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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
Department of Health and Rehabilitation, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Centre for Ageing and Health - AgeCap, University of Gothenburg, Gothenburg, Sweden.ORCID iD: 0000-0002-2036-3613
2015 (English)In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 10, no 1, article id 29013Article in journal (Refereed) Published
Sustainable development
Sustainable Development
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 researchercommunity 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
Taylor & Francis, 2015. Vol. 10, no 1, article id 29013
Keywords [en]
Emigrant, Grounded theory, Group intervention, Health-promoting messages, Immigrant, Occupation, Person-centeredness, age, aged, awareness, Balkan Peninsula, community participation, comprehension, demography, elderly care, ethnology, female, Finland, health care personnel, health promotion, human, interpersonal communication, knowledge, male, migrant, migration, patient satisfaction, personhood, program evaluation, Sweden, very elderly, Age Factors, Aged, 80 and over, Communication, Emigrants and Immigrants, Emigration and Immigration, Health Personnel, Health Services for the Aged, Humans, Residence Characteristics
National Category
Public Health, Global Health and Social Medicine
Identifiers
URN: urn:nbn:se:hj:diva-54449DOI: 10.3402/qhw.v10.29013ISI: 000367442200001PubMedID: 26654636Scopus ID: 2-s2.0-84961784267OAI: oai:DiVA.org:hj-54449DiVA, id: diva2:1590203
Available from: 2021-09-02 Created: 2021-09-02 Last updated: 2025-02-20Bibliographically approved

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Gustafsson, Susanne

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