Senior centre staff members seemingly have an important organisational and administrative role, as well as engage in outreach activities, referral and follow-up in relation to health issues among senior centre users. However, their role in health promotion and illness prevention is easily overlooked and under researched. This study aimed to explore municipal senior centre staffs' awareness of and response to signs of deteriorating health or well-being among users. A multisite ethnographic field study was conducted at seven municipal senior centres in Denmark from November 2019 to February 2020. Data were obtained from participant observation and semi-structured individual interviews with 16 staff members. A thematic analysis strategy helped identify themes of importance. Senior centre staff followed a process of three steps when remaining aware of and responding to signs of deteriorating health and well-being among users: detecting, tracing and reacting. Three themes with corresponding subthemes were identified: Establishing close and trusting relationships, facilitating a community feeling and utilising joint collaboration. Each subtheme was linked to some or all of the three steps in the process. The municipal senior centre staff had a strong and explicit focus on detecting, tracing and reacting to signs of deteriorating health and well-being among senior centre users. This makes the senior centres a promising arena for illness prevention and health promotion.

中文翻译：

---

检测、追踪和反应：丹麦高级中心工作人员对高级中心用户健康或福祉恶化迹象的认识和反应——民族志实地研究

高级中心工作人员似乎具有重要的组织和行政作用，并参与与高级中心用户的健康问题相关的外展活动、转诊和跟进。然而，它们在促进健康和预防疾病方面的作用很容易被忽视和研究不足。本研究旨在探讨市政高级中心工作人员对用户健康或福祉恶化迹象的认识和反应。2019 年 11 月至 2020 年 2 月，在丹麦的七个市政老年中心进行了一项多地点民族志实地研究。数据来自对 16 名工作人员的参与观察和半结构化个人访谈。主题分析策略有助于确定重要主题。高级中心工作人员在保持对用户健康和福祉恶化迹象的认识和应对时遵循三个步骤：检测、追踪和反应。确定了三个具有相应子主题的主题：建立密切和信任的关系、促进社区感觉和利用联合协作。每个子主题都与流程中的三个步骤中的部分或全部相关联。市政高级中心的工作人员强烈而明确地专注于发现、追踪和应对高级中心用户健康和福祉恶化的迹象。这使得老年中心成为疾病预防和健康促进的大好舞台。确定了三个具有相应子主题的主题：建立密切和信任的关系、促进社区感觉和利用联合协作。每个子主题都与流程中的三个步骤中的部分或全部相关联。市政高级中心的工作人员强烈而明确地专注于发现、追踪和应对高级中心用户健康和福祉恶化的迹象。这使得老年中心成为疾病预防和健康促进的大好舞台。确定了三个具有相应子主题的主题：建立密切和信任的关系、促进社区感觉和利用联合协作。每个子主题都与流程中的三个步骤中的部分或全部相关联。市政高级中心的工作人员强烈而明确地专注于发现、追踪和应对高级中心用户健康和福祉恶化的迹象。这使得老年中心成为疾病预防和健康促进的大好舞台。追踪并应对高级中心用户健康和福祉恶化的迹象。这使得老年中心成为疾病预防和健康促进的大好舞台。追踪并应对高级中心用户健康和福祉恶化的迹象。这使得老年中心成为疾病预防和健康促进的大好舞台。