A Study Of Community Workers' Use Of Biopsychosocial Skills To Improve The Subjective Well-Being Of Older Adults
Abstract
This study explores how community workers in Nan Shuyuan Community, Pingliang City, Gansu Province, apply biopsychosocial (BPS) skills to enhance the subjective well-being of older adults. Using purposive sampling, six experienced community workers participated in focus group discussion. Findings reveal that community workers act as facilitators (social skills), providers (biological skills), and supporters (psychological skills), effectively guiding, supporting, teaching, and serving older adults. Their integrated approach improves older adults’ satisfaction with services, promotes healthier lifestyles, and fosters emotional well-being, ultimately enhancing their subjective well-being. Community workers address both material and emotional needs by building supportive networks, offering health education, and responding to psychological challenges. This comprehensive model not only benefits older adults but also supports the professional growth and mental health of community workers. They report increased job satisfaction, improved counseling skills, deeper trust with residents, and stronger community cohesion. The findings highlight the dual value of BPS-informed practices: enhancing the quality of life for older adults while promoting sustainable, fulfilling careers for frontline workers. This study recommends the broader adoption of biopsychosocial approaches in community-based older adults care.
References
Boustani, M. M., Frazier, S. L., Marin, D., Kirkpatrick, R., Patel, S., & Alford, K. (2025). A qualitative review of community health workers’ training, supervision, and service delivery needs. Administration and Policy in Mental Health and Mental Health Services Research. https://doi.org/10.1007/s10488-025-01439-w
Cho, J., Kim, M. Y., & Lee, M. H. (2022). Psychological interventions for well-being in healthy older adults: A systematic review and meta-analysis. Journal of Happiness Studies, 23, 2389–2403. https://doi.org/10.1007/s10902-022-00497-3
Diener, E., Oishi, S., & Tay, L. (2018). Advances in subjective well-being research. Nature Human Behaviour, 2(4), 253–260. https://doi.org/10.1038/s41562-018-0307-6
Engel, G. L. (1977). The need for a new medical model: A challenge for biomedicine. Science, 196(4286), 129–136. https://doi.org/10.1126/science.847460
Gu, S., & Liu, S. (2025). A serial mediation model of physical exercise and loneliness: The role of frailty and depression. BMC Geriatrics, 25, 350. https://doi.org/10.1186/s12877-025-05988-5
Had, N. H. C., Alavi, K., Akhir, N. M., Nur, I. R. M., Shakir, M., & Shuhaimi, Z. (2023). Cabaran penyedia perkhidmatan peneman mobiliti warga emas dalam aspek sumber manusia. e-BANGI: Journal of Social Sciences and Humanities, 20(1). https://doi.org/10.17576/ebangi.2023.2001.23
Hildon, Z. J. L., Tan, C. S., Shiraz, F., Lim, F. Z., Ng, Z. J., Vrijhoef, H. J., & Subramaniam, M. (2018). The theoretical and empirical basis of a biopsychosocial (BPS) risk screener for detection of older people’s health related needs, planning of community programs, and targeted care interventions. BMC Geriatrics, 18, 49. https://doi.org/10.1186/s12877-018-0739-x
Holt-Lunstad, J., Smith, T. B., & Layton, J. B. (2010). Social relationships and mortality risk: A meta-analytic review. PLOS Medicine, 7(7), e1000316. https://doi.org/10.1371/journal.pmed.1000316
Hong, S. I., & Morrow-Howell, N. (2010). Health outcomes of Experience Corps®: A high-commitment volunteer program. Social Science & Medicine, 71(2), 414–420. https://doi.org/10.1016/j.socscimed.2010.04.009
Joo, J. H., Jimenez, D. E., Xu, J., & Park, M. (2019). Perspectives on training needs for geriatric mental health providers: Preparing to serve a diverse older adult population. The American Journal of Geriatric Psychiatry, 27(7), 728–736. https://doi.org/10.1016/j.jagp.2019.02.003
Kennedy, M. A., Hatchell, K. E., DiMilia, P. R., Salyers, M. P., & Frazier, S. L. (2021). Community health worker interventions for older adults with complex health needs: A systematic review. Journal of the American Geriatrics Society, 69(6), 1670–1682. https://doi.org/10.1111/jgs.17156
Koay, W. I., & Dillon, D. (2020). Community gardening: Stress, well-being, and resilience potentials. International Journal of Environmental Research and Public Health, 17, 6740. https://doi.org/10.3390/ijerph17186740
Levasseur, M., Routhier, S., Clapperton, I., Doré, C., & Gallagher, F. (2020). Social participation needs of older adults living in a rural regional county municipality: Toward reducing situations of isolation and vulnerability. BMC Geriatrics, 20(1), 456. https://doi.org/10.1186/s12877-020-01852-9
