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The role of assistive products in the relationship between activities of daily living and social participation among rural older adults in China: A cross-sectional study
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DOI：10.1016/j.gerinurse.2026.104032.png)
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Abstract
En 中文
Objective: To investigate the effects of different types of assistive products (APs) on the association between activities of daily living (ADL) and social participation among rural older adults in China. Methods: A cross-sectional study was conducted among 301 rural older adults in China using a questionnaire. Parallel mediation and moderation analyses were employed to explore how different APs influence older adults' social participation. Results: This study found that all surveyed types of APs were negatively associated with ADL. However, only mobility APs mediated the relationship between ADL and social participation, and demonstrated a suppression effect (beta = -0.028, P<0.01). Furthermore, mobility APs exhibited a positive moderating effect on the relationship between ADL and social participation (beta=0.021, P<0.01). Conclusions: This study reveals a complex mechanism through which APs influence the relationship between ADL and social participation. Future targeted nursing interventions prioritizing mobility APs may effectively reduce social participation disparities in rural aging populations (c) 2026 The Authors. Published by Elsevier Inc. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)
Keywords:
Assistive products
Social participation
Activities of daily living
Older adults
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