Facilitators and Barriers to Social Engagement and Healthy Aging Among Older Adults

TL;DR

This study explores how older adults engage in social and physical activities and how these affect their mental health and well-being, especially during and after the pandemic.

Contribution

The study provides new insights into the barriers and facilitators of social engagement among older adults using community-based participatory research.

Findings

Physical activity was linked to improved mental health and reduced loneliness.

Social connection was a strong motivator for community involvement.

Post-pandemic barriers like fear of illness and transportation issues limited participation.

Abstract

Social relationships and community involvement are essential to successful aging, defined as maintaining mental and physical well-being in later life. The COVID-19 pandemic significantly increased social isolation among older adults in the United States and globally. This study utilized the World Café method, a Community-Based Participatory Research (CBPR) approach, to facilitate open and meaningful discussions in the community and foster collaborative learning. It explored the lived experiences of 41 older adults with diverse sociodemographic characteristics, including age (50 years and older), language (English or Spanish), and marital status (married, divorced, widowed, or never married), who were recruited from three Central Texas community centers. Discussions focused on patterns of engagement in social and physical activities, perceived links with mental health, and barriers and facilitators to participation in center activities before, during, and after COVID-19 restrictions. Data were audio-recorded, transcribed verbatim, and thematically analyzed using a deductive approach in Dedoose software. Emerging themes include: Physical activity improved mental health and reduced loneliness; social connection served as a strong motivator for community involvement and engagement in physical activity; lingering impacts of COVID-19, such as fear of illness, reduced program availability, and transportation challenges, continued to limit their participation. These results highlight the need for community-level capacity building to enhance engagement among older adults, particularly those most vulnerable to social disconnection.