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

Furkejuvvon:
Publikašuvnnas:Inquiry vol. 62 (Jan 2025)
Váldodahkki: Kai-Lin, Liang
Eará dahkkit: Yi-Chun, Hung
Almmustuhtton:
SAGE PUBLICATIONS, INC.
Fáttát:
Taiwan
Recreation
Demography
Program evaluation
Food
Healthy food
Population density
Rural communities
Older people
Health promotion
Quality of life
Horticulture
Social participation
Health services
Rural areas
Cross-sectional studies
Well being
Rurality
Psychosocial factors
Economic activity
Preventive medicine
Public health
Health education
Clustering
Community-based programs
Alternative approaches
Variance analysis
Implementation
Cultural heritage
Prevention programs
Subjectivity
Aging in place
Agricultural education
Psychosocial support
Aging
Agriculture
Commuting
Clinical outcomes
Community
Infrastructure
Adults
Outdoor activities
Medical treatment
Context
Liŋkkat:Citation/Abstract
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Abstrákta: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.
ISSN:0046-9580
1945-7243
DOI:10.1177/00469580251382758
Gáldu:ABI/INFORM Global