Understanding Barriers to Health and Resilience of Older Adults With Chronic Conditions Living in Rural Communities.

This study aims to understand the impact of chronic conditions on perceived health and well-being among rural, community-dwelling older adults and to identify the barriers and supports impacting the perceived health and well-being among this population. A convergent mixed-methods design was conducted using the Pizzi Health and Wellness Assessment (PHWA) and semi-structured interviews. Participants' feelings about their health on the PHWA highlighted positive familial (M = 9.67, SD = 1), social (M = 8.67, SD = 1.12), occupational (M = 8.67, SD = 1.94), and spiritual (M = 8.56, SD = 2.13) health. Qualitative analysis revealed overarching themes: the impact of rural living and factors affecting health and well-being. Community-dwelling older adults with chronic conditions perceived their health and well-being as impacted by benefits and barriers of rural living. Positive perceptions of health and well-being were connected to family and social support, spirituality, and meaningful occupations. [ABSTRACT FROM AUTHOR]