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

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Title: Cross-Sectional Study of Health Promotion and Recreation Effectiveness on Quality of Life Among Rural Older Adults.
Authors: Liang, Kai-Lin1 (AUTHOR) skygod0303@mail.ncnu.edu.tw, Hung, Yi-Chun2 (AUTHOR)
Source: Inquiry (00469580). 10/31/2025, Vol. 62, p1-12. 12p.
Subject Terms: *Community health services, *Leisure, *Quality of life, *Health promotion, Cross-sectional method, Taiwanese people, Recreation, Secondary analysis, Evaluation of human services programs, Interviewing, Multiple regression analysis, Psychological well-being, Descriptive statistics, Multivariate analysis, Rural population, One-way analysis of variance, Inferential statistics, Horticulture, Data analysis software, Confidence intervals, Patient participation, Social participation, Agriculture
Geographic Terms: Taiwan
Abstract: 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. [ABSTRACT FROM AUTHOR]
Copyright of Inquiry (00469580) is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
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  Data: Cross-Sectional Study of Health Promotion and Recreation Effectiveness on Quality of Life Among Rural Older Adults.
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  Data: <searchLink fieldCode="AR" term="%22Liang%2C+Kai-Lin%22">Liang, Kai-Lin</searchLink><relatesTo>1</relatesTo> (AUTHOR)<i> skygod0303@mail.ncnu.edu.tw</i><br /><searchLink fieldCode="AR" term="%22Hung%2C+Yi-Chun%22">Hung, Yi-Chun</searchLink><relatesTo>2</relatesTo> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Inquiry+%2800469580%29%22">Inquiry (00469580)</searchLink>. 10/31/2025, Vol. 62, p1-12. 12p.
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  Data: *<searchLink fieldCode="DE" term="%22Community+health+services%22">Community health services</searchLink><br />*<searchLink fieldCode="DE" term="%22Leisure%22">Leisure</searchLink><br />*<searchLink fieldCode="DE" term="%22Quality+of+life%22">Quality of life</searchLink><br />*<searchLink fieldCode="DE" term="%22Health+promotion%22">Health promotion</searchLink><br /><searchLink fieldCode="DE" term="%22Cross-sectional+method%22">Cross-sectional method</searchLink><br /><searchLink fieldCode="DE" term="%22Taiwanese+people%22">Taiwanese people</searchLink><br /><searchLink fieldCode="DE" term="%22Recreation%22">Recreation</searchLink><br /><searchLink fieldCode="DE" term="%22Secondary+analysis%22">Secondary analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Evaluation+of+human+services+programs%22">Evaluation of human services programs</searchLink><br /><searchLink fieldCode="DE" term="%22Interviewing%22">Interviewing</searchLink><br /><searchLink fieldCode="DE" term="%22Multiple+regression+analysis%22">Multiple regression analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Psychological+well-being%22">Psychological well-being</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Multivariate+analysis%22">Multivariate analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Rural+population%22">Rural population</searchLink><br /><searchLink fieldCode="DE" term="%22One-way+analysis+of+variance%22">One-way analysis of variance</searchLink><br /><searchLink fieldCode="DE" term="%22Inferential+statistics%22">Inferential statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Horticulture%22">Horticulture</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis+software%22">Data analysis software</searchLink><br /><searchLink fieldCode="DE" term="%22Confidence+intervals%22">Confidence intervals</searchLink><br /><searchLink fieldCode="DE" term="%22Patient+participation%22">Patient participation</searchLink><br /><searchLink fieldCode="DE" term="%22Social+participation%22">Social participation</searchLink><br /><searchLink fieldCode="DE" term="%22Agriculture%22">Agriculture</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22Taiwan%22">Taiwan</searchLink>
– Name: Abstract
  Label: Abstract
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  Data: 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. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Inquiry (00469580) is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=ehh&AN=189212332
RecordInfo BibRecord:
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      – Type: doi
        Value: 10.1177/00469580251382758
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 12
        StartPage: 1
    Subjects:
      – SubjectFull: Community health services
        Type: general
      – SubjectFull: Leisure
        Type: general
      – SubjectFull: Quality of life
        Type: general
      – SubjectFull: Health promotion
        Type: general
      – SubjectFull: Cross-sectional method
        Type: general
      – SubjectFull: Taiwanese people
        Type: general
      – SubjectFull: Recreation
        Type: general
      – SubjectFull: Secondary analysis
        Type: general
      – SubjectFull: Evaluation of human services programs
        Type: general
      – SubjectFull: Interviewing
        Type: general
      – SubjectFull: Multiple regression analysis
        Type: general
      – SubjectFull: Psychological well-being
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Multivariate analysis
        Type: general
      – SubjectFull: Rural population
        Type: general
      – SubjectFull: One-way analysis of variance
        Type: general
      – SubjectFull: Inferential statistics
        Type: general
      – SubjectFull: Horticulture
        Type: general
      – SubjectFull: Data analysis software
        Type: general
      – SubjectFull: Confidence intervals
        Type: general
      – SubjectFull: Patient participation
        Type: general
      – SubjectFull: Social participation
        Type: general
      – SubjectFull: Agriculture
        Type: general
      – SubjectFull: Taiwan
        Type: general
    Titles:
      – TitleFull: Cross-Sectional Study of Health Promotion and Recreation Effectiveness on Quality of Life Among Rural Older Adults.
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            NameFull: Liang, Kai-Lin
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            NameFull: Hung, Yi-Chun
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              Text: 10/31/2025
              Type: published
              Y: 2025
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