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http://dx.doi.org/10.5392/JKCA.2022.22.10.475

Facilitators and Barriers of Social Participation of Older Adults: Systematic Review of Qualitative Studies  

Lee, Hamin (연세대학교 일반대학원 작업치료학과)
Park, Hae Yean (연세대학교 소프트웨어디지털헬스케어융합대학 작업치료학과)
Lim, Young-Myoung (연세대학교 초고령사회 뉴노멀 라이프스타일 연구소)
Publication Information
Abstract
The purpose of this study is to comprehensively examine the facilitators and barriers to social participation of older adults in the society through systematic review of qualitative research. Through PubMed, Embase, Cochrane, data from 2012 to 2022 were collected. The main search keywords were 'elderly', 'older adults', social participation', 'engagement', 'motiv*', 'barrier', 'facilitat*'. 7 articles that satisfy the inclusion criteria were selected for analysis. Facilitators and barriers of older adults' social participation were analyzed. The analyzed factors were assorted into 'personal/ internal factors', 'environmental factors', 'social network factors'. The results of this study emphasize not only logistical factors, but also motivation, desire, social context of older adults' as factors to social participation. To prevent older adults' social isolation, a broad understanding of what promotes and inhibits the participation of the older adults is needed.
Keywords
Older adults; Social participation; Facilitators; Motives; Barriers; Factors;
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Times Cited By KSCI : 4  (Citation Analysis)
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1 N. C. Campbell and E. Murray, "Darbyshire, Designing and evaluating complex interventions to improve health care," British Medical Joumal, Vol.334, pp.455-459, 2017.
2 A. P. Bath and D. Deeg, "Social engagement and health outcomes among older people: introduction to a special section," European journal of ageing, Vol.2, No.1, pp.24-30, 2005.   DOI
3 T. Nordin, R. Lena, and N. Ingeborg, "Personhood in aloneness and in affinity: satisfactory social participation among home care recipients," Scandinavian Journal of Occupational Therapy, Vol.29, No.7, pp.1-15, 2020.
4 B. Piskur, R. Daniels, M. J. Jongmans, M Ketelaar, R. J. Smeets, M. Norton, and A. J. Beurskens, "Participation and social participation: are they distinct concepts?," Clinical rehabilitation, Vol.28, No.3, pp.211-220, 2014.   DOI
5 T. Bathgate and P. Romios, Consumer participation in health: Understanding consumers as social participants, Institute for Social Participation Seminar Series, 2011.
6 L. O. Bygren, B. B. Konlaan, and S. E. Johansson, "Attendance at cultural events, reading books or periodicals, and making music or singing in a choir as determinants for survival: Swedish interview survey of living conditions," BMJ, Vol.313 No.7072, pp.1577-1580, 1996.   DOI
7 M. Anaturk, N. Demnitz, K. P. Ebmeier, and C. E. Sexton, "A systematic review and meta-analysis of structural magnetic resonance imaging studies investigating cognitive and social activity levels in older adults," Neuroscience & Biobehavioral Reviews, Vol.93, pp.71-84, 2018.   DOI
8 Q. Chang, C. H. Chan, and S. F. Y. Paul, "A meta-analytic review on social relationships and suicidal ideation among older adults," Social science & medicine, Vol.191, pp.65-76, 2017.   DOI
9 M. C. Christina, C. Matz-Costa, D. C. Carr, T. K. McNamara, J. B. James, "Physical, cognitive, social, and emotional mediators of activity involvement and health in later life." Research on Aging, Vol.38, No.7. pp.791-815, 2016.   DOI
10 A. Wanchai and P. Duangjai, "A systematic review of factors influencing social participation of older adults," Pacific Rim International Journal of Nursing Research, Vol.23, No.2, pp.131-141, 2019.
11 J. C. Goll, G Charlesworth, K. Scior, and J. Stott, "Barriers to social participation among lonely older adults: The influence of social fears and identity," PloS one, Vol.10, No.2, p.e0116664, 2015.   DOI
