Family Medicine & Primary Care Review
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Family Medicine & Primary Care Review
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4/2025
vol. 27
 
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Original paper

“Why shouldn’t I join your program”? Facilitators and barriers of older adults’ participation in the health promotion programs of an Age-friendly Healthcare Center. Results of a pilot study

Athareh Najafi
1
,
Navideh Heydarian
2
,
Mina Hashemiparast
3
,
Mehdi Abbasian
4, 5
,
Behrouz Samei
5, 6
,
Elham Lotfalinezhad
7
,
HAIDAR NADRIAN
8

  1. Department of Nursing, Faculty of Nursing and Midwifery, Islamic Azad University-Sanandaj Branch, Sanandaj, Iran
  2. Department of Geriatric Health, Tabriz University of Medical Sciences, Tabriz, Iran
  3. Department of Health Education & Promotion, Zanjan University of Medical Sciences, Zanjan, Iran
  4. Research Center for Integrative Medicine in Aging, Aging Research Institute, Tabriz University of Medical Sciences, Tabriz, Iran
  5. Student Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran
  6. Tabriz Health Services Management Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
  7. School of Nursing, University of Northern British Columbia, Prince George, Canada
  8. Social Determinants of Health Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
Family Medicine & Primary Care Review 2025; 27(4)
Online publish date: 2025/12/22
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1. Osareme JO, Muonde M, Maduka CP, et al. Demographic shifts and healthcare: A review of aging populations and systemic challenges. Int J Sci Res Arch 2024; 11: 383–395.
2. Ellis C, Boon BJ, Andrew P, et al. Adult day services: Finding an anchor in today’s healthcare and economic storms. CARF 2010; 12: 1–8.
3. Pourasghari H. Iran’s national document on older person. Tehran: Planning and Budget Organization; 2020.
4. Layte R, Sexton E, Savva G. Quality of life in older age: evidence from an Irish cohort study. J Am Geriatr Soc 2013; 61: S299–S305.
5. The 1st International Conference on Health Promotion, Ottawa, 1986. Canadian Public Health Association, World Health Organisation [cited 17.01.2025]. Available from URL: https://www.who.int/teams/health-promotion/enhanced-wellbeing/first-global-conference.
6. Orellana K, Manthorpe J, Tinker A. Day centres for older people: a systematically conducted scoping review of literature about their benefits, purposes and how they are perceived. Ageing Soc 2020; 40(1): 73–104.
7. Fields NL, Anderson KA, Dabelko-Schoeny H. The effectiveness of adult day services for older adults: A review of the literature from 2000 to 2011. J Appl Gerontol 2014; 33(2): 130–163.
8. Zhou Y, Fu J. Review of studies on day-care centers for the elderly in community. Open J Soc Sci 2019; 7(12): 322–334.
9. Liu JD, Wei QF. Preliminary Study on the Indoor Public Activity Space of Community Day Care Center for the Elderly. SHS Web Conf 2023; 158, doi: 10.1051/shsconf/202315801010.
10. Svidén GA, Tham K, Borell L. Elderly participants of social and rehabilitative day centres. Scand J Caring Sci 2004; 18(4): 402–409.
11. Pardasani M. Senior centers: characteristics of participants and nonparticipants. Activ Adapt Aging 2010; 34(1): 48–70.
12. Iecovich E, Biderman A. Attendance in adult day care centers of cognitively intact older persons: reasons for use and nonuse. J Appl Gerontol 2013; 32(5): 561–581.
13. Cohen-Mansfield J, Lipson S, Brenneman KS, et al. Health status of participants of adult day care centers. J Health Soc Policy 2001; 14(2): 71–89.
14. Pulgaron ER, Marchante AN, Agosto Y, et al. Grandparent involvement and children’s health outcomes: The current state of the literature. Fam Syst Health 2016; 34(3): 260–269.
15. Larsson Ranada Å, Österholm J. Promoting active and healthy ageing at day centers for older people. Activ Adapt Aging 2022; 46(3): 236–250.
16. Population of Hashtrud County. 2022 [cited 03.02.2025]. Available from URL: https://eazphcp.tbzmed.ac.ir/Page/2987/%D8%AC%D9%85%D8%B9%DB% 8C%D8%AA-%D8%B4%D9%87%D8%B1%D8%B3%D8%AA%D8%A7%D9%86-%D9%87%D8%B4%D8%AA%D8%B1%D9%88%D8%AF.html.
17. O’Brien BC, Harris IB, Beckman TJ, et al. Standards for reporting qualitative research: a synthesis of recommendations. Acad Med 2014; 89(9): 1245–1251.
18. Byrne M. Grounded theory as a qualitative research methodology. AORN Journal 2001; 73(6): 1155–1156.
19. Cleary M, Horsfall J, Hayter M. Data collection and sampling in qualitative research: does size matter? J Adv Nurs 2014; 70(3): 473–475.
20. Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol 2006; 3(2): 77–101.
21. Lincoln YS, Guba EG. Naturalistic Inquiry. Thousand Oaks: SAGE; 1985: 289–331, doi: 10.1016/0147-1767(85)90062-8.
22. Agyemang-Duah W, Mensah CM, Peprah P, et al. Facilitators of and barriers to the use of healthcare services from a user and provider perspective in Ejisu-Juaben municipality, Ghana. J Public Health 2019; 27: 133–142.
23. Ross LE, Vigod S, Wishart J, et al. Barriers and facilitators to primary care for people with mental health and/or substance use issues: a qualitative study. BMC Fam Pract 2015; 16: 1–13.
