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Understanding the "black box" of a health-promotion program: keys to enable health among older persons aging in the context of migration
Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing. Karolinska institutet.
2015 (English)In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 10, 29013Article in journal (Refereed) Published
Abstract [en]

Although the need to make health services more accessible to persons who have migrated has been identified, knowledge about health-promotion programs (HPPs) from the perspective of older persons born abroad is lacking. This study explores the design experiences and content implemented in an adapted version of a group-based HPP developed in a researcher-community partnership. Fourteen persons aged 70-83 years or older who had migrated to Sweden from Finland or the Balkan Peninsula were included. A grounded theory approach guided the data collection and analysis. The findings showed how participants and personnel jointly helped raise awareness. The participants experienced three key processes that could open doors to awareness: enabling community, providing opportunities to understand and be understood, and confirming human values and abilities. Depending on how the HPP content and design are being shaped by the group, the key processes could both inhibit or encourage opening doors to awareness. Therefore, this study provides key insights into how to enable health by deepening the understanding of how the exchange of health-promoting messages is experienced to be facilitated or hindered. This study adds to the scientific knowledge base of how the design and content of HPP may support and recognize the capabilities of persons aging in the context of migration.

Place, publisher, year, edition, pages
2015. Vol. 10, 29013
Keyword [en]
immigrant, emigrant, occupation, group intervention, person-centeredness, grounded theory, health-promoting messages
National Category
Health Sciences
Research subject
Health and Welfare
URN: urn:nbn:se:du-20427DOI: 10.3402/qhw.v10.29013ISI: 000367442200001PubMedID: 26654636OAI: diva2:883497
Available from: 2015-12-17 Created: 2015-12-17 Last updated: 2017-12-01Bibliographically approved

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