A Technology Training Program to Alleviate Social Isolation and Loneliness Among Homebound Older Adults: A Community Case Study
Despite substantial evidence of the negative health consequences of social isolation and loneliness and the outsized impact on older adults, evidence on which interventions are most effective in alleviating social isolation and loneliness is inconclusive. Further complicating the translation of evid...
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Frontiers Media S.A.
2021
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oai:doaj.org-article:5b94140a06d345f3afa28ec375e399532021-11-18T08:25:17ZA Technology Training Program to Alleviate Social Isolation and Loneliness Among Homebound Older Adults: A Community Case Study2296-256510.3389/fpubh.2021.750609https://doaj.org/article/5b94140a06d345f3afa28ec375e399532021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fpubh.2021.750609/fullhttps://doaj.org/toc/2296-2565Despite substantial evidence of the negative health consequences of social isolation and loneliness and the outsized impact on older adults, evidence on which interventions are most effective in alleviating social isolation and loneliness is inconclusive. Further complicating the translation of evidence into practice is the lack of studies assessing implementation and scalability considerations for socialization programs delivered by community-based organizations (CBOs). Our primary objective was to describe the implementation barriers, facilitators, and lessons learned from an information and communication technology (ICT) training program aimed at reducing social isolation and loneliness for homebound older adults in a home-delivered meals program. Participants received in-home, one-on-one ICT training lessons delivered by volunteers over a 14-week period with the goal of increasing social technology use. To assess implementation facilitators and barriers, 23 interviews were conducted with program staff (n = 2), volunteers (n = 3), and participants (n = 18). Transcripts were analyzed using thematic analysis. Aspects that facilitated implementation included the organization's existing relationship with clientele, an established infrastructure to deliver community-based interventions, alignment of intervention goals with broader organizational aims, and funding to support dedicated program staff. Challenges to implementation included significant program staff time and resources, coordinating data sharing efforts across multiple project partners, participant and volunteer recruitment, and interruptions due to COVID-19. Implications of these facilitators and barriers for scalability of community-based ICT training interventions for older adults are described. Lessons learned include identifying successful participant and volunteer recruitment strategies based on organizational capacity and existing recruitment avenues; using a targeted approach to identify potential participants; incorporating flexibility into intervention design when working with the homebound older adult population; and monitoring the participant-volunteer relationship through volunteer-completed reports to mitigate issues. Findings from this formative evaluation provide insight on strategies CBOs can employ to overcome challenges associated with implementing technology training programs to reduce social isolation and loneliness for older adults, and thus improve overall well-being for homebound older adults. Recommendations can be integrated into program design to facilitate implementation of ICT programs in the community setting.Frances N. JiménezJoan F. BrazierNatalie M. DavoodiL. Carter FlorenceKali S. ThomasKali S. ThomasEmily A. GadboisEmily A. GadboisFrontiers Media S.A.articleinformation and communication (ICT)community-based organizations (CBOs)older adultssocial isolationlonelinessPublic aspects of medicineRA1-1270ENFrontiers in Public Health, Vol 9 (2021) |
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information and communication (ICT) community-based organizations (CBOs) older adults social isolation loneliness Public aspects of medicine RA1-1270 |
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information and communication (ICT) community-based organizations (CBOs) older adults social isolation loneliness Public aspects of medicine RA1-1270 Frances N. Jiménez Joan F. Brazier Natalie M. Davoodi L. Carter Florence Kali S. Thomas Kali S. Thomas Emily A. Gadbois Emily A. Gadbois A Technology Training Program to Alleviate Social Isolation and Loneliness Among Homebound Older Adults: A Community Case Study |
description |
Despite substantial evidence of the negative health consequences of social isolation and loneliness and the outsized impact on older adults, evidence on which interventions are most effective in alleviating social isolation and loneliness is inconclusive. Further complicating the translation of evidence into practice is the lack of studies assessing implementation and scalability considerations for socialization programs delivered by community-based organizations (CBOs). Our primary objective was to describe the implementation barriers, facilitators, and lessons learned from an information and communication technology (ICT) training program aimed at reducing social isolation and loneliness for homebound older adults in a home-delivered meals program. Participants received in-home, one-on-one ICT training lessons delivered by volunteers over a 14-week period with the goal of increasing social technology use. To assess implementation facilitators and barriers, 23 interviews were conducted with program staff (n = 2), volunteers (n = 3), and participants (n = 18). Transcripts were analyzed using thematic analysis. Aspects that facilitated implementation included the organization's existing relationship with clientele, an established infrastructure to deliver community-based interventions, alignment of intervention goals with broader organizational aims, and funding to support dedicated program staff. Challenges to implementation included significant program staff time and resources, coordinating data sharing efforts across multiple project partners, participant and volunteer recruitment, and interruptions due to COVID-19. Implications of these facilitators and barriers for scalability of community-based ICT training interventions for older adults are described. Lessons learned include identifying successful participant and volunteer recruitment strategies based on organizational capacity and existing recruitment avenues; using a targeted approach to identify potential participants; incorporating flexibility into intervention design when working with the homebound older adult population; and monitoring the participant-volunteer relationship through volunteer-completed reports to mitigate issues. Findings from this formative evaluation provide insight on strategies CBOs can employ to overcome challenges associated with implementing technology training programs to reduce social isolation and loneliness for older adults, and thus improve overall well-being for homebound older adults. Recommendations can be integrated into program design to facilitate implementation of ICT programs in the community setting. |
format |
article |
author |
Frances N. Jiménez Joan F. Brazier Natalie M. Davoodi L. Carter Florence Kali S. Thomas Kali S. Thomas Emily A. Gadbois Emily A. Gadbois |
author_facet |
Frances N. Jiménez Joan F. Brazier Natalie M. Davoodi L. Carter Florence Kali S. Thomas Kali S. Thomas Emily A. Gadbois Emily A. Gadbois |
author_sort |
Frances N. Jiménez |
title |
A Technology Training Program to Alleviate Social Isolation and Loneliness Among Homebound Older Adults: A Community Case Study |
title_short |
A Technology Training Program to Alleviate Social Isolation and Loneliness Among Homebound Older Adults: A Community Case Study |
title_full |
A Technology Training Program to Alleviate Social Isolation and Loneliness Among Homebound Older Adults: A Community Case Study |
title_fullStr |
A Technology Training Program to Alleviate Social Isolation and Loneliness Among Homebound Older Adults: A Community Case Study |
title_full_unstemmed |
A Technology Training Program to Alleviate Social Isolation and Loneliness Among Homebound Older Adults: A Community Case Study |
title_sort |
technology training program to alleviate social isolation and loneliness among homebound older adults: a community case study |
publisher |
Frontiers Media S.A. |
publishDate |
2021 |
url |
https://doaj.org/article/5b94140a06d345f3afa28ec375e39953 |
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