Older Adults' Experiences of Goals in Health: A Systematic Review and Metasynthesis.
Nicky BakerSharon LawnSusan J GordonStacey GeorgePublished in: Journal of applied gerontology : the official journal of the Southern Gerontological Society (2020)
Objective: To synthesize older adults' experiences and perceptions of goal setting and pursuit within health systems. Methods: Six databases were searched to May 2019 using a combination of MeSH and free text terms. Included papers were written in English and reported original qualitative research for participants aged 65 years and older. Participant quotes from the results sections of included studies were gathered for thematic analysis and synthesis. Results: Initial search yielded 9,845 articles, and 134 were identified for full-text review. Fifteen papers were included in the final synthesis. Two main themes were identified: enablers (intrinsic and extrinsic) and barriers (personal and system). Conclusion: Older adults' self-belief is the strongest enabler for goal activities, enhanced by a personalized coaching approach from health staff. Conversely, inconsistent goal terminology confuses patients and reduces engagement. Likewise, fatigue has profound physical and cognitive impact on patients' ability to engage and participate in goals.
Keyphrases
- physical activity
- end stage renal disease
- healthcare
- mental health
- ejection fraction
- public health
- newly diagnosed
- chronic kidney disease
- prognostic factors
- systematic review
- primary care
- machine learning
- health information
- depressive symptoms
- intellectual disability
- big data
- artificial intelligence
- climate change
- sleep quality
- deep learning