{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T06:27:13Z","timestamp":1787120833104,"version":"build-2736575974"},"reference-count":48,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T00:00:00Z","timestamp":1787097600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychol."],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Rapid population ageing, urban migration, and the weakening of multigenerational households have left many older adults in Chinese cities facing intertwined physical decline, psychological distress, social loss, and a diminished sense of purpose. Conventional responses tend to be specialized and clinical and are often experienced by older Chinese adults as fragmented, unfamiliar, or stigmatizing. Collective ritual, defined as structured group practices using culturally familiar forms, such as greeting, blessing, mutual recognition, coordinated movement, communal singing, embrace, sharing, and role-taking to cultivate connection, emotion regulation, and meaning, is an ancient and culturally embedded practice that has always addressed body, mind, emotion, relationship, and spirit together.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This study examined how a comprehensive, culturally grounded ritual-based health programme,\n                      <jats:italic>\u201cLong and Prosperous Life\u201d (Fushoubainian)<\/jats:italic>\n                      , supports ageing well in urban Beijing. Using a qualitative collective case-study design, we interviewed 21 participants: one programme designer, six frontline social workers, and fourteen middle-aged and older programme participants aged 48\u201377\u202fyears who joined the collective rituals for at least 6\u202fmonths. Interviews were supplemented by informal follow-up contacts and field engagement after 6\u202fyears. We analysed transcripts using reflexive thematic analysis informed by the psychology of ritual and of ageing.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Five interwoven dimensions of benefit were identified: the programme rebuilt belonging and interpersonal trust through a culturally resonant idiom of fictive kinship; it reworked beliefs about ageing, illness, and the self, fostering reappraisal, optimism, and perceived control; it awakened the body, with participants reporting improved mobility, sleep, energy, and health behaviours and better management of chronic disease; it regulated emotion through synchronised movement, communal song, laughter, and embrace; and it restored meaning through contribution, leadership, and, for some, a transcendent reorientation toward gratitude and non-attachment. Crucially, these were not five separate effects but facets of a single ritual practice that integrated physical from mental, individual from collective, and health from culture. Follow-up interview themes were also summarized and reported.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>We argue that community ritual should be understood not as a standard mental-health intervention but as a comprehensive, low-cost, culturally congruent way of ageing well, and we offer a transferable model for psychologists, gerontologists, and programme designers.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpsyg.2026.1887093","type":"journal-article","created":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T05:44:32Z","timestamp":1787118272000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["A ritual way of ageing well: a qualitative study of a comprehensive, culturally grounded ritual-based health programme for older adults in urban China"],"prefix":"10.3389","volume":"17","author":[{"given":"Xusheng","family":"Zhang","sequence":"first","affiliation":[{"name":"Department of Social Work, School of Public Administration, Hangzhou Normal University","place":["Zhejiang, Hangzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qi","family":"Wang","sequence":"additional","affiliation":[{"name":"Center on Behavioral Health, Faculty of Social Sciences, The University of Hong Kong","place":["Pokfulam, Hong Kong SAR, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,8,19]]},"reference":[{"key":"ref1","volume-title":"Self-Efficacy: the Exercise of Control","author":"Bandura","year":"1997"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"497","DOI":"10.1037\/0033-2909.117.3.497","article-title":"The need to belong: desire for interpersonal attachments as a fundamental human motivation","volume":"117","author":"Baumeister","year":"1995","journal-title":"Psychol. Bull."