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Reset: Designing Community-Based, Resilience-Affirming Support for Older Adults Through Participatory Action Research - An Environmental Perspective

Title: Reset: Designing Community-Based, Resilience-Affirming Support for Older Adults Through Participatory Action Research - An Environmental Perspective
Authors: Górska, Sylwia; Desogus, S.; Moffat, P.; Gunn, L.; Irvine Fitzpatrick, L.
Publisher Information: Emerald
Publication Year: 2025
Collection: Queen Margaret University Edinburgh: eResearch
Description: OA VoR added 09/12/2025 ; Sylwia Górska - orcid:0000-0002-6947-3362 orcid:0000-0002-6947-3362 ; Purpose: This paper presents key learning from the Reset programme, an innovative, intersectoral collaboration designed to transform community-based health and social care (HSC) for older adults. The programme aimed to deepen understanding of and enhance post-hospitalisation resilience, improve access to existing resources, and strengthen community connections. Methodology: The programme employed a Participatory Action Research methodology to co-produce and implement resilience-focused, evidence-based HSC across four localities in the city of Edinburgh, Scotland. Data was collected through interviews and focus groups with older adults, referring agencies, community partners, informal carers, and the HSC support team. Narrative data was also gathered by HSC support staff through one-to-one key work, while ongoing reflective practice informed continuous learning and adaptation. Findings: The research confirmed a dynamic, reciprocal relationship between older adults and their environment in shaping resilience outcomes. It expanded understanding of how physical, digital, and social environments can enable or hinder resilience, highlighting the impact of systemic cultural factors within HSC, and broader societal structures. Originality/value: This study offers original insights into participatory, intersectoral approaches to supporting ageing in place. It deepens understanding of environmental determinants of resilience in later life and provides evidence-based recommendations for policy, practice, and research. The co-produced, community-centred approach highlights the value of relational support in improving outcomes for older adults. ; pub ; pub
Document Type: article in journal/newspaper
File Description: application/pdf
Language: English
Relation: Quality in Ageing and Older Adults: Promoting excellence in services through research, policy and practice; https://eresearch.qmu.ac.uk/handle/20.500.12289/14433
DOI: 10.1108/QAOA-07-2025-0072
Availability: https://eresearch.qmu.ac.uk/handle/20.500.12289/14433; https://hdl.handle.net/20.500.12289/14433; https://doi.org/10.1108/QAOA-07-2025-0072
Rights: © Sylwia Maria Go´rska, Sofia Desogus, Pauline Moffat, Lorna Gunn and Linda Irvine Fitzpatrick. Published by Emerald Publishing Limited. This article is published under the Creative Commons Attribution (CC BY 4.0) licence. Anyone may reproduce, distribute, translate and createderivative works of this article. (for both commercial and non-commercial purposes), subject to full attribution to the original publication and authors. The full terms of this licence may be seen at http:// creativecommons.org/licences/ by/4.0/ ; CC BY 4.0 Attribution 4.0 International ; https://creativecommons.org/licenses/by/4.0/
Accession Number: edsbas.3FD487DD
Database: BASE