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Bridging barriers to health promotion: a feasibility pilot study of the 'Promoting Aging Migrants' Capabilities Study'

Journal article
Authors Qarin Lood
Susanne Gustafsson
Synneve Dahlin-Ivanoff
Published in Journal of Evaluation In Clinical Practice
Volume 21
Issue 4
Pages 604-13
ISSN 1356-1294
Publication year 2015
Published at Institute of Neuroscience and Physiology, Department of Health and Rehabilitation
University of Gothenburg Centre for person-centred care (GPCC)
Centre for Ageing and Health (Agecap)
Pages 604-13
Language en
Keywords delivery of health care, emigrants and immigrants, implementation, person-centred
Subject categories Public health science, Health Care Service and Management, Health Policy and Services and Health Economy


Rationale, aims and objectives Improving the possibilities for ageing persons to take control over their health is an increasingly important public health issue. Health promotion has previously been visualized to succeed with this goal, but research has primarily focused on ageing persons who are native-born, leaving the generalizability to persons who are foreign-born unexplored. Therefore, as part of the development of a larger health promotion initiative for ageing persons who have experienced migration, this study aimed to assess the feasibility of an adapted protocol. The specific feasibility objectives were to assess recruitment procedure, retention rates, study questionnaire administration and variability of collected data. Method Forty persons who were ≥70 years, and who had migrated from Finland, Bosnia and Herzegovina, Croatia, Montenegro or Serbia to Sweden were randomly allocated to a health promotion programme or a control group. The programme was linguistically adapted with regard to translated information material, bilingual health professionals and evaluators, and a person-centred approach was applied to both programme development and provision. The data analysis was explorative and descriptive. Results The results visualized structural and linguistic barriers to recruitment and study questionnaire administration, and describe strategies for how to bridge them. Retention rates and data variability were satisfying. Conclusions Calling for iterative and pragmatic programme design, the findings describe how to move towards a more inclusive health care environment. Person-centred and bilingual approaches with attention to the possibilities for building authentic relationships between participants and providers are emphasized, and a structured methodology for developing study questionnaires is suggested.

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