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Leisure Programs for Improving Middle-Aged and Older adults’ Depression and Quality of Life: A Meta-Analysis

  • Wen Hsuan Hou
  • , Jeng Cheng Wu
  • , Li Jung Lin
  • , Pei Shan Tsai
  • , Hao Yun Huang
  • , Hsin Yen Yen*
  • *Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Engaging in leisure activities might be beneficial for ameliorating older adults’ depression and improving their quality of life. The main purpose was to explore the effectiveness of leisure programs in improving middle-aged and older adults’ depression and quality of life using a systematic review and meta-analysis. Five electronic databases were searched, including EBSCO, PubMed, Scopus, Medline, and Web of Science. Effect sizes were pooled using a random-effects model. Moderator analyses were performed by subgroup analyses and meta-regression. In total, 18 randomized controlled trials were selected for quantitative synthesis. There were significant small to medium effects of leisure programs on improving depression, general quality of life, and physical and mental health. This is the first meta-analytical study to explore middle-aged and older adults’ mental health benefits from leisure programs. Continuous leisure engagement is recommended to improve depression and well-being in mid to later life.

Original languageEnglish
Pages (from-to)739-759
Number of pages21
JournalLeisure Sciences
Volume48
Issue number4
DOIs
Publication statusPublished - 2026

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being

Keywords

  • Active aging
  • games
  • leisure education
  • social activity
  • therapeutic recreation

ASJC Scopus subject areas

  • Environmental Science (miscellaneous)
  • Sociology and Political Science
  • Tourism, Leisure and Hospitality Management

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