A transdisciplinary neighbourhood health framework was developed based on a systematic review of 51 interdisciplinary articles. The framework highlights the importance of psychosocial aspects of neighbourhood and health. This formed the basis for focusing on Rapid Positive Mental Health Instrument, a 6-item scale developed in Singapore to measure positive aspects of psychosocial health, e.g., whether one makes friend easily as the main outcome variable to evaluate psychosocioecological interventions. In addition, health-related quality of life (SF-12) and geriatric depression (GDS) was also measured. A validated 16-item Neighbourhood Experience scale was used to measure neighbourhood environment holistically, including communal affordance (holistic), belonging or embeddedness (social), environment pleasantness (physical) and time outdoors (dose).

Various studies were conducted per the framework. For example, GIS data from various publicly available sources was merged with the dataset to examine the effect of proximity to various amenities, e.g., kopitiams. Active living was examined as part of the interdisciplinary Gerontological Research ProgrammeCentre for Ageing Research in the Environment (GRP-CARE) Survey in 2018. These were found to support the above framework.

To develop community-based interventions, a systematic review and meta-analysis of community-based interventions to prevent stroke and dementia is being conducted with the Oxford Institute of Population Ageing, University of Oxford. Heart Coherence in Community (HCC), a psychosocial intervention is being piloted in Singapore. Interested local service providers, residents and collaborators are invited to contact Daniel (daniel.gry@u.nus.edu) for more information.

Resources:

  1. Neighbourhood effects for ageing in place: A transdisciplinary framework toward health-promoting settings
  2. An abridged introduction to Heart Coherence in Community for older adults’ wellbeing