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Supporting decision-making by a health promotion programme: experiences of persons ageing in the context of migration

Journal article
Authors Emmelie Barenfeld
Susanne Gustafsson
Lars Wallin
Synneve Dahlin-Ivanoff
Published in International Journal of Qualitative Studies on Health and Well-Being
Volume 12
Issue 1
ISSN 1748-2623
Publication year 2017
Published at Institute of Neuroscience and Physiology, Department of Health and Rehabilitation
Institute of Health and Care Sciences
Centre for Ageing and Health (Agecap)
Language en
Keywords Health literacy, emigrants and immigrants, ageing, person-centred approach, group intervention, health care quality, access and evaluation, cross-language research, complex interventions, daily occupations, older-people, home visits, literacy, metaanalysis, immigrants, sweden, education, Public, Environmental & Occupational Health, lstein mf, 1975, journal of psychiatric research, v12, p189
Subject categories Clinical Medicine


This study is part of the Promoting Aging Migrants' Capabilities programme that applied person-centred group meetings and one individual home visit to prolong independence in daily activities among people >= 70 years who had migrated to Sweden from Finland or the Western Balkan region. With the purpose to understand programme outcomes, the study aimed to explore the participants' everyday experiences of using health-promoting messages exchanged during the programme. Using a grounded theory approach, 12 persons aged 70-83 years were interviewed six months to one year after their participation in the programme. The participants experienced how using health-promoting messages was a dynamic process of how to make decisions on taking action to satisfy health-related needs of oneself or others immediately or deferring action. Five sub-processes were also identified: gaining inner strength, meeting challenges in available resources, being attentive to what is worth knowing, approaching health risks, and identifying opportunities to advocate for others. The results suggest that the programme could develop personal skills to support older people who have migrated to overcome health-related challenges. They further demonstrate the importance of supporting their health literacy before personal resources hinder action, and call for research on programmes to overcome environmental barriers to health.

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