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

Abstract

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.