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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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Autores principales: Kim, Hyuk Joon, Kim, Hye Young, Yang, Youngran, Ko, Eun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7551472/
https://www.ncbi.nlm.nih.gov/pubmed/32751446
http://dx.doi.org/10.3390/healthcare8030244
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author Kim, Hyuk Joon
Kim, Hye Young
Yang, Youngran
Ko, Eun
author_facet Kim, Hyuk Joon
Kim, Hye Young
Yang, Youngran
Ko, Eun
author_sort Kim, Hyuk Joon
collection PubMed
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, p = 0.008; t = 2.03, p = 0.047), static balance (z = −2.38, p = 0.017), dynamic balance (t = −4.82, p < 0.001), loneliness (t = −3.02, p = 0.003), and role self-efficacy (t = 2.39, p = 0.020), but no differences for ego integration (t = 1.51, p = 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.
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spelling pubmed-75514722020-10-14 Effect of an Integrated Healthcare Program for Korean Rural Older Adults: A Quasi-Experimental Study Kim, Hyuk Joon Kim, Hye Young Yang, Youngran Ko, Eun Healthcare (Basel) Article 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, p = 0.008; t = 2.03, p = 0.047), static balance (z = −2.38, p = 0.017), dynamic balance (t = −4.82, p < 0.001), loneliness (t = −3.02, p = 0.003), and role self-efficacy (t = 2.39, p = 0.020), but no differences for ego integration (t = 1.51, p = 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. MDPI 2020-07-30 /pmc/articles/PMC7551472/ /pubmed/32751446 http://dx.doi.org/10.3390/healthcare8030244 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Kim, Hyuk Joon
Kim, Hye Young
Yang, Youngran
Ko, Eun
Effect of an Integrated Healthcare Program for Korean Rural Older Adults: A Quasi-Experimental Study
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 Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7551472/
https://www.ncbi.nlm.nih.gov/pubmed/32751446
http://dx.doi.org/10.3390/healthcare8030244
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