ABSTRACT Introduction and objectives: Participation in meaningful activities has psychological, physical, social and cognitive benefits for older adults living in continuing care homes. The subjective experiences of the process of participation for cognitively competent older adults living in a continuing care home and how personal and environmental features influenced the process were explored. Methods: Using a constructivist grounded theory approach to collection and analysis in the tradition of Charmaz, data were gathered with observation and a series of in-depth, semi-structured interviews with nine older adults (aged ≥ 70 years). Results: Participants actively engaged in an individualized, activity-specific process of positioning themselves to make choices and enact core values through meaningful activities. Personal and environmental barriers to participation could sometimes be managed through this process, although at other times barriers resulted in activity loss. Discussion: These findings reinforce the importance of participation in the lives of older adults living in a continuing care home, and present a model of how participants were actively occupied in a continuous process of negotiating opportunities for meaningful activity engagement. Implications address possible ways to facilitate this process of participation by care partners.

中文翻译：

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居住在持续护理院的老年人的参与途径：一项建构主义的扎根理论研究

摘要 介绍和目标：参与有意义的活动对住在持续护理院的老年人有心理、身体、社会和认知方面的好处。探讨了生活在持续护理之家的认知能力强的老年人参与过程的主观体验以及个人和环境特征如何影响该过程。方法：使用 Charmaz 传统中的建构主义扎根理论方法收集和分析数据，通过观察和一系列对 9 名老年人（年龄 ≥ 70 岁）的深入、半结构化访谈来收集数据。结果：参与者积极参与个性化的、特定于活动的过程，通过有意义的活动来做出选择和制定核心价值观。有时可以通过这个过程管理参与的个人和环境障碍，但有时障碍会导致活动损失。讨论：这些发现强调了参与住在持续护理之家的老年人生活的重要性，并提供了一个模型，说明参与者如何积极参与持续的谈判机会以获得有意义的活动参与。含义涉及促进护理伙伴参与这一过程的可能方法。并展示参与者如何积极参与到有意义的活动参与的谈判机会的持续过程中的模型。含义涉及促进护理伙伴参与这一过程的可能方法。并展示参与者如何积极参与到有意义的活动参与的谈判机会的持续过程中的模型。含义涉及促进护理伙伴参与这一过程的可能方法。