},{"key":"ref3","doi-asserted-by":"publisher","first-page":"843","DOI":"10.1016\/S0277-9536(00)00065-4","article-title":"From social integration to health: Durkheim in the new millennium","volume":"51","author":"Berkman","year":"2000","journal-title":"Soc. Sci. Med."},{"key":"ref4","doi-asserted-by":"publisher","first-page":"361","DOI":"10.1037\/a0016401","article-title":"Cultural adaptation of treatments: a resource for considering culture in evidence-based practice","volume":"40","author":"Bernal","year":"2009","journal-title":"Prof. Psychol. Res. Pract."},{"key":"ref5","doi-asserted-by":"publisher","first-page":"77","DOI":"10.1191\/1478088706qp063oa","article-title":"Using thematic analysis in psychology","volume":"3","author":"Braun","year":"2006","journal-title":"Qual. Res. Psychol."},{"key":"ref6","doi-asserted-by":"publisher","first-page":"328","DOI":"10.1080\/14780887.2020.1769238","article-title":"One size fits all? What counts as quality practice in (reflexive) thematic analysis?","volume":"18","author":"Braun","year":"2021","journal-title":"Qual. Res. Psychol."},{"key":"ref7","doi-asserted-by":"publisher","first-page":"1913","DOI":"10.1126\/science.1127488","article-title":"The influence of a sense of time on human development","volume":"312","author":"Carstensen","year":"2006","journal-title":"Science"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"213","DOI":"10.1146\/annurev-clinpsy-033109-132032","article-title":"Issues and challenges in the design of culturally adapted evidence-based interventions","volume":"6","author":"Castro","year":"2010","journal-title":"Annu. Rev. Clin. Psychol."},{"key":"ref9","doi-asserted-by":"publisher","first-page":"1063","DOI":"10.1007\/s12126-022-09500-1","article-title":"A study on mental health service needs among older adults and the policy response in China: experiences in urban Shanghai","volume":"48","author":"Chen","year":"2023","journal-title":"Ageing Int."},{"key":"ref10","doi-asserted-by":"publisher","first-page":"1967","DOI":"10.1016\/S0140-6736(22)01546-X","article-title":"The path to healthy ageing in China: a Peking University\u2013lancet commission","volume":"400","author":"Chen","year":"2022","journal-title":"Lancet"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"1029587","DOI":"10.3389\/fpsyg.2022.1029587","article-title":"The relationship between physical exercise and subjective well-being in Chinese older people: the mediating role of the sense of meaning in life and self-esteem","volume":"13","author":"Chen","year":"2022","journal-title":"Front. Psychol."},{"key":"ref12","doi-asserted-by":"crossref","DOI":"10.1515\/9781400851744","volume-title":"Interaction ritual Chains","author":"Collins","year":"2004"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"100","DOI":"10.1186\/1471-2288-11-100","article-title":"The case study approach","volume":"11","author":"Crowe","year":"2011","journal-title":"BMC Med. Res. Methodol."},{"key":"ref14","doi-asserted-by":"publisher","first-page":"151618","DOI":"10.1016\/j.apnr.2022.151618","article-title":"The efficacy of religious and spiritual interventions in nursing care to promote mental, physical and spiritual health: a systematic review and meta-analysis","volume":"67","author":"de Diego-Cordero","year":"2022","journal-title":"Appl. Nurs. Res."},{"key":"ref15","doi-asserted-by":"publisher","first-page":"131","DOI":"10.1080\/15350770.2012.673393","article-title":"A qualitative study of filial piety among community-dwelling Chinese older adults: changing meaning and impact on health and well-being","volume":"10","author":"Dong","year":"2012","journal-title":"J. Intergenerational Relatsh."