Opportunities and Challenges for Health-Promoting Interventions for Older Adults: A Focus Group Study with Professionals in Municipal Health and Social Care.
Linnea Körlof, Anneli Nyman, Ellinor Larsson and 1 others
PMID 42742822WHAT IT FOUND
Professionals said Swedish municipal health and social care lacked structures, shared responsibility, and time for health-promoting work with older adults.
They saw groups and digital meetings as useful, but not yet ready to change routine practice.
Key findings
01Professionals across all focus groups said organizational readiness for health-promoting interventions for older adults was insufficient, even though they regarded such interventions as essential.
02Health-promoting work was described as optional and hard to fit into routine practice because agreements, unclear responsibilities, and annual budget pressures prioritized acute or compensatory tasks.
03Group and digital formats were seen as possible ways to reach older adults, but current digital tools were described as mainly one-way or staff-to-staff rather than interactive health-promoting delivery.
STILL TO COME
How it was doneWhat they foundWhat it means for OTs
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What it does not show
This is a qualitative focus-group study of professionals' views, not a test of whether any health-promoting intervention works. Only 22 participants from seven municipalities in northern Sweden were included, so the themes may not transfer to other organizations or countries. Recruitment depended on municipality managers forwarding the invitation, and the number of eligible staff contacted was not known. The authors had prior involvement in developing the intervention used as the discussion case, and the first author had worked in municipal healthcare, which may have shaped the questions and interpretation. Participants were grouped by profession, which may have reduced discussion of how different roles and organizational levels interact. Power dynamics and the mix of digital and physical focus groups may have affected what people said.
The easy way to misread this
Do not read professionals' support for digital group interventions as evidence that these interventions improve older adults' health. The study asked about organizational conditions and did not test an intervention outcome.