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Impact of an Intergenerational Service Learning Program on Goal Attainment Among Homebound Older Adults:: A
Yeonjae A Lee1,2,3, Meti Negassa1,2,3, Maggie Ratnayake1,2,3
1Johns Hopkins University School of Medicine.
Delaware Journal of Public Health
|August 3, 2026
Summary
An intergenerational home-based service-learning program significantly improved social support, home safety, and resource access for homebound older adults. This model supports aging in place and benefits students and communities.
Area of Science:
- Gerontology and Public Health
- Community Health Interventions
- Service-Learning Models
Background:
- Over 2 million older adults are homebound, facing social isolation and resource insecurity.
- Existing home-based services for aging in place are often inadequate.
- There's a need for comprehensive, adaptable support systems for aging populations.
Purpose of the Study:
- To evaluate the impact of an intergenerational home-based service-learning program.
- To assess goal attainment in social support, home safety, community resource access, food access, and physical health.
- To determine the program's effectiveness in supporting older adults aging in place.
Main Methods:
- Surveyed 201 homebound/near-homebound older adults across three sites.
- Utilized descriptive and chi-square analyses to assess goal attainment.
- Tracked changes in subjective assessments over six or more months of program participation.
Main Results:
- 83% of clients reported positive changes in at least one service area.
- Home safety/cleanliness and social support were primary client goals.
- Statistically significant goal attainment was observed across all five service areas.
Conclusions:
- Intergenerational in-home support services effectively enhance well-being for homebound older adults.
- The program supports aging in place, improves quality of life, and reduces caregiver burden.
- Innovative service-learning models can create a pipeline of health professionals benefiting multiple stakeholders.
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