of Public Health (Ed.), Physical activity in the prevention and treatment of disease (pp. 200–208). Retrieved 25 April 2013 fromhttp://www.fhi.se/PageFiles/10682/Physical-Activity-Prevention-Treatment-Disease-webb.pdf.Google Scholar
Lieto, J. M., & Schmidt, K. S. (2005). Reduced ability to self-administer medication is associated with assisted living placement in a continuing care retirement community. Journal of the American Medical Directors Association, 6, 246–249.Google Scholar
McAndrew, S., Warne, T., Fallon, D., & Moran, P. (2012). Young, gifted, and caring: A project narrative of young carers, their mental health, and getting them involved in education, research and practice. International Journal of Mental Health Nursing, 21(1), 12–19. doi:10.1111/j.1447-0349.2011.00762.x.Google Scholar
McAuley, E., Blissmer, B., Marquez, D. X., Jerome, G. J., Kramer, A. F., & Katula, J. (2000). Social relations, physical activity, and well-being in older adults. Preventive Medicine, 31(5), 608–617. doi:10.1006/pmed.2000.0740.Google Scholar
Mihalko, S. L., & Wickley, K. L. (2003). Active living for assisted living – Promoting partnerships within a systems framework. American Journal of Preventive Medicine, 25(3), 193–203. doi:10.1016/S0749-3797(03)00184-3.Google Scholar
Mitchell, J. M., & Kemp, B. J. (2000). Quality of life in assisted living homes: a multidimensional analysis. Journals of Gerontology: Series B, Psychological Sciences & Social Sciences, 55(2), P117–P127.Google Scholar
Murphy, S. L., Williams, C. S., & Gill, T. M. (2002). Characteristics associated with fear of falling and activity restriction in community-living older persons. Journal of the American Geriatric Society, 50(3), 516–520. doi: 50119 [pii].Google Scholar
Ory, M., Resnick, B., Jordan, P. J., Coday, M., Riebe, D., Ewing, G. C., et al. (2005). Screening, safety, and adverse events in physical activity interventions: collaborative experiences from the behavior change consortium. Annals of Behavioral Medicine, 29(Suppl), 20–28. doi:10.1207/s15324796abm2902s_5.Google Scholar
Physical Activity Guidelines Advisory Committee. (2008). Physical Activity Guidelines Advisory Committee Report, 2008. Washington, DC: U.S. Department of Health and Human Services.Google Scholar
Porter, H. R., Shank, J., & Iwasaki, Y. (2012). Promoting a collaborative approach with recreational therapy to improve physical activity in type 2 diabetes. Therapeutic Recreation Journal, 46(3), 202–217.Google Scholar
Province of British Columbia Ministry of Attorney General. (2002). Community Care and Assisted Living Act (SBC 2002, Chapter 75). Retrieved 25 April 2013 fromhttp://www.bclaws.ca/EPLibraries/bclaws_new/document/ID/freeside/00_02075_01.Google Scholar
Resnick, B., Galik, E., Gruber-Baldini, A., & Zimmerman, S. (2011). Testing the effect of function-focused care in assisted living. Journal of the American Geriatrics Society, 59(12), 2233–2240. doi:10.1111/j.1532-5415.2011.03699.x.Google Scholar
Rosenberg, D. E., Bombardier, C. H., Hoffman, J. M., & Belza, B. (2011). Physical activity among persons aging with mobility disabilities: Shaping a research agenda. Journal of Aging Research, 2011, 1–16.CrossRefGoogle ScholarPubMed
Schwandt, T. A. (2007). The Sage dictionary of qualitative inquiry. Sage: Thousand Oaks, CA.Google Scholar
Stokols, D. (1996). Translating social ecological theory into guidelines for community health promotion. American Journal of Health Promotion, 10(4), 282–298.Google Scholar
Sung, K. (2009). The effects of 16-week group exercise program on physical function and mental health of elderly Korean women in long-term assisted living facility. Journal of Cardiovascular Nursing, 24(5), 344–351. doi:10.1097/JCN.0b013e3181a80faf.CrossRefGoogle ScholarPubMed
Tighe, S. K., Leoutsakos, J.-M. S., Carlson, M., Onyike, C. U., Samus, Q., Baker, A., et al. (2008). The association between activity participation and time to discharge in the assisted living setting. International Journal of Geriatric Psychiatry, 23, 586–591.Google Scholar
Yardley, L., Donovan-Hall, M., Francis, K., & Todd, C. (2006). Older people’s views of advice about falls prevention: a qualitative study. Health Education Research, 21(4), 508–517. doi:10.1093/her/cyh077.Google Scholar
Zimmer, Z., Hickey, T., & Searle, M. S. (1995). Activity participation and well-being among older people with arthritis. The Gerontologist, 35(4), 463–471.Google Scholar