Understanding the enablers to implementing sustainable health and well-being programs for older adults in rural Australia: A scoping review

IF 1.9 4区 医学 Q2 NURSING Australian Journal of Rural Health Pub Date : 2024-03-20 DOI:10.1111/ajr.13111
Belinda Cash PhD, Michael Lawless PhD, Kristy Robson PhD, Shanna Fealy PhD, Denise Corboy PhD
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Abstract

Introduction

Supporting the health and well-being of older Australians necessitates the implementation of effective and sustainable community-based interventions. Rural settings, however, pose unique challenges to intervention implementation and sustainability, with limited research exploring strategies employed to overcome these complexities.

Objective

To identify enabling strategies that support the sustainable implementation of community-based health and well-being interventions for older adults in rural Australia.

Design

A scoping review, following methods by Arksey and O'Malley and enhanced by elements of the Joanna Briggs Institute methodology for scoping reviews and Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR), was conducted. An electronic search of seven databases was completed in April 2023. A thematic analysis was applied to provide a comprehensive and contextualised understanding of the phenomenon of interest.

Findings

Of 1277 records screened, 15 studies were identified and included for review. Five themes identified key enablers for rural implementation: (1) Co-designing for the local context; (2) Embedding local champions; (3) Leveraging existing local resources; (4) Maintaining impact beyond the end of the funded period and (5) Flexibility in funding models.

Discussion

The sustainable implementation of interventions requires active community involvement and consultation through all stages of program design and delivery to effectively meet the health and well-being needs of older rural-dwelling Australians.

Conclusion

Our findings advocate for clear implementation guidelines to support the design, delivery and adaptation of community-based programs that appropriately reflect the unique contextual needs and strengths of rural communities.

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了解在澳大利亚农村地区为老年人实施可持续健康和福利计划的有利因素:范围审查。
导言:要支持澳大利亚老年人的健康和福祉,就必须实施有效且可持续的社区干预措施。然而,农村环境给干预措施的实施和可持续性带来了独特的挑战,而探索克服这些复杂性的策略的研究却很有限:目标:确定支持澳大利亚农村地区老年人可持续实施社区健康与福利干预措施的有利策略:设计:按照Arksey和O'Malley的方法进行了范围界定综述,并借鉴了乔安娜-布里格斯研究所(Joanna Briggs Institute)的范围界定综述方法和范围界定综述系统性综述和Meta分析扩展首选报告项目(PRISMA-ScR)。2023 年 4 月完成了对七个数据库的电子检索。采用专题分析法对感兴趣的现象进行了全面和背景化的理解:在筛选出的 1277 条记录中,确定并纳入了 15 项研究进行审查。五个主题确定了农村实施的主要推动因素:(1)针对当地情况共同设计;(2)嵌入当地拥护者;(3)利用当地现有资源;(4)在资助期结束后保持影响;(5)资助模式的灵活性:讨论:干预措施的可持续实施需要社区积极参与,并在计划设计和实施的各个阶段进行磋商,以有效满足居住在农村的澳大利亚老年人的健康和福利需求:我们的研究结果主张制定明确的实施指南,以支持社区计划的设计、实施和调整,从而适当反映农村社区独特的背景需求和优势。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Australian Journal of Rural Health
Australian Journal of Rural Health 医学-公共卫生、环境卫生与职业卫生
CiteScore
2.30
自引率
16.70%
发文量
122
审稿时长
12 months
期刊介绍: The Australian Journal of Rural Health publishes articles in the field of rural health. It facilitates the formation of interdisciplinary networks, so that rural health professionals can form a cohesive group and work together for the advancement of rural practice, in all health disciplines. The Journal aims to establish a national and international reputation for the quality of its scholarly discourse and its value to rural health professionals. All articles, unless otherwise identified, are peer reviewed by at least two researchers expert in the field of the submitted paper.
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