24. Atakro CA, Atakro A, Aboagyeet JS, et al. Older people’s challenges and expectations of healthcare in Ghana: A qualitative study. PLOS ONE 2021; 16(1): e0245451.
25. Chen C-C, Lin Y-J, Lin Y-T. Awareness and utilization of preventive care services among the elderly under National Health Insurance. Int J Health Care Finance Econ 2013; 13(3–4): 247–260.
26. Moon A, Lubben JE, Villa V. Awareness and utilization of community long-term care services by elderly Korean and non-Hispanic White Americans. Gerontologist 1998; 38(3): 309–316.
27. Smith GD, Chaturvedi N, Harding S, et al. Ethnic inequalities in health: a review of UK epidemiological evidence. Crit Public Health 2000; 10(4): 375-408.
28. Arimby AE, Apriningsih A.A. Determinan Kunjungan Lansia ke Posbindu Senja Sejahtera Cinere, Depok Tahun 2015. Jurnal Kedokteran dan Kesehatan 2017; 12(1): 42–54 (in Indonesian).
29. Azana DW, Gondodiputro S, Didah D. Elderly’s expectations of services in integrated health post (Posbindu): A qualitative study. Majalah Kedokteran Bandung 2019; 51(4): 213–220.
30. Talley KM, Cheung C, Mathiason MA, et al. Aging adults’ preferences for wellness program activities and delivery characteristics: a cross-sectional survey. Top Geriatr Rehabil 2019; 35(4): 289–299.
31. Bethancourt HJ, Rosenberg DE, Beatty T, et al. Barriers to and facilitators of physical activity program use among old-er adults. Clin Med Res 2014; 12(1–2): 10–20.
32. Nordin S, McKee K, Wallinder M, et al. The physical environment, activity and interaction in residential care facilities for older people: a comparative case study. Scand J Caring Sci 2017; 31(4): 727–738.
33. Cauwenberg J, van, Bourdeaudhuij I, de, Meester F, de, et al. Relationship between the physical environment and physical activity in older adults: a systematic review. Health Place 2011; 17(2): 458–469.
34. Yen IH, Anderson LA. Built environment and mobility of older adults: important policy and practice efforts. J Am Geriatr Soc 2012; 60(5): 951–956.
35. Tisminetzky M, Bayliss EA, Magazineret JS, et al. Research priorities to advance the health and health care of older adults with multiple chronic conditions. J Am Geriatr Soc 2017; 65(7): 1549–1553.
36. Tavares J, Santinha G, Rocha NP. Age-friendly health care: a systematic review. Healthcare (Basel) 2021; 9(1): 83, doi: 10.3390/healthcare9010083.
37. Joe C, Yoong P. Harnessing the expert knowledge of older workers: issues and challenges. JIKM 2006; 5(1): 63–72.
38. Walmsley AL. Closing the communication gap. Educational Horizons 2011; 90(1): 25–26.
39. Klein LA, Ritchie JE, Nathanet S, et al. An explanatory model of peer education within a complex medicines information exchange setting. Soc Sci Med 2014; 111: 101–109.
40. Turcotte S, DeBroux-Leduc R, Aubry CV, et al. Older adults’ experience as peer educators in health promotion programs. J Occup Sci 2023; 30(2): 203–217.
41. Allen T. Preventing falls in older people: evaluating a peer education approach. Br J Commun Nurs 2004; 9(5): 195–200.
42. Shannon BM, Smiciklas-Wright H, Davis BW, et al. A peer educator approach to nutrition for the elderly. Gerontologist 1983; 23(2): 123–126.
43. Leeuw E, de. Engagement of sectors other than health in integrated health governance, policy, and action. Ann Rev Pub Health 2017; 38(1): 329–349.
44. Abbasian M, Shaghaghi A. An evidence-informed and key informants-appraised conceptual framework for an integrated elderly health care governance in Iran (IEHCG-IR). Risk Manag Healthc Policy 2020; 13: 1365–1374.
45. Pardasani M, Goldkind L. Senior centers and policy advocacy: Changing public perceptions. Educ Gerontol 2012; 38(6): 375–390.
46. Lai DW, Chau SB. Predictors of health service barriers for older Chinese immigrants in Canada. Health Soci Work 2007; 32(1): 57–65.
47. Murata C, Yamada T, Chen CC, et al. Barriers to health care among the elderly in Japan. Int J Environ Res Public Health 2010; 7(4): 1330–1341.
48. Elliott ML, Caspi A, Houts RM, et al. Disparities in the pace of biological aging among midlife adults of the same chronological age have implications for future frailty risk and policy. Nature Aging 2021; 1(3): 295–308.
49. Ferrucci L, Gonzalez-Freire M, Fabbret E, et al. Measuring biological aging in humans: A quest. Aging Cell 2020; 19(2): e13080.
50. Townsend BG, Chen JT, Wuthrich VM. Barriers and facilitators to social participation in older adults: a systematic literature review. Clin Gerontol 2021; 44(4): 359–380.
51. Yang Y. Aging in community and local NGOs: Empowering marginalized older women in South Korea. J Women Aging 2018; 30(4): 344–362.
52. Ndlovu M. The challenges facing adult educators in reducing illiteracy among adults above twenty years of age: an Eastern Cape case study. Bellville: University of the Western Cape; 2008.
53. Sa’d SHT, Rajabi F. Teaching and learning vocabulary: what English language learners perceive to be effective and in-effective strategies. CEPS Journal 2018; 8(1): 139–163.
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