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Effects of a 'social activity program that encourages interaction' on rural older people's psychosocial health : Mixed-methods research

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Title: Effects of a 'social activity program that encourages interaction' on rural older people's psychosocial health : Mixed-methods research
Authors: Kikuchi, Mami Browse this author
Onishi, Ryuta Browse this author →KAKEN DB
Takashima, Risa Browse this author
Saeki, Kazuko Browse this author →KAKEN DB
Hirano, Michiyo Browse this author →KAKEN DB
Keywords: communication application
healthy aging
mixed methods
older people
rural population
social interaction
social participation
Issue Date: 7-May-2023
Publisher: John Wiley & Sons
Journal Title: International Journal of Older People Nursing
Volume: 18
Issue: 3
Start Page: e12534
Publisher DOI: 10.1111/opn.12534
PMID: 36940188
Abstract: Background: We developed a program that encourages interaction among older people living at home by combining face-to-face and online activities and examined its effects on older adults' psychosocial health.Methods: In this mixed-methods study, we recruited 11 women and 6 men (Mage = 79.5 +/- 6.4 years), who lived in a rural community and participated in a senior citizen club. The intervention was conducted for 13 months, comprising monthly face-to-face group and social media activities. For the program process evaluation, we collected focus-group interview data on participants' perceptions of their personal lives, club membership, and community post-intervention. For the outcome evaluation, we collected six outcome measures pre- and post-intervention: loneliness, subjective health, subjective well-being, self-esteem, social support and social activity satisfaction. Finally, through the integration of the process-outcome evaluation, we inferred what effects the program had on participants' psychosocial health.Results: In the process evaluation, we identified four themes: 'Stimulation brought about by relationships with peers,' 'Realization as to where they feel they belong,' 'Rethinking of oneself in the community,' and 'Awareness of attachment to and coexistence with the community.' In the outcome evaluation, the outcome measures were maintained without significant decline post-intervention.Conclusion: Through the integration of the process-outcome evaluation, we deduced three effects of the program on psychosocial health: (1) fulfilment of subjective health, (2) maintenance and assurance of moderate distance connectedness and (3) orientation toward aging in place.Implications for practice: This study offers a promising opportunity for further development and research into community-based preventive nursing care intervention strategies to maintain the psychosocial health of homebound older people in communities with social activity groups.
Rights: This is the peer reviewed version of the following article: Kikuchi, M., Onishi, R., Takashima, R., Saeki, K., & Hirano, M. (2023). Effects of a ‘social activity program that encourages interaction’ on rural older people's psychosocial health: Mixed-methods research. International Journal of Older People Nursing, 18, e12534, which has been published in final form at This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions. This article may not be enhanced, enriched or otherwise transformed into a derivative work, without express permission from Wiley or by statutory rights under applicable legislation. Copyright notices must not be removed, obscured or modified. The article must be linked to Wiley’s version of record on Wiley Online Library and any embedding, framing or otherwise making available the article or pages thereof by third parties from platforms, services and websites other than Wiley Online Library must be prohibited.
Type: article (author version)
Appears in Collections:保健科学院・保健科学研究院 (Graduate School of Health Sciences / Faculty of Health Sciences) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)

Submitter: 平野 美千代

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