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Research Article|Articles in Press

Learning from the lived experience of functionally healthy older adults: What does it mean to be “healthy”?

  • Daniel P. Wadsworth
    Correspondence
    Correspondence to: School of Health, University of the Sunshine Coast, Locked Bag 4, Maroochydore BC, QLD 4558, Australia. Tel.: +61-7-5430-2944.
    Affiliations
    School of Health, University of the Sunshine Coast, Australia

    Sunshine Coast Health Institute, Sunshine Coast Hospital and Health Service, Birtinya, Sunshine Coast, Australia

    Manna Institute, University of the Sunshine Coast, Sippy Downs, 4556 QLD, Australia
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  • Kristen Tulloch
    Affiliations
    School of Health, University of the Sunshine Coast, Australia
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  • Hattie Wright
    Affiliations
    School of Health, University of the Sunshine Coast, Australia

    Sunshine Coast Health Institute, Sunshine Coast Hospital and Health Service, Birtinya, Sunshine Coast, Australia
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  • Corey Linton
    Affiliations
    School of Health, University of the Sunshine Coast, Australia

    Sunshine Coast Health Institute, Sunshine Coast Hospital and Health Service, Birtinya, Sunshine Coast, Australia
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  • Jesse Baker
    Affiliations
    School of Health, University of the Sunshine Coast, Australia
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  • Samantha Fien
    Affiliations
    School of Health, Medical and Applied Sciences, Central Queensland University, Mackay, Australia
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  • Helen Szabo
    Affiliations
    Sunshine Coast Council, Sunshine Coast, Australia
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  • Christopher D. Askew
    Affiliations
    School of Health, University of the Sunshine Coast, Australia

    Sunshine Coast Health Institute, Sunshine Coast Hospital and Health Service, Birtinya, Sunshine Coast, Australia
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  • Mia A. Schaumberg
    Affiliations
    School of Health, University of the Sunshine Coast, Australia

    Sunshine Coast Health Institute, Sunshine Coast Hospital and Health Service, Birtinya, Sunshine Coast, Australia

    Manna Institute, University of the Sunshine Coast, Sippy Downs, 4556 QLD, Australia

    School of Human Movement and Nutrition Sciences, The University of Queensland, Brisbane, Australia
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Published:February 28, 2023DOI:https://doi.org/10.1016/j.colegn.2022.11.005

      ABSTRACT

      Background

      Reports of older adults’ perceptions of ageing and health generally do not consider individual health status, instead presenting large cohort data or focussing on specific population groups. Moreover, qualitative studies have largely included participants with suboptimal health.

      Aim

      This study aimed to examine functionally healthy older adults’ perceptions of health and healthy ageing.

      Method

      Twenty-two functionally healthy older adults living independently in the community (aged 61–83 years; 68% female) participated in six focus groups to explore their perceptions about “health” and “healthy ageing”. Quantitative measures were used to describe participants’ health status.

      Findings

      Seven themes describing participants’ experiences of healthy ageing were identified: “know thyself”, “knowledge and information management”, “choices, agency, and control”, “autonomy and flexibility”, “being strategic”, “community connections”, and “getting more out of life”. Key competencies for healthy ageing were subsequently derived, drawing connections between beliefs, behaviours, and knowledge about healthy ageing.

      Discussion

      The identified health behaviours perceived to be important for healthy ageing align with previous reports. The subsequent overarching healthy-ageing competencies (“recognise opportunity”, “strategise”, “maximise benefits”, and “active participation”) present important pillars underpinning the process of healthy ageing that have not been previously considered in this context.

      Conclusion

      The behaviours perceived to influence older adults’ health are varied, and the competencies identified in this study present a broad framework underpinning these behaviours. The identified competencies have the potential to inform public health initiatives, practice, and policy, empowering individuals to optimise their health.

      Keywords

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