Levels Of Social Participation Research Articles

Relationships between walking speed, activities and participation in people with chronic stroke in Burundi.

Reduced walking speed because of a stroke may limit activities of daily living (ADLs) and restrict social participation. To describe the level of balance impairment, activity limitations, and participation restrictions and to investigate their relationship with walking speed in Burundians with chronic stroke. This cross-sectional study involved adult stroke survivors. Walking speed, balance, ADLs and social participation were assessed with the 10-meter walk test (10 mWT), the Berg balance scale (BBS), the activity limitation stroke scale and the participation measurement scale, respectively. In order to determine ambulatory independence status, participants were stratified into three walking speed groups (household ambulation, limited ambulation and full-community ambulation), based on the Perry classification. Fifty-eight adults (mean age 52.1 ± 11.4 years) with chronic stroke were included in our study. Most participants had severe balance impairments (median BBS score, 27). Their mean (± standard deviation [SD]) walking speeds, ADL levels and social participation levels were 0.68 ± 0.34 m/s, 50.8% ± 9.3% and 52.8% ± 8.6%, respectively. Walking speed correlated moderately with balance (rho = 0.5, p < 0.001) and strongly with ADL level (r = 0.7, p < 0.001) but not with participation level (r = 0.2, p = 0.25). Using socio-culturally suitable tools, our study showed that walking speed correlates robustly with balance and ADL ability, but not with social participation, in Burundi, a low-income country. Exercises targeting walking speed would be very useful for people with chronic stroke living in low-resource countries, in order to promote their functional independence.

Personal, Socio-economic, Communicational and Psychological Characteristics of Orange Growers

Maharashtra is the one of the largest producer of orange in the country. There is growing interest and awareness among the orange growers for adoption of latest technologies for commercial cultivation of citrus hence the research objective was formulated to study the personal, socio-economic, communicational and psychological characteristics of orange growers in Amravati and Nagpur district in Vidarbha region of Maharashtra state. An ex-post facto research design of social research was used for present investigation. The study was conducted in Amravati and Nagpur district in month of December, January and February, 2021, with 300 orange growers. The findings revealed that, more than one third of the respondents (34.00%) had education up to higher secondary school. More than two fifth of the respondents (44.00%) had medium family size. More than one third (38.67%) of the respondents were engaged in agriculture+ horticulture+ allied occupation as their main occupation in earning. Nearly half (46.33%) of the respondents had semi medium land holding (2.01 to 4.00 ha). More than half (60.67%) of the respondents were having small size of orchard. More than one third (37.33%) of the respondents had medium experience in orange cultivation (15.36 to 26.66 years). more than half (57.33%) of the respondents were belonged to medium level of social participation. Nearly half (45.67%) of the respondents were having annual income up to Rs. 7,96,000/-. Majority of the social media user respondents (88.00%) had high availability of social media. More than half (55.67%) of the respondents were having medium sources of information. More than half (59.67%) of the respondents were having medium innovativeness. More than half (56.67%) of the respondents were having medium risk orientation. Majority (63.33%) of the respondents were having medium market orientation. Overall 70.00 Percent of the social media user orange growers were having high utilization pattern index. It is suggested that, efforts should made by authorities to involve and retain the interest of innovative orange growers in adopting modern agricultural practices.

The relationship between social participation and depressive symptoms among Chinese middle-aged and older adults: A cross-lagged panel analysis.

ObjectivesThis study examined the mutual effects of social participation and depressive symptoms in middle-aged and older Chinese adults from offline and online perspectives. Reciprocal relationships between depressive symptoms and the four subtypes of offline participation were also examined.MethodsBased on China Health and Retirement Longitudinal Study data (CHARLS), this study conducted ID matching for three waves of data from 2013, 2015, and 2018. One thousand nine hundred ninety-nine samples for individuals over 50 were obtained. A series of cross-lagged analyses were conducted to examine the mutual influence of social participation and depressive symptoms. Depressive symptoms were assessed using the short version of the Center for Epidemiologic Studies Depression Scale (CESD-10). The social participation questionnaire included nine items referring to offline participation (eight items) and online participation (one item). Several demographic variables were adjusted when conducting the cross-lagged analyses.ResultsSocial and offline participation had significant two-way associations with depressive symptoms. Depressive symptoms had greater impacts on social and offline participation than in the opposite direction. Online participation has a significant one-way impact on depressive symptoms. The relationship between specific types of offline participation and depressive symptoms varied in existence and direction.DiscussionOverall, there was significant bidirectional causality between social participation and depressive symptoms. Social participation, both offline and online, played a positive role in alleviating depressive symptoms. Depressive symptoms also affected the level of social participation to some extent among middle-aged and older Chinese adults over time.

