Aging and Health Experiences To Inform a Community-based Program for Successful Aging in Older Singaporeans

This study explored the lived experiences of older Singaporeans to inform a culturally relevant community-based program to promote successful aging. Methods. Focus groups were conducted to explore the lived experiences, beliefs and contextual influences of achieving a healthy lifestyle amongst older multi-ethnic Singaporeans aged ≥ 60 years, residing in a subsidised housing complex. Data were analysed using framework analysis. Results. The lived experiences of 97 participants were complex with shared and individual experiences. Four major themes were developed: (i) stories of pursuing healthy lifestyles in later life, 'Your health belongs to yourself'; (ii) realities of aging, 'Now that family is far from us…friends are our family'; (iii) stories of financial challenges, 'No money, no money' and (iv) stories of health literacy and health navigation behaviour. Barriers (personal, organisational, cultural factors) to adaptive behaviors resulted in different unmet needs in successful aging. Conclusions. Older Singaporeans residing in a subsidised housing complex experienced varying outcomes and multiple challenges to their successful aging. Recommendations for culturally responsive approaches to aging well are made. Clinical Implications. • A program supporting adaptive behaviors for successful aging need to incorporate relevant cultural health beliefs and values of participants. • A new community-based program informed by this qualitative study can be piloted to promote successful aging for older Singaporeans.