Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Health Professionals’ Experiences with Health-Promotion Dialogues for Older Home-Dwellers in Norway – a Qualitative Study

Version 1 : Received: 26 December 2023 / Approved: 26 December 2023 / Online: 26 December 2023 (22:56:05 CET)

How to cite: Johansen, L.W.; Lausund, H.; Jøranson, N. Health Professionals’ Experiences with Health-Promotion Dialogues for Older Home-Dwellers in Norway – a Qualitative Study. Preprints 2023, 2023122023. https://doi.org/10.20944/preprints202312.2023.v1 Johansen, L.W.; Lausund, H.; Jøranson, N. Health Professionals’ Experiences with Health-Promotion Dialogues for Older Home-Dwellers in Norway – a Qualitative Study. Preprints 2023, 2023122023. https://doi.org/10.20944/preprints202312.2023.v1

Abstract

Home-dwelling older people without health services might develop health issues and challenges. To live longer at home and manage well, it is important to promote health-promotion towards this target group. One approach is through health-promotion dialogues conducted by healthcare professionals in the municipality. The aim of this study is to explore healthcare professionals’ experiences who are conducting health-promotion dialogues to older home-dwellers over 75 years without services. Focus-groups were used to collect data, and a total of nine participants formed three focus groups. Thematic analysis was applied to analyse the material, which resulted in one major theme “The challenging dialogues” comprising three sub-themes, “Mobilise coping skills and health awareness”, “Uncover vulnerability”, and “The ambiguity of the dialogues”. The findings were also discussed by using empowerment as a theoretical lens. The health-promotion conversation uses a resource perspective for elderly to remain independent in old age and can reveal vulnerability and underlying needs. The conversation purpose appears ambiguous for the target group, which leads to unclear service expectations and rejections of the offer. Nevertheless, it seems to be important that this health-promotion service to a larger degree addresses a clear purpose in order to meet the needs of the target group in a broader sense in the aging process.

Keywords

Health-promotion dialogues, Preventive Home Visiting, home-dwellers, empowerment, focus groups, thematic analysis

Subject

Public Health and Healthcare, Health Policy and Services

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