'What works here doesn't work there': The significance of local context for a sustainable and replicable asset-based community intervention aimed at promoting social interaction in later life.
Aged
Aged, 80 and over
Community Health Services
/ organization & administration
England
Female
Humans
Interpersonal Relations
Male
Patient Acceptance of Health Care
/ statistics & numerical data
Qualitative Research
Rural Population
/ statistics & numerical data
Social Isolation
/ psychology
Social Support
community development
community participation
community services for the elderly people
elderly people
social exclusion
voluntary sector
Journal
Health & social care in the community
ISSN: 1365-2524
Titre abrégé: Health Soc Care Community
Pays: England
ID NLM: 9306359
Informations de publication
Date de publication:
Jul 2019
Jul 2019
Historique:
received:
12
07
2018
revised:
31
01
2019
accepted:
09
02
2019
pubmed:
14
3
2019
medline:
9
4
2020
entrez:
14
3
2019
Statut:
ppublish
Résumé
Interventions that harness local assets to benefit a community are increasingly being promoted to improve health and well-being. In practice, we know little about how local contexts or reliance on local resources affect the sustainability and scalability of asset-based community developments. This qualitative case study documents the development and implementation of a novel asset-based community development project. Based in a large mainly rural county in North East England with relatively high levels of socioeconomic deprivation, the project aimed to prevent social isolation among older people, using a range of food-related activities. Twenty-one semi-structured interviews were conducted with service users, volunteers, project partners, project development workers and senior staff. Interviews explored the project's design and implementation process, outcomes for participants and the wider community, and project sustainability and scalability. Thematic analysis of the data identified four factors likely to be important for creating sustainable and replicable asset-based community projects. These factors are (a) recognising and harnessing assets among local people who may be otherwise marginalised due to age, geographical isolation and/or socioeconomic deprivation; (b) identifying assets that can be provided by local businesses; (c) genuine project co-production to develop activities that meet local needs and inspire enthusiasm among all stakeholders; and (d) ongoing organisational support to meet the challenges to sustainability that exist in socioeconomically deprived areas. We conclude that successful asset-based community projects require extensive community input and learning captured from existing programmes can facilitate the replicability of programmes in other community contexts.
Identifiants
pubmed: 30864266
doi: 10.1111/hsc.12735
pmc: PMC6849711
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1102-1110Subventions
Organisme : Medical Research Council
ID : MR/K02325X/1
Pays : United Kingdom
Informations de copyright
© 2019 The Authors. Health and Social Care in the Community Published by John Wiley & Sons Ltd.
Références
BMC Public Health. 2011 Aug 15;11:647
pubmed: 21843337
BMJ Open. 2017 Jul 16;7(7):e015203
pubmed: 28713072
Am J Health Promot. 2015 Jan-Feb;29(3):e109-25
pubmed: 24575725
Tob Control. 2006 Feb;15(1):59-63
pubmed: 16436407
Health Soc Care Community. 2019 Jul;27(4):1102-1110
pubmed: 30864266
Nurs Older People. 2005 Mar 1;17(1):40
pubmed: 27736564
J R Soc Med. 2012 Dec;105(12):518-22
pubmed: 23288086
Health Soc Care Community. 2018 Mar;26(2):147-157
pubmed: 27413007
Health Soc Care Community. 2017 May;25(3):799-812
pubmed: 26712585