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首页> 外文期刊>BMC Geriatrics >Theory and Design of the Community for successful ageing (ComSA) program in Singapore: connecting BioPsychoSocial health and quality of life experiences of older adults
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Theory and Design of the Community for successful ageing (ComSA) program in Singapore: connecting BioPsychoSocial health and quality of life experiences of older adults

机译：新加坡的成功衰老社区理论与设计（ComSA）计划：将BioPsychoSocial健康与老年人的生活质量联系起来

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Despite the emphasis on holistic health promotion in community programs for older people, few studies explicitly consider how BioPsychoSocial (BPS) health elements are interconnected and function to improve Quality of Life (QoL). The Community for Successful Ageing (ComSA) program in Singapore focuses on Community Development (CD) initiatives for older people, accounting for BPS theory in its design and content. Biological (B) health is conceived as physiological and cognitive functioning and related biological self-care; Psychological (P) health as feelings of life satisfaction, and Social health (S) as perceived social support and civic engagement. Furthermore, three overlapping sub-constructs are theorized to connect these elements. Namely Bio-Psychological (BP) health in terms of self-perceptions of ageing; the Psycho-Social (PS) aspects of interpersonal communication; and the Socio-Communal (SC) health in terms of civic engagement. BPS health is conceived as distinct from QoL, defined as composed of control, autonomy, self-realisation and pleasure (measured by CASP-19) of the older person. We examined 1) interconnections of BPS constructs and related sub-constructs and 2) their associations with QoL to inform a practical, applied program theory. A baseline survey (n?=?321) of program participants (Mean?=?70?years, SD?=?8.73). All continuous variables were binarized as ‘high’ if the scores were above the median. Multivariate logistic regression was used to assess 1) the adjusted effect of each BPS construct on CASP-19, and 2) the odds of scoring high on one BPS construct with the odds of scoring high on a related sub-construct (e.g. B and BP health). The strongest relationship with QoL was markedly with BP self-perceptions of ageing (OR?=?4.07, 95%CI?=?2.21–7.49), followed by P life satisfaction (OR?=?3.66, 95%CI?=?2.04–6.57), PS interpersonal communication (OR?=?2.42, 95%CI?=?1.23–4.77), SC civic engagement (OR?=?1.94, 95%CI?=?1.05–3.57), and S social support (OR?=?1.89, 95%CI?=?1.06–3.38). Core B, P and S health were closely associated with their sub-constructs. ComSA CD is tightly coupled to its proposed program theory. It offers classes to improve B self-care and BP self-perceptions of ageing, group-based guided autobiography to improve P life-satisfaction and PS interpersonal communication, and community initiatives that encourage seniors to solve community issues. This holistic approach is likely to enhance ageing experiences and QoL.
机译：尽管在针对老年人的社区计划中强调了整体健康促进，但很少有研究明确考虑到BioPsychoSocial（BPS）健康要素如何相互联系并起到改善生活质量（QoL）的作用。新加坡的成功衰老社区（ComSA）计划专注于老年人的社区发展（CD）计划，并在设计和内容上考虑了BPS理论。生物（B）健康被认为是生理和认知功能以及相关的生物自我保健;心理（P）健康是生活的满足感，社会健康（S）是感知的社会支持和公民参与。此外，从理论上讲，三个重叠的子结构可以连接这些元素。即根据年龄自我感知的生物心理（BP）健康;人际沟通的心理-社会（PS）方面;公民参与方面的社会公共卫生。 BPS健康被认为与QoL不同，QoL被定义为老年人的控制，自主，自我实现和愉悦（由CASP-19衡量）。我们检查了1）BPS构造和相关子构造的互连，以及2）它们与QoL的关联，以提供实用的应用程序理论。计划参与者的基线调查（n？=？321）（平均值？=？70？年，SD？=？8.73）。如果分数高于中位数，则所有连续变量都被二进制化为“高”。使用多元逻辑回归分析来评估1）每个BPS构建体对CASP-19的调整效果，以及2）在一个BPS构建体上得分高的几率与相关子构建体（例如B和BP）得分高的几率健康）。与QoL的最强关系与BP的衰老自我感知能力显着相关（OR？=？4.07，95％CI？=？2.21-7.49），其次是P生活满意度（OR？=？3.66，95％CI？=？）。 2.04–6.57），PS人际沟通（OR？=？2.42、95％CI？=？1.23-4.77），SC公民参与度（OR？=？1.94、95％CI？=？1.05-3.57）和S社交支持（OR？=？1.89，95％CI？=？1.06-3.38）。核心B，P和S的健康状况与其子结构密切相关。 ComSA CD与拟议的程序理论紧密相连。它提供了一些课程，以改善B自我保健和BP对老龄化的自我认知，提供基于小组的指导自传，以改善P的生活满意度和PS的人际沟通，并提供鼓励老年人解决社区问题的社区举措。这种整体方法可能会增强衰老体验和QoL。

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