Lim, F. Z., Shiraz, W., Ng, Z. J., Vrijhoef, H. J., & Hildon, Z. J. (2017). Recommendations for implementing a bio-psycho-social risk screener for stratified care at older ages. Innovation in Aging, 1(Suppl. 1), 535. https://doi.org/10.1093/geroni/igx004.1892
Litwin, H., & Attias-Donfut, C. (2009). The inter-relationship between formal and informal care: A study in France and Israel. Ageing & Society, 29(1), 71–91. https://doi.org/10.1017/S0144686X08007666
Liu, Y., & Jiang, H. (2025). The impact of social isolation on subjective cognitive decline in older adults: A study based on network analysis and longitudinal mode. arXiv preprint arXiv:2506.13914. https://arxiv.org/abs/2506.13914
Maxwell-Keys, A., Foster, D., & Hughes, J. (2022). Promoting emotional resilience in community elders through positive psychology interventions. Health & Social Care in the Community, 30(6), e3215–e3225. https://doi.org/10.1111/hsc.13498
Melchert, T. P. (2013). Foundations of professional psychology: The end of theoretical orientations and the emergence of the biopsychosocial approach. Elsevier. https://doi.org/10.1016/C2011-0-07067-4
Michael, Y. L., Green, M. K., & Farquhar, S. A. (2006). Neighborhood design and active aging. Health & Place, 12(4), 734–740. https://doi.org/10.1016/j.healthplace.2005.08.002
Nieboer, A. P., & Cramm, J. M. (2022). Age-friendly communities and well-being realization among older native and immigrant populations in the Netherlands: A theory-guided study protocol. BMC Geriatrics, 22(1), 273. https://doi.org/10.1186/s12877-022-03048-1
Nyqvist, F., Forsman, A. K., Giuntoli, G., & Cattan, M. (2013). Social capital as a resource for mental well-being in older people: A systematic review. Aging & Mental Health, 17(4), 394–410. https://doi.org/10.1080/13607863.2012.742490
Phillipson, C. (2007). The ‘elected’ and the ‘excluded’: Sociological perspectives on the experience of place and community in old age. Ageing & Society, 27(3), 321–342. https://doi.org/10.1017/S0144686X06005729
Putnam, R. D. (2000). Bowling alone: The collapse and revival of American community. Simon & Schuster.
Rijeng, I. S., Alavi, K., Aziz, S. F. A., & Manap, J. (2024). Active ageing and older adults' volunteerism in Asia: A systematic review. e-BANGI: Journal of Social Sciences and Humanities, 21(3), 416–434. https://doi.org/10.17576/ebangi.2024.2103.32
Sanabria-Mazo, J. P., Colomer-Carbonell, A., Fernández-Vázquez, Ó., López-Pina, J. A., & García-Campayo, J. (2023). A systematic review of cognitive behavioral therapy-based interventions for comorbid chronic pain and clinically relevant psychological distress. Frontiers in Psychology, 14, 1200685. https://doi.org/10.3389/fpsyg.2023.1200685
Saud, M., Mashud, M. I., & Ida, R. (2021). Effectiveness of social support networks in improving mental well-being among older adults. International Journal of Environmental Research and Public Health, 18(13), 6789. https://doi.org/10.3390/ijerph18136789
Scott, T. L., Masser, B. M., & Pachana, N. A. (2020). Positive aging benefits of home and community gardening activities: Older adults report enhanced self-esteem, productive endeavours, social engagement and exercise. SAGE Open Medicine, 8, 2050312120901732. https://doi.org/10.1177/2050312120901732
Spadoni, N., Baron, A., Zavala, E., Miller, S., & Rodríguez, J. (2024). Community health worker training on older adults: A qualitative needs assessment. Journal of the American Geriatrics Society, 72(9), 2825–2833. https://doi.org/10.1111/jgs.18413
Wang, Y. H., Wang, Y. L., Leung, D. K. Y., Xu, L., & Li, X. (2025). Effectiveness of an age-modified mindfulness-based cognitive therapy (MBCT) in improving mental health in older people with depressive symptoms: A non-randomised controlled trial. BMC Complementary Medicine and Therapies, 25, 81. https://doi.org/10.1186/s12906-025-04781-6
Wiles, J. L., & Jayasinha, R. (2013). Care for place: The contributions older people make to their communities. Journal of Aging Studies, 27(2), 93–101. https://doi.org/10.1016/j.jaging.2013.01.002
Zaharia, G., Ibáñez-del Valle, V., Cauli, O., & Corchón, S. (2024). The long-lasting effect of multidisciplinary interventions for emotional and social loneliness in older community-dwelling individuals: A systematic review. Nursing Reports, 14(4), 3847–3863. https://doi.org/10.3390/nursrep14040037
Keywords
Full Text:
PDFDOI: http://dx.doi.org/10.17576/ebangi.2025.2204.55
Refbacks
- There are currently no refbacks.
-
_________________________________________________
eISSN 1823-884x
Faculty of Social Sciences & Humanities
Universiti Kebangsaan Malaysia
43600 UKM Bangi, Selangor Darul Ehsan
MALAYSIA
© Copyright UKM Press, Universiti Kebangsaan Malaysia