Effect of an Integrated Healthcare Program for Korean Rural Older Adults: A Quasi-Experimental Study
Studies have been conducted on the development of healthcare programs for older adults in rural areas, not only in Asia but also in Europe and the United States. However, these reports have been limited by largely non-comprehensive results, lack of demand surveys, or programs with no systematic deve...
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| Format: | Article |
| Language: | English |
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MDPI AG
2020-07-01
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| Series: | Healthcare |
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| Online Access: | https://www.mdpi.com/2227-9032/8/3/244 |
| _version_ | 1797560884432732160 |
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| author | Hyuk Joon Kim Hye Young Kim Youngran Yang Eun Ko |
| author_facet | Hyuk Joon Kim Hye Young Kim Youngran Yang Eun Ko |
| author_sort | Hyuk Joon Kim |
| collection | DOAJ |
| description | Studies have been conducted on the development of healthcare programs for older adults in rural areas, not only in Asia but also in Europe and the United States. However, these reports have been limited by largely non-comprehensive results, lack of demand surveys, or programs with no systematic development. The purpose of this study was to develop an integrated healthcare program for rural older adults and investigate the effects of the program. A nonequivalent control group pretest–posttest design was used. Subjects were aged over 65 and lived in the rural community. The integrated healthcare program involved 12 three-hour sessions over 12 weeks. Compared with the control group, the experimental group demonstrated significant differences in both upper extremities strengths (t = 2.74, <i>p</i> = 0.008; t = 2.03, <i>p</i> = 0.047), static balance (z = −2.38, <i>p</i> = 0.017), dynamic balance (t = −4.82, <i>p</i> < 0.001), loneliness (t = −3.02, <i>p</i> = 0.003), and role self-efficacy (t = 2.39, <i>p</i> = 0.020), but no differences for ego integration (t = 1.51, <i>p</i> = 0.137). To improve physical, mental, and social health of the rural older adults, we developed an integrated healthcare program. The program improved physical functions, loneliness, and role self-efficiency of the rural older adults. Therefore, it is recommended that healthcare professionals actively apply this program in primary healthcare institutes and elsewhere. |
| first_indexed | 2024-03-10T18:06:39Z |
| format | Article |
| id | doaj.art-e530d46670da438e9511b31a27b36a75 |
| institution | Directory Open Access Journal |
| issn | 2227-9032 |
| language | English |
| last_indexed | 2024-03-10T18:06:39Z |
| publishDate | 2020-07-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Healthcare |
| spelling | doaj.art-e530d46670da438e9511b31a27b36a752023-11-20T08:27:10ZengMDPI AGHealthcare2227-90322020-07-018324410.3390/healthcare8030244Effect of an Integrated Healthcare Program for Korean Rural Older Adults: A Quasi-Experimental StudyHyuk Joon Kim0Hye Young Kim1Youngran Yang2Eun Ko3Research Institute of Nursing Science, College of Nursing, Jeonbuk National University, Jeonju 54896, KoreaResearch Institute of Nursing Science, College of Nursing, Jeonbuk National University, Jeonju 54896, KoreaResearch Institute of Nursing Science, College of Nursing, Jeonbuk National University, Jeonju 54896, KoreaDepartment of Nursing, College of Life Science and Natural Resources, Sunchon National University, Suncheon 57922, KoreaStudies have been conducted on the development of healthcare programs for older adults in rural areas, not only in Asia but also in Europe and the United States. However, these reports have been limited by largely non-comprehensive results, lack of demand surveys, or programs with no systematic development. The purpose of this study was to develop an integrated healthcare program for rural older adults and investigate the effects of the program. A nonequivalent control group pretest–posttest design was used. Subjects were aged over 65 and lived in the rural community. The integrated healthcare program involved 12 three-hour sessions over 12 weeks. Compared with the control group, the experimental group demonstrated significant differences in both upper extremities strengths (t = 2.74, <i>p</i> = 0.008; t = 2.03, <i>p</i> = 0.047), static balance (z = −2.38, <i>p</i> = 0.017), dynamic balance (t = −4.82, <i>p</i> < 0.001), loneliness (t = −3.02, <i>p</i> = 0.003), and role self-efficacy (t = 2.39, <i>p</i> = 0.020), but no differences for ego integration (t = 1.51, <i>p</i> = 0.137). To improve physical, mental, and social health of the rural older adults, we developed an integrated healthcare program. The program improved physical functions, loneliness, and role self-efficiency of the rural older adults. Therefore, it is recommended that healthcare professionals actively apply this program in primary healthcare institutes and elsewhere.https://www.mdpi.com/2227-9032/8/3/244agedhealthcare programphysical healthmental healthsocial healthrural older adults |
| spellingShingle | Hyuk Joon Kim Hye Young Kim Youngran Yang Eun Ko Effect of an Integrated Healthcare Program for Korean Rural Older Adults: A Quasi-Experimental Study Healthcare aged healthcare program physical health mental health social health rural older adults |
| title | Effect of an Integrated Healthcare Program for Korean Rural Older Adults: A Quasi-Experimental Study |
| title_full | Effect of an Integrated Healthcare Program for Korean Rural Older Adults: A Quasi-Experimental Study |
| title_fullStr | Effect of an Integrated Healthcare Program for Korean Rural Older Adults: A Quasi-Experimental Study |
| title_full_unstemmed | Effect of an Integrated Healthcare Program for Korean Rural Older Adults: A Quasi-Experimental Study |
| title_short | Effect of an Integrated Healthcare Program for Korean Rural Older Adults: A Quasi-Experimental Study |
| title_sort | effect of an integrated healthcare program for korean rural older adults a quasi experimental study |
| topic | aged healthcare program physical health mental health social health rural older adults |
| url | https://www.mdpi.com/2227-9032/8/3/244 |
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