},{"key":"ref16","volume-title":"The Elementary Forms of Religious life","author":"Durkheim","year":"1995"},{"key":"ref17","volume-title":"The life cycle Completed (Extended Version)","author":"Erikson","year":"1997"},{"key":"ref18","first-page":"1","volume-title":"Anthropological Approaches to the Study of Religion","author":"Geertz","year":"2013"},{"key":"ref19","doi-asserted-by":"publisher","first-page":"59","DOI":"10.1177\/1525822X05279903","article-title":"How many interviews are enough? An experiment with data saturation and variability","volume":"18","author":"Guest","year":"2006","journal-title":"Field Methods"},{"key":"ref20","doi-asserted-by":"publisher","first-page":"11","DOI":"10.1016\/j.glohj.2020.01.002","article-title":"Aging in China: perspectives on public health","volume":"4","author":"Han","year":"2020","journal-title":"Glob. Health J."},{"key":"ref21","doi-asserted-by":"publisher","first-page":"218","DOI":"10.1007\/s12160-010-9210-8","article-title":"Loneliness matters: a theoretical and empirical review of consequences and mechanisms","volume":"40","author":"Hawkley","year":"2010","journal-title":"Ann. Behav. Med."},{"key":"ref22","doi-asserted-by":"publisher","first-page":"905","DOI":"10.1136\/jech-2014-205345","article-title":"Effect of a community intervention programme promoting social interactions on functional disability prevention for older adults: propensity score matching and instrumental variable analyses, JAGES Taketoyo study","volume":"69","author":"Hikichi","year":"2015","journal-title":"J. Epidemiol. Community Health"},{"key":"ref23","doi-asserted-by":"publisher","first-page":"P3","DOI":"10.1093\/geronb\/61.1.P3","article-title":"Religious attendance and cognitive functioning among older Mexican Americans","volume":"61","author":"Hill","year":"2006","journal-title":"J. Gerontol. B Psychol. Sci. Soc. Sci."},{"key":"ref24","doi-asserted-by":"publisher","first-page":"187","DOI":"10.1080\/17439760.2014.888577","article-title":"Development and evaluation of the positive psychology intervention for older adults","volume":"9","author":"Ho","year":"2014","journal-title":"J. Posit. Psychol."},{"key":"ref25","doi-asserted-by":"publisher","first-page":"260","DOI":"10.1177\/1088868317734944","article-title":"The psychology of rituals: an integrative review and process-based framework","volume":"22","author":"Hobson","year":"2018","journal-title":"Personal. Soc. Psychol. Rev."},{"key":"ref26","doi-asserted-by":"publisher","first-page":"227","DOI":"10.1177\/1745691614568352","article-title":"Loneliness and social isolation as risk factors for mortality: a meta-analytic review","volume":"10","author":"Holt-Lunstad","year":"2015","journal-title":"Perspect. Psychol. Sci."},{"key":"ref27","doi-asserted-by":"crossref","DOI":"10.1007\/978-1-4614-1439-1","volume-title":"Foundations of Chinese Psychology: Confucian social Relations","author":"Hwang","year":"2012"},{"key":"ref28","doi-asserted-by":"publisher","first-page":"278730","DOI":"10.5402\/2012\/278730","article-title":"Religion, spirituality, and health: the research and clinical implications","volume":"2012","author":"Koenig","year":"2012","journal-title":"ISRN Psychiatry"},{"key":"ref29","doi-asserted-by":"publisher","first-page":"2","DOI":"10.1007\/s11920-018-0864-4","article-title":"Mind-body therapies for late-life mental and cognitive health","volume":"20","author":"Laird","year":"2018","journal-title":"Curr. Psychiatry Rep."},{"key":"ref30","doi-asserted-by":"publisher","first-page":"502131","DOI":"10.1155\/2013\/502131","article-title":"Tai chi chuan in medicine and health promotion","volume":"2013","author":"Lan","year":"2013","journal-title":"Evid. Based Complement. Alternat. Med."},{"key":"ref31","doi-asserted-by":"publisher","first-page":"27","DOI":"10.1016\/j.puhe.2015.10.009","article-title":"Social networks and health-related quality of life among Chinese older adults in urban areas: results from the 4th National Household Health Survey","volume":"131","author":"Lei","year":"2016","journal-title":"Public Health"},{"key":"ref32","doi-asserted-by":"crossref","DOI":"10.1016\/0147-1767(85)90062-8","volume-title":"Naturalistic Inquiry","author":"Lincoln","year":"1985"},{"key":"ref33","volume-title":"Communiqu\u00e9 of the Seventh National Population Census","year":"2021"},{"key":"ref34","doi-asserted-by":"publisher","first-page":"266","DOI":"10.1037\/a0031772","article-title":"Rituals alleviate grieving for loved ones, lovers, and lotteries","volume":"143","author":"Norton","year":"2014","journal-title":"J. Exp. Psychol. Gen."