12 W. J. Shin, "체계적 고찰과 메타분석의 개요," Hanyang Medical Reviews, Vol.35, No.1, 2015.
13 J. Treas and S. Mazumdar, "'Older people in America's immigrant families: Dilemmas of dependence, integration, and isolation," Journal of Aging Studies, Vol.16, No.3, pp.243-258, 2002.   DOI
14 A. Butler, H. Hall, and B. Copnell, "A guide to writing a qualitative systematic review protocol to enhance evidence-based practice in nursing and health care," Worldviews on Evidence-Based Nursing, Vol.13, No.3, pp.241-249, 2016.   DOI
15 B. M. Fullen, G. D. Baxter, B. G. G. O'Donovan, C. Doody, L. E. Daly, and D. A. Hurley, "Factors impacting on doctors' management of acute low back pain: a systematic review," European Journal of Pain, Vol.13, No.9, pp.908-914, 2009.   DOI
16 https://www.unisa.edu.au/contentassets/72bf 75606a2b4abcaf7f17404af374ad/7a-casp-qualitative-cat.pdf. Accessed: 22.04.21
17 A. Waddell, A. Lennox, G. Spassova, and P. Bragge, "Barriers and facilitators to shared decision-making in hospitals from policy to practice: a systematic review," Implementation Science, Vol.16, No.1, pp.1-23, 2021.   DOI
18 S. Aw, G. Koh, Y. J. Oh, M. L. Wong, H. J. M. Vrijhoef, S. C. Harding, M. A. B. Geronimo, C. Y. F. Lai, and Z. J. L. Hildon, "Explaining the continuum of social participation among older adults in Singapore: from 'closed doors' to active ageing in multi-ethnic community settings," Journal of aging studies, Vol.42, pp.46-55, 2017.   DOI
19 T. send, G. Braedon, T. H. Jessamine, and V. M. Wuthrich, "Barriers and facilitators to social participation in older adults: A systematic literature review," Clinical gerontologist, Vol. 44, No.4, pp.359-380, 2021.   DOI
20 M. Levasseur, L. Richard, L. Gauvin, and E. Raymond, "Inventory and analysis of definitions of social participation found in the aging literature: Proposed taxonomy of social activities," Social science & medicine, Vol.71, No.12, pp.2141-2149, 2010.   DOI
21 A. Wanchai and P. Duangjai, "A systematic review of factors influencing social participation of older adults," Pacific Rim International Journal of Nursing Research, Vol.23, No.2, pp.131-141, 2019.
22 A. Cooke, D. Smith, and A. Booth, "Beyond PICO: the SPIDER tool for qualitative evidence synthesis," Qualitative health research, Vol.22, No.10, pp.1435-1443, 2012.   DOI
23 신상예, 이은숙, "독거 중고령자의 사회참여, 인지기능, 우울의 관계 및 인지기능 수준에 따른 집단비교," 한국 콘텐츠학회논문지, 제22권, 제3호, pp.529-537, 2022.
24 J. Rozanova, N. Keating, and J. Eales, "Unequal social engagement for older adults: constraints on choice," Canadian Journal on Aging/La Revue canadienne du vieillissement, Vol.31, No.1, pp.25-36, 2017.
25 A. Wanchai and P. Duangjai, "Social participation types and benefits on health outcomes for elder people: A systematic review," Ageing International, Vol.44, No.3, pp.223-233, 2019.   DOI
26 World Health Organization, International Classification of Functioning, Disability and Health (ICF), Geneva, Switzerland: WHO, 2001
27 J. Holt-Lunstad, T. B. Smith, M. Baker, T. Harris, and D. Stephenson, "Loneliness and social isolation as risk factors for mortality: a meta-analytic review," Perspectives on psychological science, Vol.10, No.2, pp.227-237, 2015.   DOI
28 H. Douglas, G. Andrew, and W. Johanna, "Social participation as an indicator of successful aging: an overview of concepts and their associations with health," Australian Health Review, Vol.41, No.4, pp.455-462, 2016.
29 N. Curvers, N. Curvers, M. Pavlova, K. J. Hajema, and W. Groot, "Social participation among older adults (55+): Results of a survey in the region of South Limburg in the Netherlands," Health & social care in the community, Vol.26, No.1, pp.e85-e93, 2018.   DOI
30 United Nations, Department of Economic and Social Affairs, Population Division, World Population Ageing 2013, New York, NY: United Nations, 2013.
