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Authors = Rachel Winterton

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12 pages, 529 KiB  
Study Protocol
Evaluating Age-Friendly Health Care Approaches in Rural Primary Care Settings: A Multi-Case, Mixed-Methods Hybrid Type 2 Effectiveness-Implementation Study
by Kathleen Brasher, Rachel Winterton, Clare Wilding and Kelly Tamang
Methods Protoc. 2024, 7(5), 81; https://doi.org/10.3390/mps7050081 - 8 Oct 2024
Viewed by 1650
Abstract
Maintaining and improving the health and well-being of older people in rural communities through integrated care is essential to address this cohort’s frailty risk. The Indigo 4Ms Tool for health workers is a rural-specific approach to providing care that addresses the common conditions [...] Read more.
Maintaining and improving the health and well-being of older people in rural communities through integrated care is essential to address this cohort’s frailty risk. The Indigo 4Ms Tool for health workers is a rural-specific approach to providing care that addresses the common conditions of ageing. With Australian government funding, five small rural health services are implementing the tool. This paper describes the protocol for a hybrid type 2 implementation-effectiveness study to evaluate the tool’s impact on multidisciplinary comprehensive care planning and the implementation strategies that enhance the adoption and sustainability of the tool across diverse rural health settings. Full article
(This article belongs to the Section Public Health Research)
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14 pages, 396 KiB  
Protocol
Evaluating the Co-design of an Age-Friendly, Rural, Multidisciplinary Primary Care Model: A Study Protocol
by Rachel Winterton, Kathleen Brasher and Mark Ashcroft
Methods Protoc. 2022, 5(2), 23; https://doi.org/10.3390/mps5020023 - 7 Mar 2022
Cited by 4 | Viewed by 3344
Abstract
In the context of increased rates of frailty and chronic disease among older people, there is a need to develop age-friendly, integrated primary care models that place the older person at the centre of their care. However, there is little evidence about how [...] Read more.
In the context of increased rates of frailty and chronic disease among older people, there is a need to develop age-friendly, integrated primary care models that place the older person at the centre of their care. However, there is little evidence about how age-friendly integrated care frameworks that are sensitive to the challenges of rural regions can be developed. This protocol paper outlines a study that will examine how the use of an age-friendly care framework (the Indigo 4Ms Framework) within a co-design process can facilitate the development of models of integrated care for rural older people within the Upper Hume region (Victoria, Australia). A co-design team will be assembled, which will include older people and individuals from local health, aged care, and community organisations. Process and outcome evaluation of the co-design activities will be undertaken to determine (1) the processes, activities and outputs that facilitate or hinder the co-design of a 4Ms integrated approach, and (2) how the use of the Indigo 4Ms Framework within a co-design process contributes to more integrated working practices. This protocol contributes to the development of a field of study examining how rural health and aged care services can become more age-friendly, with an emphasis on the role of co-design in developing integrated approaches to health care for older adults. Full article
(This article belongs to the Section Public Health Research)
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20 pages, 1049 KiB  
Article
How Can the Lived Environment Support Healthy Ageing? A Spatial Indicators Framework for the Assessment of Age-Friendly Communities
by Melanie Davern, Rachel Winterton, Kathleen Brasher and Geoff Woolcock
Int. J. Environ. Res. Public Health 2020, 17(20), 7685; https://doi.org/10.3390/ijerph17207685 - 21 Oct 2020
Cited by 54 | Viewed by 10579
Abstract
The Age-Friendly Cities and Communities Guide was released by the World Health Organization over a decade ago with the aim of creating environments that support healthy ageing. The comprehensive framework includes the domains of outdoor spaces and buildings, transportation, housing, social participation, respect [...] Read more.
The Age-Friendly Cities and Communities Guide was released by the World Health Organization over a decade ago with the aim of creating environments that support healthy ageing. The comprehensive framework includes the domains of outdoor spaces and buildings, transportation, housing, social participation, respect and inclusion, civic participation and employment, communication and information, and community and health services. A major critique of the age-friendly community movement has argued for a more clearly defined scope of actions, the need to measure or quantify results and increase the connections to policy and funding levers. This paper provides a quantifiable spatial indicators framework to assess local lived environments according to each Age-Friendly Cities and Communities (AFC) domain. The selection of these AFC spatial indicators can be applied within local neighbourhoods, census tracts, suburbs, municipalities, or cities with minimal resource requirements other than applied spatial analysis, which addresses past critiques of the Age-Friendly Community movement. The framework has great potential for applications within local, national, and international policy and planning contexts in the future. Full article
(This article belongs to the Special Issue Feature Papers "Age-Friendly Cities & Communities: State of the Art and Future Perspectives")
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15 pages, 6325 KiB  
Article
Mobilities of Older Chinese Rural-Urban Migrants: A Case Study in Beijing
by Yang Cheng, Mark Rosenberg, Rachel Winterton, Irene Blackberry and Siyao Gao
Int. J. Environ. Res. Public Health 2019, 16(3), 488; https://doi.org/10.3390/ijerph16030488 - 8 Feb 2019
Cited by 27 | Viewed by 5169
Abstract
Along with the rapid urbanization process in Beijing, China, the number of older rural-urban migrants is increasing. This study aims to understand how Chinese rural-urban migration in older age is influenced by, and impacts on the migrants’ mobilities. This study draws on a [...] Read more.
Along with the rapid urbanization process in Beijing, China, the number of older rural-urban migrants is increasing. This study aims to understand how Chinese rural-urban migration in older age is influenced by, and impacts on the migrants’ mobilities. This study draws on a new conceptual framework of mobile vulnerability, influenced by physical, economic, institutional, social and cultural mobility, to understand older people’ experiences of migration from rural to urban areas. Forty-five structured in-depth interviews with older rural-urban migrants aged 55 and over were undertaken in four study sites in Beijing, using the constant comparative method. Results demonstrate that rural household registration (hukou) is an important factor that restricts rural older migrants’ institutional mobility. As older migrants’ physical mobility declines, their mobile vulnerability increases. Economic mobility is the key factor that influences their intention to stay in Beijing. Older migrants also described coping strategies to improve their socio-cultural mobility post-migration. These findings will inform service planning for older rural-urban migrants aimed at maintaining their health and wellbeing. Full article
(This article belongs to the Special Issue Social Determinants and Geographic Disparities in Health and Health Care)
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11 pages, 123 KiB  
Article
The Role of Volunteering in an Era of Cultural Transition: Can It Provide a Role Identity for Older People from Asian Cultures?
by Jeni Warburton and Rachel Winterton
Diversity 2010, 2(8), 1048-1058; https://doi.org/10.3390/d2081048 - 29 Jul 2010
Cited by 21 | Viewed by 10700
Abstract
In western countries, one of the challenges facing ageing populations is an absence of social roles. One response to this is to volunteer, with evidence suggesting that this assigns meaning to the lives of older people and enhances health and well-being. This holds [...] Read more.
In western countries, one of the challenges facing ageing populations is an absence of social roles. One response to this is to volunteer, with evidence suggesting that this assigns meaning to the lives of older people and enhances health and well-being. This holds potential significance for older people from diverse cultural and linguistic backgrounds, and particularly those from Asian cultures, where there is evidence that cultural erosion is diminishing older people’s traditional roles. However, while volunteering can create role identities for older people, it may also further challenge existing cultural values. This paper debates these issues, drawing on a growing body of evidence relating to volunteering within Asian cultures. Full article
(This article belongs to the Special Issue Ethnic Diversity and Cultural Pluralism)
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