Key Elements and Mechanisms of a Peer-Support Intervention to Reduce Loneliness and Isolation among Low-Income Older Adults: A Qualitative Implementation Science Study.
This paper describes the evaluation of a longitudinal peer-support program developed to address loneliness and isolation among low-income, urban community-dwelling older adults in San Francisco. Our objective was to determine barriers, challenges, and successful strategies in implementation of the p...
| Published in: | Journal of Applied Gerontology Vol. 41; no. 12; pp. 2574 - 2583 |
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| Main Authors: | , , , , , |
| Format: | Article |
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Sage Publications Inc.
Dec2022
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| Subjects: | |
| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=160259600&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 160259600 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 07334648 JGR jtl: Journal of Applied Gerontology issn: 07334648 maglogo: Y pubinfo: dt: Dec2022 vid: 41 iid: 12 pid: 344 pub: Sage Publications Inc. artinfo: ui: 160259600 10.1177/07334648221120458 ppf: 2574 ppct: 9 formats: tig: atl: Key Elements and Mechanisms of a Peer-Support Intervention to Reduce Loneliness and Isolation among Low-Income Older Adults: A Qualitative Implementation Science Study. aug: au: Fuller, Shannon M. Kotwal, Ashwin A. Tha, Soe Han Hill, Daniel Perissinotto, Carla Myers, Janet J. affil: Division of Prevention Science, Department of Medicine, 8785 University of California San Francisco, San Francisco, CA, USA Division of Geriatrics, Department of Medicine, 8785 University of California, San Francisco, San Francisco, CA, USA Geriatrics, Palliative, and Extended Care Service Line, San Francisco Veterans Affairs Medical Center, San Francisco, CA, USA Curry Senior Center, San Francisco, CA, USA su: California Affinity groups Friendship Social support Evaluation of human services programs Client relations Interviewing Creative ability Social isolation Qualitative research Loneliness Interpersonal relations Poverty Metropolitan areas COVID-19 pandemic Old age Peer counseling Independent living Thematic analysis sug: subj: Affinity groups Friendship Social support Evaluation of human services programs Client relations Interviewing Creative ability Social isolation Qualitative research Loneliness Interpersonal relations Poverty Metropolitan areas COVID-19 pandemic Old age California Other Individual and Family Services Peer counseling Independent living Thematic analysis keyword: implementation science loneliness older adults peer support qualitative methods implementation science loneliness older adults peer support qualitative methods ab: This paper describes the evaluation of a longitudinal peer-support program developed to address loneliness and isolation among low-income, urban community-dwelling older adults in San Francisco. Our objective was to determine barriers, challenges, and successful strategies in implementation of the program. In-depth qualitative interviews with clients (n = 15) and peers (n = 6) were conducted and analyzed thematically by program component. We identified barriers and challenges to engagement and outlined strategies used to identify clients, match them with peers, and provide support to both peers and clients. We found that peers played a flexible, non-clinical role and were perceived as friends. Connections to community resources helped when clients needed additional support. We also documented creative strategies used to maintain inter-personal connections during the COVID-19 pandemic. This study fills a gap in understanding how a peer-support program can be designed to address loneliness and social isolation, particularly in low-income, urban settings. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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