Abstract
This article aims to increase the understanding of older adults' participation with home-based service providers. It is critical to ensure that home-based services promote older adults' ability to live in their own homes, and to participate in daily life and society as long as possible. Exploring older adults' experiences with participation in home-based service delivery is essential for development and delivery of high-quality services that support older adults' participation. Older adults with a variety of age-related physical impairments and frequency of home-based services were interviewed. The data was collected by in-depth face-to-face interviews in the older adults' homes. A constant comparative method inspired by constructivist grounded theory was applied to analyze the data. The study highlights the importance of understanding emotional and intellectual aspects of older adults' participation, and to recognize their strategies for balancing agency in everyday life.
Highlights
There is an increasing focus on activity and participation for older adults due to the active and healthy ageing policy frameworks (Ervik and Helgøy 2005; Rechel et al 2009; WHO 2002)
The subcategories included the older adults’ expectations and their own role in encounters with the service providers in order to take the services into their everyday life
Our findings indicate that the participants had taken home-based services into everyday life on their own premises, indicating that the older adults experienced to preserve control of their situation to a certain extent
Summary
There is an increasing focus on activity and participation for older adults due to the active and healthy ageing policy frameworks (Ervik and Helgøy 2005; Rechel et al 2009; WHO 2002). An important goal is to support older adults’ possibilities and capacity to live in their own homes as long as possible, and to participate in daily life and society. Policy and research relating to disability issues like equal rights to participate in society has to a large extent addressed people with functional limitations at working age. The majority of people living with functional limitations are older, and calls for broadening policy and research of disability issues to include this group (Johansson 2008). Studies of older adults with reduced capacity and functional decline have found relationships between participation and increased duration of life, less illness and deferral of further functional decline (Avlund et al 2004; Ritsatakis 2008; Visser et al 2002)
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