},{"key":"ref35","doi-asserted-by":"publisher","first-page":"645","DOI":"10.1080\/13607860701529635","article-title":"Effects of psychotherapy and other behavioral interventions on clinically depressed older adults: a meta-analysis","volume":"11","author":"Pinquart","year":"2007","journal-title":"Aging Ment. Health"},{"key":"ref36","doi-asserted-by":"publisher","first-page":"1181","DOI":"10.1080\/13607863.2020.1793901","article-title":"Effects of mindfulness meditation interventions on depression in older adults: a meta-analysis","volume":"25","author":"Reangsing","year":"2021","journal-title":"Aging Ment. Health"},{"key":"ref37","doi-asserted-by":"publisher","first-page":"68","DOI":"10.1037\/0003-066X.55.1.68","article-title":"Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being","volume":"55","author":"Ryan","year":"2000","journal-title":"Am. Psychol."},{"key":"ref38","doi-asserted-by":"publisher","first-page":"1069","DOI":"10.1037\/0022-3514.57.6.1069","article-title":"Happiness is everything, or is it? Explorations on the meaning of psychological well-being","volume":"57","author":"Ryff","year":"1989","journal-title":"J. Pers. Soc. Psychol."},{"key":"ref39","doi-asserted-by":"publisher","first-page":"63","DOI":"10.3233\/EFI-2004-22201","article-title":"Strategies for ensuring trustworthiness in qualitative research projects","volume":"22","author":"Shenton","year":"2004","journal-title":"Educ. Inf."},{"key":"ref40","doi-asserted-by":"publisher","first-page":"80","DOI":"10.1037\/0022-0167.53.1.80","article-title":"The meaning in life questionnaire: assessing the presence of and search for meaning in life","volume":"53","author":"Steger","year":"2006","journal-title":"J. Couns. Psychol."},{"key":"ref41","doi-asserted-by":"publisher","first-page":"349","DOI":"10.1093\/intqhc\/mzm042","article-title":"Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups","volume":"19","author":"Tong","year":"2007","journal-title":"Int. J. Qual. Health Care"},{"key":"ref42","volume-title":"Gerotranscendence: a Developmental Theory of Positive Aging","author":"Tornstam","year":"2005"},{"key":"ref43","doi-asserted-by":"publisher","first-page":"S40","DOI":"10.2105\/AJPH.2009.184036","article-title":"Community-based participatory research contributions to intervention research: the intersection of science and practice to improve health equity","volume":"100","author":"Wallerstein","year":"2010","journal-title":"Am. J. Public Health"},{"key":"ref44","doi-asserted-by":"publisher","first-page":"60","DOI":"10.3968\/j.ccc.1923670020130901.12018","article-title":"The Confucian value of harmony and its influence on Chinese social interaction","volume":"9","author":"Wei","year":"2013","journal-title":"Cross-Cult Commun."},{"key":"ref45","doi-asserted-by":"publisher","first-page":"674","DOI":"10.1086\/678698","article-title":"The ties that bind us: ritual, fusion, and identification","volume":"55","author":"Whitehouse","year":"2014","journal-title":"Curr. Anthropol."},{"key":"ref46","volume-title":"World Report on Ageing and Health","year":"2015"},{"key":"ref47","volume-title":"Case Study Research and Applications: design and Methods","author":"Yin","year":"2018"},{"key":"ref48","doi-asserted-by":"publisher","first-page":"839125","DOI":"10.3389\/fpsyg.2022.839125","article-title":"Thwarted belongingness hindered successful aging in Chinese older adults: roles of positive mental health and meaning in life","volume":"13","author":"Yu","year":"2022","journal-title":"Front. Psychol."}],"container-title":["Frontiers in Psychology"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpsyg.2026.1887093\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T05:44:36Z","timestamp":1787118276000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpsyg.2026.1887093\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,19]]},"references-count":48,"alternative-id":["10.3389\/fpsyg.2026.1887093"],"URL":"https:\/\/doi.org\/10.3389\/fpsyg.2026.1887093","relation":{},"ISSN":["1664-1078"],"issn-type":[{"value":"1664-1078","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,19]]},"article-number":"1887093"}}