Correlates of Social Participation of Adults with Intellectual and Developmental Disabilities.

Social participation has been linked to healthy aging, yet little is known about social participation during extended periods of time for adults with intellectual and developmental disabilities. The social participation of 777 adults with intellectual and developmental disabilities (aged 18-77years), during a 4-year period, was examined. Sociodemographic, physical, and behavioral health-related correlates of engagement in social participation were investigated. Findings indicated that the majority of adults with intellectual and developmental disabilities engaged in at least a moderate level of social participation during the 4-years. Employment status, physical health, and Special Olympics participation were associated with a higher level of social participation. Findings have implications for supports and services seeking to promote social participation opportunities for adults with intellectual and developmental disabilities.

The Golden Opportunity? Migration to Svalbard from Thailand and the Philippines

The contribution focuses on international migration to rural peripheries in the Arctic, specifically Thais and Filipinx in Longyearbyen, Svalbard. Longyearbyen is entangled both in global migration trends and Norway’s geopolitical interests in the Arctic. This article explores the worlds of Thai and Filipinx migrants, why they migrate here and how the national strategy for Longyearbyen impacts their lives in the context of recent developments. Svalbard’s unique territorial status and legislation (e.g. absence of visas or work permits) facilitate international migration, but the place’s specificities constrain migrants’ inclusion (e.g. work-related and political rights, and access to social benefits). Higher chances for a good life of offspring motivate parents to stay longer than anticipated. The politically motivated absence of local focus on the needs of international migrants (e.g. language courses and counselling services) seeks to dampen migration. The result is a grey zone of informal power structures, unequal living, working and housing conditions, language barrier and perceived low level of social participation.

Social participation and mild cognitive impairment in low- and middle-income countries

Social participation may theoretically decrease risk for mild cognitive impairment (MCI). However, to date, no study has specifically investigated the association between social participation and MCI in LMICs, while the mediating role of loneliness is unknown. Thus, we investigated this association in a sample of adults aged ≥50 years from six low- and middle-income countries (LMICs; China, Ghana, India, Mexico, Russia, South Africa) using nationally representative datasets. We analyzed cross-sectional, community-based data from the Study on Global Ageing and Adult Health. A social participation score (range 0–10 with higher scores corresponding to greater levels of social participation) was created based on nine questions about involvement in community activities in the last 12 months. The National Institute on Ageing-Alzheimer's Association criteria were used to define MCI. Multivariable logistic regression and mediation analysis was performed. The analytical sample consisted of 32,715 individuals aged ≥50 years with preserved functional abilities [mean (SD) age 62.1 (15.6) years; 51.7% females]. In the overall sample, after adjustment for potential confounders, a one-unit increase in the social participation score was associated with a 13% decrease in odds for MCI (OR = 0.87; 95%CI = 0.82–0.93). Loneliness only explained 3.0% of the association. Greater levels of social participation were associated with a reduced odds for MCI, and this was not largely explained by loneliness. It may be prudent to implement interventions in LMICs to increase levels of social participation to aid in the prevention of MCI and ultimately dementia.

Social participation of community-dwelling older adults in western China: A latent profile analysis.

ObjectiveSocial participation has become a policy framework to address population aging. However, little is known about the social participation of older adults in western China, and extensive, multicenter, regional research is lacking. This research investigated the profiles of social participation of older adults in western China and explored the characteristics and factors influencing social participation.MethodThis cross-sectional study was conducted in 3 provinces (Chongqing, Sichuan, and Inner Mongolia) in western China from March 2021 to December 2021 and included 3,456 participants aged 60 years or older. Social participation was assessed using the Chinese version of the Impact on Participation and Autonomy Questionnaire (IPA). Latent profile analysis (LPA) was performed to extract latent classes of social participation among older adults in western China. The chi-square test and multinomial regression analyses were used to identify differences between these classes.ResultsThree social participation classes were identified by LPA: high social participation (25.2%), moderate social participation (55.1%), and low social participation (19.7%). Being older, having a primary school education level, having mobility or speaking impairment, using assistive devices, and having a chronic disease were highly associated with the low social participation class (P < 0.05). Furthermore, older adults with no dependence (OR = 0.018, 95% CI = 0.005–0.062) or mild dependence (OR = 0.039, 95% CI = 0.011–0.139) in activities of daily living (ADLs) were less likely to be in the low social participation class. Older adults who were cared for by non-spouse primary caregivers were more likely to be assigned to the moderate social participation group (OR = 2.097, 95% CI = 1.501–2.930) than to the high social participation group.ConclusionsMost older adults in western China have a moderate level of social participation. Advanced age, reduced ADL ability, reduced speech ability, reduced mobility, and non-spouse care are related to the level of social participation. Healthcare professionals should pay attention to the predictors for different classes, identifying high-risk groups as early as possible.

