The goal of this study is to evaluate the feasibility of Health Web - Te@m 1.0 for older adults in selected primary healthcare settings in northern Sweden. More specifically, the feasibility will be assessed through the following objectives:
* Explore older adults' experiences of the intervention process, acceptability, and perceptions of the value of participating in Health Web - Te@m. * Explore professionals' experiences of acceptability, value, and implementation potential of delivering Health Web - Te@m in primary healthcare settings. * Evaluate adherence to Health Web - Te@m among older adults and professionals. * Evaluate the assessments' ability to detect potential outcomes of Health Web - Te@m.
65 years or older and retired
live in ordinary housing
experience a changed life situation that can pose a risk of reduced social participation and health
have access to a computer or tablet, access to and experience of using the Internet and e-mail
have an ongoing application to nursing home
disease or conditions that affect the ability to provide informed consent and participate in data collection and the intervention
Single group
Health Web Te@m
BehavioralThe Health Web Te@m intervention is delivered by an interprofessional team via a digital communication platform. The intervention starts with an introduction session followed by six theme sessions and ends with a closing session one month after the last theme session. Each theme session includes a short educational video followed by a reflection assignment, and a group meeting moderated by one of the professionals in the interprofessional team. The intervention aims to support older adults to become aware of, reflect on, use and develop strategies for healthy ageing.
The Swedish RAND-36 Health Survey
RAND-36 comprises 35 items covering eight health dimensions: physical functioning, role limitations due to physical health, role limitations due to emotional problems, social functioning, mental well-being, vitality, pain, and general health. Also including a global item assessing perceived health change over the past 12 months. The time intervals vary for different questions: In general, compared to a year ago, current health (a typical day), and the last 4 weeks. The respondent rates the degree of discomfort within the different dimensions on a scale with three, four, five, or six response options, with the exception of two questions that are answered with yes or no.
Occupational Balance Questionaire (OBQ)
The OBQ consists of 11 items that are graded on a 4-point ordinal scale from 0-3; these items range from "completely" disagree to "completely" agree and are summed to a total score ranging between 0 and 33. A higher score implies more satisfaction with the amount and variation of occupations, i.e., a higher level of occupational balance. Used to capture the satisfaction with, and the variation in daily activities.
The general self-efficacy scale (S-GSE)
Each item consists of a statement about one's ability to cope with demands in life. The participant rates each item on a scale from 1-4, where 1 represents "disagree" and 4 represents "strongly agree" with the statement; thus, a higher score (total score 10-40) indicates greater self-efficacy. Used to measure self-perceived self-efficacy
UCLA Loneliness scale
Perceived loneliness will be assessed using the UCLA Loneliness scale which is a 20-item scale that assesses three dimensions of loneliness: emotional loneliness, social loneliness, and existential loneliness. Each item is rated on a 4-point Likert scale (ranging from 1, "never," to 4, "often") and the total score can range from 20 to 80, with higher scores indicating greater feelings of loneliness.
The Swedish version of UAB Study of Aging Life-Space Assessment (LSA-S)
LSA-S evaluates an individual's mobility within their environment by assessing levels of movement, frequency of mobility, and the degree of assistance required. The instrument maps movement patterns across five defined "life-space" levels. For each level, frequency and independence are recorded, generating a quantitative total score ranging from 0 to 120.The score for each level is calculated by multiplying the level (1-5) by a frequency factor (1-4) and a factor representing the degree of independence.
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