2018 Volume 12 Issue 1 Pages 59-69
The present study qualitatively extracted factors associated with not participating in long-term care prevention programs among older adults with high-risk of taking long-term care in a rural area. An open-ended, semi-structured interview was conducted with each of 25 older adults who had never participated in the long-term care prevention program, containing the following the question: What barriers do you feel to participate in long-term care prevention programs? Five categories in ecological models were referred to extract comprehensive factors of barriers to participate programs. Ecological model is a framework of multilevel variables which influence behaviors, such as sociodemographic, physical, psychological, behavioral, social and environment factors. The KJ method was used for qualitative analysis of the responses. As results, 15 categories and 32 subcategories were identified and categorized into sociodemographic, psychological, behavioral and social and built environmental factors. In addition to bodily pain, activity restriction, and low motivation which were similar results to previous studies, many factors associated with group norms and self-help group called “Yusanko” in local community were extracted. Taking consideration into the barriers identified in the present study, especially, promoting effective use of the exiting local groups and group norm, would be beneficial to develop the effective the long-term care prevention programs in the rural area.