Profile characteristics of farmers of e-NAM

National Agricultural Market (e-NAM) is a pan-India electronic trading portal that seeks to network existing Agricultural Produce Market Committees (APMCs) through a virtual platform to create a unified national market for agricultural commodities. A study was conducted to know the profile characteristics of registered farmers of e-NAM in Duggirala market of Andhra Pradesh. A total sample of 120 farmers was randomly selected from six mandals viz. Kollipara, Bhattiprolu, Kollur, Tenali, Mangalagiri and Duggirala of Guntur district in Andhra Pradesh. The data were collected with pre-structured interview schedule. Exploratory research design was followed for the study. Profile characteristics of respondents viz. Age, Education, Land holding, Social participation, Mass media exposure, Extension contact, Risk orientation, Market orientation, Income orientation, Telescopic faculty and Economic motivation were selected for the study. The detailed analysis of the study revealed that majority of the respondents were middle aged (63.33%), educated up to high school (34.17%), had small farm size (29.17%), had medium level of social participation (71.67%), mass media exposure (55.83%), extension contact (65.83%), risk orientation (63.33%), market orientation (60.00%), income orientation (49.17%), telescopic faculty (56.67%) and economic motivation (62.50%). There is every need to improve the profile of the respondents to make them understand completely about e-NAM, improve their knowledge and effective utilization of e-NAM.

RURAL WOMEN IN HOUSEHOLD PRODUCTION SYSTEM: SOCIO-PERSONAL PROFILE, CONSTRAINTS AND SUGGESTIONS WITH EXTENSION STRATEGIES

Rural women are the invisible lifeline of the agrarian rural community. They are not only the pioneer of the home but they give incomparable contribution in agriculture also. To study the socio personal profile, constraints faced by rural women during their participation in household production system, suggestions to develop extension strategies, a study with ex post facto research design was conducted in three talukas named Vansda, Chikhali and Khergam of Navsari district. The interview schedule was prepared and pre-tested to collect the data. Total 120 respondents were surveyed through personal interview technique from their home, farm, office or any other workplace. Majority of the rural women were found in middle age groups belonged to joint and medium size of family, had education up to middle school level and medium level of farming experience with marginal size of land holding. They had medium level of social participation, extension participation, utilization of source of information with medium level of risk orientation, innovativeness, market orientation and self-confidence. It was found that the prescribed roles of women in society was perceived by the respondents as main constraint followed by Higher time consumption for household work, Child care and agricultural work at same time were increase work load, Poor educational background, Dominance of male members in family. Out of all suggestions to overcome the constraints mentioned by rural women, majority of them said that Transformation of society through awareness programmes on gender issues followed by Family members should give support and guidance, Due importance should be given to women in decision making, should be appointed that provide all the information about government schemes.

