{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T18:35:38Z","timestamp":1790793338886,"version":"4.1.0"},"reference-count":76,"publisher":"JMIR Publications Inc.","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Med Internet Res"],"abstract":"\n Background<\/jats:title>\n Resilience is a protective factor in healthy aging, helping to maintain and recover physical and mental functions. The Resilience in Illness Model has proven effective in fostering resilience and well-being. Physical activity is crucial for older adults\u2019 independence and well-being, even as aging causes a progressive decline. Additionally, older adults face challenges such as spousal loss and physical disability, making preventive intervention strategies necessary.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n This study aims to develop and evaluate a web-based program to enhance resilience, physical activity, and well-being among community-dwelling older adults. Additionally, we aim to gather feedback on the program\u2019s strengths and limitations.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n A 4-week resilience-enhancing program was created, incorporating role-play and talk-in-interaction and focusing on 3 key skills: coping, control belief, and manageability. The program included scenarios such as becoming widowed and suffering a stroke, designed to engage older adults. A pilot test preceded the intervention. As a result of the COVID-19 pandemic, the program shifted from in-person to web-based sessions. A single-blind, parallel-group, randomized controlled trial was conducted. Participants aged over 65 years were recruited offline and randomly assigned to either an intervention or control group. A certified resilience practitioner delivered the program. Outcomes in resilience, physical activity, and well-being were self-assessed at baseline (T0), 4 weeks (T1), and 12 weeks (T2) after the program. A mixed methods approach was used to evaluate feedback.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n A web-based participatory program enhancing 3 skills\u2014coping, control belief, and manageability for resilience\u2014was well developed. Among 96 participants, 63 were randomized into the intervention group (n=31) and the control group (n=32). The mean age in the intervention group was 69.27 (SD 3.08) years and 74.84 (SD 6.23) years in the control group. Significant between-group differences at baseline were found in age (t45.6=\u20134.53, P<.001) and physical activity at baseline (t61=2.92, P=.005). No statistically significant between-group differences over time were observed in resilience (SE 7.49, 95% CI \u201310.74 to 18.61, P=.60), physical activity (SE 15.18, 95% CI \u201324.74 to 34.74, P=.74), and well-being (SE 3.74, 95% CI \u20132.68 to 11.98, P=.21) after controlling for baseline differences. The dropout rate was lower in the intervention group (2\/31, 6%) compared with the control group (5\/32, 16%). Moreover, 77% (24\/31) of participants in the intervention group completed the entire program. Program feedback from the participants indicated high satisfaction with the web-based format and mentorship support.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n This study demonstrated that a web-based resilience-enhancing program is appropriate, acceptable, feasible, and engaging for community-dwelling older adults. The program garnered enthusiasm for its potential to optimize resilience, physical activity, and well-being, with mentorship playing a crucial role in its success. Future studies should aim to refine program content, engagement, and delivery methods to effectively promote healthy aging in this population.<\/jats:p>\n <\/jats:sec>\n \n Trial Registration<\/jats:title>\n ClinicalTrials.gov NCT05808491; https:\/\/clinicaltrials.gov\/ct2\/show\/NCT05808491<\/jats:p>\n <\/jats:sec>","DOI":"10.2196\/53450","type":"journal-article","created":{"date-parts":[[2024,7,25]],"date-time":"2024-07-25T10:45:38Z","timestamp":1721904338000},"page":"e53450","source":"Crossref","is-referenced-by-count":10,"title":["A Web-Based Resilience-Enhancing Program to Improve Resilience, Physical Activity, and Well-being in Geriatric Population: Randomized Controlled Trial"],"prefix":"10.2196","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2049-1754","authenticated-orcid":false,"given":"Yi-Chen","family":"Wu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4268-6376","authenticated-orcid":false,"given":"Shu-Fen","family":"Shen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2387-8508","authenticated-orcid":false,"given":"Liang-Kung","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9843-9924","authenticated-orcid":false,"given":"Heng-Hsin","family":"Tung","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1010","published-online":{"date-parts":[[2024,7,25]]},"reference":[{"key":"ref1","unstructured":"World Health Organization (WHO)Healthy aging and functional abilityWHO20202023-11-23https:\/\/www.who.int\/news-room\/questions-and-answers\/item\/healthy-ageing-and-functional-ability"},{"key":"ref2","author":"Singer, B","year":"2001","journal-title":"New Horizons in Health: An Integrative Approach"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1093\/geronb\/gbw214"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1007\/s12603-022-1818-4"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1016\/j.gerinurse.2016.02.014"},{"key":"ref6","first-page":"604","author":"Harms, P","year":"2018","journal-title":"Handbook of Well-Being"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1002\/gps.4619"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1016\/j.archger.2020.104124"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1080\/08998280.2019.1625660"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2017-017858"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/gnac031"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1016\/j.archger.2023.104949"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1186\/s13104-018-4034-x"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.2196\/43771"},{"issue":"3","key":"ref15","first-page":"69","volume":"40","author":"Chen, Y","year":"2009","journal-title":"J Educ Psychol"},{"key":"ref16","unstructured":"HsuCWEffectiveness of the Mental Health Promotion Activities Program on Happiness and Depressive Mood for Institutionalized Elderly People in TaiwanThesis. 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