Cross-Sectional Study of Health Promotion and Recreation Effectiveness on Quality of Life Among Rural Older Adults

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Bibliografiske detaljer
Udgivet i:Inquiry vol. 62 (Jan 2025)
Hovedforfatter: Kai-Lin, Liang
Andre forfattere: Yi-Chun, Hung
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SAGE PUBLICATIONS, INC.
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022 |a 0046-9580 
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024 7 |a 10.1177/00469580251382758  |2 doi 
035 |a 3287013203 
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100 1 |a Kai-Lin, Liang  |u National Chi Nan University, Nantou, Taiwan 
245 1 |a Cross-Sectional Study of Health Promotion and Recreation Effectiveness on Quality of Life Among Rural Older Adults 
260 |b SAGE PUBLICATIONS, INC.  |c Jan 2025 
513 |a Journal Article 
520 3 |a Older adults in rural areas often face barriers to accessing formal health services. Community-based programs serve as alternative models for delivering preventive care and psychosocial support. However, the effectiveness of specific program types on well-being outcomes remains underexplored. This cross-sectional study analyzed secondary data from 1033 older adults across 44 rural communities in Taiwan. Participants were involved in 5 types of community-based programs. Subjective well-being was assessed using the WHO-5 index. Associations between participation hours and well-being were examined using ANOVA, OLS regression, and linear mixed models, with community-level clustering and individual demographics controlled. Health promotion and recreational activities were positively associated with well-being, while horticultural therapy and social participation showed negative associations. Food and agricultural education was positively associated with well-being only after controlling for community context. Neither age nor gender significantly predicted outcomes. Community context moderated several program effects. Community-based programs impact rural older adults’ well-being in diverse ways depending on program type and local implementation. Tailored, context-sensitive interventions and ongoing program evaluation are essential for optimizing care outcomes in aging rural populations. 
651 4 |a Taiwan 
653 |a Recreation 
653 |a Demography 
653 |a Program evaluation 
653 |a Food 
653 |a Healthy food 
653 |a Population density 
653 |a Rural communities 
653 |a Older people 
653 |a Health promotion 
653 |a Quality of life 
653 |a Horticulture 
653 |a Social participation 
653 |a Health services 
653 |a Rural areas 
653 |a Cross-sectional studies 
653 |a Well being 
653 |a Rurality 
653 |a Psychosocial factors 
653 |a Economic activity 
653 |a Preventive medicine 
653 |a Public health 
653 |a Health education 
653 |a Clustering 
653 |a Community-based programs 
653 |a Alternative approaches 
653 |a Variance analysis 
653 |a Implementation 
653 |a Cultural heritage 
653 |a Prevention programs 
653 |a Subjectivity 
653 |a Aging in place 
653 |a Agricultural education 
653 |a Psychosocial support 
653 |a Aging 
653 |a Agriculture 
653 |a Commuting 
653 |a Clinical outcomes 
653 |a Community 
653 |a Infrastructure 
653 |a Adults 
653 |a Outdoor activities 
653 |a Medical treatment 
653 |a Context 
700 1 |a Yi-Chun, Hung  |u National Health Research Institutes, Zhunan, Taiwan 
773 0 |t Inquiry  |g vol. 62 (Jan 2025) 
786 0 |d ProQuest  |t ABI/INFORM Global 
856 4 1 |3 Citation/Abstract  |u https://www.proquest.com/docview/3287013203/abstract/embedded/IZYTEZ3DIR4FRXA2?source=fedsrch 
856 4 0 |3 Full Text  |u https://www.proquest.com/docview/3287013203/fulltext/embedded/IZYTEZ3DIR4FRXA2?source=fedsrch 
856 4 0 |3 Full Text - PDF  |u https://www.proquest.com/docview/3287013203/fulltextPDF/embedded/IZYTEZ3DIR4FRXA2?source=fedsrch