31 A. Sowa, B. Tobiasz-Adamczyk, R. Topor-Madry, A. Poscia, and D. I. La Milla, "Predictors of healthy ageing: public health policy targets," BMC health services research, Vol.16, No.5, pp.441-453, 2016.   DOI
32 A. Y. M. Leung, M. Alex, and A. C. Diomedes, "A Challenge to Healthy Aging: Limited Social Participation in Old Age," Aging and disease, Vol.12, No.7, pp.1536, 2021.   DOI
33 이주미, 김태완. "노인빈곤 원인에 대한 고찰: 노동시장 경험과 가족구조 변화를 중심으로," 보건사회연구, Vol.40, No.2, pp.193-221, 2020.   DOI
34 M. Luo, D. Ding, A. Bauman, J. Negin, and P. Phongsavan, "Social engagement pattern, health behaviors and subjective well-being of older adults: an international perspective using WHO-SAGE survey data," BMC Public Health, Vol.20, No.1, pp.1-10, 2020.   DOI
35 D. son, G. S. Jacob, and M. G. Dawn, "Older adults with a combination of vision and hearing impairment experience higher rates of cognitive impairment, functional dependence, and worse outcomes across a set of quality indicators," Journal of aging and health, Vol.31, No.1, pp.85-108, 2019.   DOI
36 M. E. Kelly, H. Duff, S. Kelly, J. E. McHugh Power, S. Brennan, B. A. Lawlor, and D. G. Loughrey, "The impact of social activities, social networks, social support and social relationships on the cognitive functioning of healthy older adults: a systematic review," Systematic reviews, Vol.6, No.1, pp.1-18, 2017.   DOI
37 M. D. Aroogh and M. F. Farahnaz, "Social participation of older adults: A concept analysis," International journal of community based nursing and midwifery, Vol.8, No.1, p.55, 2020.
38 Mikkelsen, A. S. Bech, A. S. B. Mikkelsen, S. Petersen, A. C. Dragsted, and M. Kristiansen, "Social interventions targeting social relations among older people at nursing homes: a qualitative synthesized systematic review," INQUIRY: The Journal of Health Care Organization, Provision, and Financing, Vol.56, pp.1-16, 2019.
39 X. Huang, L. Jinyu, and B. Ai, "Living arrangements and quality of life among older adults in China: does social cohesion matter?," Aging & Mental Health, Vol.24, No.12, pp.2053-2062, 2020.   DOI
40 이승현, 이규호, "사회참여영역과 성별에 따른 독거노인의 우울감," 한국콘텐츠학회논문지, 제21권, 제12호, pp.607-620, 2021.   DOI
41 R. Cano, A. Jesus, E. O. Gaitan, and F. C. Sanchez. "Factors conditioning sexual behavior in older adults: a systematic review of qualitative studies," Journal of clinical medicine Vol.9, No.6, p.1716, 2020.   DOI
42 American Occupational Therapy Association, Occupational Therapy Practice Framework: Domain Et Process, 2020.
43 M. Pardasani, "Motivation to volunteer among senior center participants," Journal of gerontological social work, Vol.61, No.3, pp.313-333, 2018.   DOI
44 M. Levasseur, S. Routhier, I. Clapperton, C. Dore, and F. Gallagher, "Social participation needs of older adults living in a rural regional county municipality: Toward reducing situations of isolation and vulnerability," BMC geriatrics, Vol.20, No.1, pp.1-12, 2020.   DOI
45 W. M. Levack, "Ethics in goal planning for rehabilitation: a utilitarian perspective," Clinical Rehabilitation, Vol.23, No.4, pp.345-351, 2009.   DOI
46 L. Damodaran, C. W. Olphert, and J. Sandhu. "Falling off the bandwagon? Exploring the challenges to sustained digital engagement by older people," Gerontology, Vol.60, No.2, pp.163-173, 2014.   DOI
47 E. M. Orellano-Colon, G. A. Mountain, M. Rosario, Z. M. Colon, S. Acevedo, and J. Tirado, "Environmental restrictors to occupational participation in old age: exploring differences across gender in Puerto Rico," International journal of environmental research and public health, Vol.12, No.9, pp.11288-11303, 2015.   DOI
48 H. Kottl, V. Gallistl, R. Rohner, and L. Ayalon, "'But at the age of 85? Forget it!': Internalized ageism, a barrier to technology use," Journal of Aging Studies, Vol.59, p.100971, 2021.   DOI
49 J. Fuchs, C. Scheidt-Nave, T. Hinrichs, A. Mergenthaler, J. Stein, S. G. Riedel-Heller, and E. Grill, "Indicators for healthy ageing-a debate," International Journal of Environmental Research and Public Health, Vol.10, No.12, pp.6630-6644, 2013.   DOI
50 H. Y. Lee, S. N. Jang, S. Lee, S. I. Cho, and E. O. Park, "The relationship between social participation and self-rated health by sex and age: A cross-sectional survey," International journal of nursing studies, Vol.45, No.7, pp.1042-1054, 2008.   DOI