FACTORS AFFECTING PERCEIVED USEFULNESS OF THE SORGHUM GROWERS ABOUT CoFS 29 VARIETY

Sorghum is one of the most important fodder crops. In middle Gujarat, farmers of Kheda district mainly grow single cut variety sorghum, pearl millet and maize as a fodder crop as this district possesses good number of livestock population. After understanding the importance of multi cut variety of sorghum, KVK Kheda conducted FLDs on CoFS 29 variety from year 2017. To understand the factors responsible behind perceived usefulness of this variety and to understand the problems realized among its users as well as to get the suggestions from them to overcome the problems, this study was conducted on 200 CoFS 29 user sorghum growers whom KVK Kheda selected as FLD farmers. The profile characteristics were also studied of the selected CoFS 29 users. Ex-post-facto research design was used and interview schedule was prepared in light with the objective. Frequency, percentage, arbitrary method, mean score and coefficient of correlation were major statistical tools used for analysis of the study. From the study, it was observed that more number of CoFS 29 users were from middle age group with secondary level of education, 1 to 2 ha land, 4 to 6 animals and up to 1 lakh rupee annual income. Majority of them were getting yield from CoFS 29 variety was 120 to 130t, very low level of social participation, and medium level of extension contact. More number of farmers had high level of mass media exposure, medium level of scientific orientation and innovativeness and using bore well for irrigation. Profile characteristics like land holding, annual income, yield and scientific orientation were positive and significantly associated with perceived usefulness about CoFS 29 variety for their users. Major problems realized by the CoFS 29 variety user sorghum growers were high price of seeds; difficulty in availability of seeds and more irrigation are required. Major suggestions offered by the sorghum growers to overcome the problems realized by them while utilizing CoFS 29 variety were price of seeds of CoFS 29 variety should be less and seeds of CoFS 29 variety should be made available easily.

Concurrent and lagged associations of social participation and frailty among older adults.

Frailty is a pervasive symptom among the older population, and social participation is a beneficial factor of late-life well-being. However, studies on the bidirectional association between social participation and frailty are limited. This study examined the cross-sectional and lagged associations of social participation and frailty. The analytic sample contained 6865 community-dwelling older adults, with 21,141 observations, from the first four waves (2011-2018) China Health and Retirement Longitudinal Study (CHARLS). Frailty was measured by the Frailty Index (FI). Social participation was measured by the accumulation of the frequencies of six social activities. Random intercept two-level models were used to analyse the concurrent and lagged association between social participation and frailty. The results showed significantly cross-sectional associations between higher levels of frailty and lower levels of social participation in the same wave. Moreover, there was a lagged association of social participation in the prior wave with the current frailty (b=-0.001, SE=0.001, p=0.028), and frailty in the prior wave with the current social participation (b=-0.634, SE=0.088, p < 0.001) even after adjusting for sociodemographic characteristics, and frailty or social participation in the prior wave. The bidirectional associations between social participation and frailty imply the necessity of enhancing social participation to prevent or slow the frailty progression, and improving the physical and social environment to reduce social participation restrictions imposed by frailty status.

Ageing in Context: An Ecological Model to Understand Social Participation Among Indigenous Adults in Chile.

The social participation of older adults occupies a central position in international discourse regarding ageing, the ecological model makes it possible to examine and assess the different factors that influence the understanding of what encourages social participation by older adults. This study used the ecological model to analyse how personal, community and environmental factors are related to satisfaction with social participation among Chilean older adults, a majority of whom are indigenous, living in rural areas (n = 800). The results confirmed that satisfaction with social participation was related to personal factors (feelings of depression, functioning into basic activities of daily living (ADL) and autonomy), community factors (perceived social support from social group) and environmental factors (accessibility of physical setting within the village). Our findings confirmed a high level of social participation among indigenous adults, with rural and indigenous surroundings appearing to be a factor that protects and promotes social integration.

Physical activity in non-disabled people with early multiple sclerosis: A multicenter cross-sectional study

BackgroundPeople with Multiple Sclerosis (PwMS) show low levels of physical activity (PA), however there has been limited research on PA in early diagnosed and no/minimally impaired (<5 years, EDSS≤ 2.5) PwMS. The aims of the study were to objectively quantify PA levels in non-disabled PwMS, to compare the time spent daily at different PA levels (No activity (NPA), Light PA (LPA), Moderate PA (MPA), and Vigorous PA (VPA)) with healthy subjects (HS), and to examine the association of PA with disability, and clinical measures in PwMS. MethodsWe assessed 58 PwMS (mean age±standard deviation, SD 39.1 ± 10.6years) and 20 HS (mean age±SD 39.3 ± 8.9 years). Demographic and clinical data were recorded at the hospital during the baseline assessment. Subjects wore the wrist GENEActiv accelerometer for 7-days. Data were collected at 100 Hz and summarized into a motor activity (MA) index using 60 s epochs with the following thresholds: MANPA-LPA: 10mG, MALPA-MPA: 100mG, MAMPA-VPA: 350mG. ResultsPwMS show higher NPA and lower VPA compared to matched healthy subjects (NPA: Mean±SD, HS: 7.2 ± 0.9 h/day; PwMS: 8.1 ± 1.2 h/day, p<0.01; VPA: HS: 0.78± 0.42 h/day; PwMS: 0.50± 0.40 h/day, p = 0.01), while no between group differences were observed for LPA and MPA (p>0.05). Bivariate analysis showed that higher NPA was associated with fatigue (Fatigue Severity Scale, FSS score) in PwMS with EDSS 0–1.5 (r = 0.34, p = 0.05). In PwMS with EDSS 2–2.5, NPA was correlated with Six Minute Walk Test (6MWT, r=-0.45, p = 0.02) and CIQ (r=-0.41, p = 0.04), while VPA was more associated with FSS (R= -0.38, p = 0.06). ConclusionThe PA level of PwMS differs from that of healthy subjects even in early diagnosed subjects. In PwMS with EDSS 0–1.5 only, fatigue is associated to prolonged inactive behavior. Conversely, in PwMS with EDSS 2–2.5 both inactivity and vigorous activities are modulated by fatigue, endurance and associated with different level of social participation.

