"I Feel Like I'm a Part of Society": A Qualitative Feasibility Analysis of the RASCALs Nature-Based Livestream Activity Program.

Abstract

Developing and delivering meaningful and impactful activity programming in long-term care settings is essential to the promotion of emotional, social, and cognitive well-being of residents. In this article, we present qualitative findings from a feasibility study of RASCALs, a nature-focused livestream group activity program for older adults in assisted living. Using an established feasibility evaluation framework, the researchers examined eight domains: acceptability; demand; implementation; practicality; adaptation; integration; expansion; and initial impact. Interviews (N = 18) were conducted with older adult participants (n = 12), nursing staff (n = 3), interventionists (n = 2), and the facility activities coordinator (n = 1). Data were analyzed using directed qualitative content analysis. Results indicated that the RASCALs program was readily accepted by participants and that there was evidence of initial impact, particularly in terms of contributing to well-being and promoting socialization. Implementing the intervention also appeared to be practical in this setting, however there were challenges associated with delivery. Demand, adaptation, and expansion were related to resident interest, flexibility and creativity, and communications and promotion, respectively. Facilitators, barriers, and potential impact are further discussed, as are implications for practicing social workers and social work researchers.