Using Social Prescribing to Practice Social Responsibility: A Case Study in the Taipei Medical University System

The Ministry of Education launched the University Social Responsibility (USR) Program in 2018. Since then, universities have actively promoted inter-disciplinary cooperation and implemented high-end knowledge to meet community needs. Universities are using social responsibility to enhance the level of social participation engaged in by their students to achieve the sustainable development goals set by the United Nations. The aim of this paper was to share the experience of the Taipei Medical University (TMU) system in practicing social responsibility by integrating TMU resources with those of TMU-affiliated hospitals. The USR program at Taipei Medical University promotes the reform of school governance through encouraging university faculties to collaborate with hospital physicians to develop a specific curriculum that implements an innovative social-prescribing model. This curriculum is designed to provide opportunities for students to step out the classroom and into the community. Through clinical observations, home visits, and community service, students gain a deep understanding of community health issues from residents in the surrounding neighborhoods. Medical humanities education is achieved through students' involvement in both patient individual care and community health issues. In addition, faculties guide students in reflective learning from holistic healthcare perspectives. Students are encouraged to use evidence-based methods to develop innovative models of care in the community. Medical staff participation in this program helps ensure that social prescribing to community residents accurately reflects professional assessments. These prescriptions refer patients to local health promotion units involved in community collaboration. The medical university students build a bridge between the medical system and the community to implement the goals of health education. The impact of social prescribing on the social determinants of health is known to be significantly greater than that of medicine prescriptions. The expected outcomes of this project are to reduce the health inequalities experienced by vulnerable groups in the community and to share Taiwan's experiences with the academic community worldwide.

Realisation of technical infrastructure with the financial participation of commune residents – a review of solutions and evaluation of their applicability

Financial participation of the commune inhabitants in the implementation of their tasks in building technical infrastructure is not a clearly regulated issue. In local government practice, at least five basic solutions have been developed according to this type of participation. They have been presented based on targeted, critical literature reviews and legal texts and jurisprudence analysis. The article’s main aim is to indicate a set of tools by which the financial participation of residents in the construction of infrastructure can be implemented and to present their comparison and valorisation. Finally, it should be stated that the most complete level of social involvement is achievable due to applying participation under the provisions of the Inland Transport Infrastructure Financing Act and local initiative. These are tools that give citizens the broadest impact on implementing individual investments. According to the participation ladder, they can be considered tools for the co-production of public services and the highest level of social participation.

Does Residing in a Neighborhood of High Social Participation Postpone Deterioration in Health among Middle-Aged Adults? A Multilevel Survival Analysis in Japan.

Social participation (SP) is known to have a favorable impact on an individual's health. This study examined whether residing in a neighborhood with a high SP level would be predictive of delayed deterioration in health outcomes, even after controlling for individual SP. With the 14-wave longitudinal data of 32,388 individuals (15,749 men and 16,639 women) aged 50-59 years residing in 2,477 neighborhoods in 2005, we used multilevel Cox proportional hazards models to examine the impact of neighborhood SP on the onset of problems in activities of daily living (ADL), poor self-rated health, and psychological distress. Residing in a neighborhood with high SP levels modestly postponed the onset of health problems in individuals. The hazard ratio (HR) of ADL problems in response to residing in a neighborhood with above-average SP levels was 0.92 (95% confidence interval [CI]: 0.85-0.99) and 0.93 (95% CI: 0.87-1.00) for men and women, respectively, even after controlling for an individual's SP and other attributes. The results for other health outcomes showed a similar pattern. These findings suggest that high neighborhood SP has a favorable impact on health among middle-aged adults, independent of individual SP. Policy measures to enhance and promote neighborhood SP are thus needed in terms of public health.

Volunteer Service and Well-Being of Older People in China.

PurposeThe social support theory suggested that involving older people in social activities could increase their level of social participation and interaction, which in turn improved their well-being. However, there has been a heated controversy about whether participating in volunteer services could enhance the well-being of older people, especially for the Chinese sample.MethodBased on the data from the China Health and Retirement Longitudinal Study (CHARLS) in 2013, this paper used an ordered probit model to examine the impact of older people's participation in volunteer services on their well-being, as well as the differences in the impact across groups and the specific transmission mechanism.ResultThe empirical study found that Chinese older people's participation in volunteerism significantly enhanced their well-being, which remained robust after eliminating the possible effects of self-selection. Further heterogeneity analysis revealed that for female, non-party members and older adults with good economic status, participation in volunteerism has a higher increase in well-being. The mediating effect test indicated that older people's participation in volunteerism affected well-being mainly through enhancing positive emotions.ConclusionIt is necessary to promote the participation of older people in volunteer services and to clarify the role of government support and advocacy. Proper guidance is given to change the role of older people as care recipients to that of service providers and caregivers, and to continuously enrich the programmes and content of volunteer service to safeguard the well-being of older people.

Stepping up, stepping out: the elderly customer long-term health-care experience

PurposeDemand for long-term care services increases with population aging. This study aims to develop a conceptual model of elderly customers’ health-care experiences to explore the antecedents, mechanisms and outcomes of social participation in long-term care service organizations.Design/methodology/approachUsing a two-phase data collection approach, this study collects data from 238 elderly customers in a long-term care service organization. The final data are analyzed through structural equation modeling.FindingsThe results show that care management efforts (i.e. customer education, perceived organization support, role modeling, perceived other customer support and diversity of activity) influence elderly customers’ psychological states (i.e. self-efficacy and sense of community), leading to increased social participation. In addition, high levels of social participation evoke positive service satisfaction and quality of life, both of which alleviate switching intention.Originality/valueThis study is one of the first conclusive service studies focused on the role of elderly customers’ social participation in their long-term care experience. The findings contribute to health-care service marketing and transformative service research, and expand understanding of elderly customers’ health-care experience, especially in long-term care service settings.

Impact of Q-fever on physical and psychosocial functioning until 8 years after Coxiella burnetii infection: An integrative data analysis.

This study aimed to determine short- and long-term physical and psychosocial impact of Coxiella burnetii infection in three distinct entities: Q-fever fatigue syndrome (QFS), chronic Q-fever, and patients with past acute Q-fever without QFS or chronic Q-fever. Integrative data analysis was performed, combining original data from eight studies measuring quality of life (QoL), fatigue, physical and social functioning with identical validated questionnaires, from three months to eight years after onset infection. Linear trends in each outcome were compared between Q-fever groups using multilevel linear regression analyses to account for repeated measures within patients. Data included 3947 observations of 2313 individual patients (228 QFS, 135 chronic Q-fever and 1950 patients with past acute Q-fever). In the first years following infection, physical and psychosocial impact was highest among QFS patients, and remained high without significant improvements over time. In chronic Q-fever patients, QoL and physical functioning worsened significantly over time. Levels of fatigue and social participation in patients with past acute Q-fever improved significantly over time. The impact differs greatly between the three Q-fever groups. It is important that physicians are aware of these differences, in order to provide relevant care for each patient group.

Motivators and barriers to social participation in two Chinese long-term care institutions: A focus-group study

This study used focus group interviews with 40 older Chinese long-term care residents to explore their motivators and barriers to social participation in institutional settings informed by their lived experience. Using inductive thematic analysis, we found that motivators include pursuit of healthy ageing (better physical and mental health) and pursuit of meaningful ageing (sense of achievement and being useful, increased connectedness and realization of dreams from earlier life). The reported barriers illuminate structural components such as life-course experiences, long-term care-related barriers and Chinese policy-related barriers. The discussion highlights the importance of understanding the multidimensionality of motivators and barriers to social participation. To promote healthy ageing among institutionalized residents, staff and policy makers are recommended to initiate and support meaningful activities for residents. Residents’ individual dreams and accumulated life-course disadvantages experienced long before admission to long-term care should also be considered when devising effective interventions to increase residents’ level of social participation.