The effectiveness of a health promotion program for the low-income elderly in Taipei, Taiwan

I. Chuan Li*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

3 Scopus citations


This study assessed the effectiveness of a health promotion program for low-income elderly provided by trained low-income home health aides. Indicators of the effectiveness of this program included improvement in physical health, psychosocial health and functional status, including activities of daily living (ADL) and instrumental activities of daily living (IADL) as well as changes in perceived health promotion needs. This evaluation study used a single group pre- and post-test experiment design. After informed consent forms were signed by participants, 89 purposively selected low-income elderly (aged 64-96) completed pre-test structured surveys, while 60 participants (aged 68-96) completed post-test surveys. Post-test scores indicated improved nutritional status (paired t = 2.64, p <.05) and chore management of IADL abilities (paired t = 2.83, p <.01). No significant difference in psychosocial status were found between pre- and post-test scores. Perceived needs for health promotion services decreased after the intervention. The results show that the health promotion services were effective in improving health status and decreasing perceived needs for services among low-income elderly in Taipei. Recommendations based on this study for developing services for the low-income elderly must take health promotion intervention into consideration.

Original languageEnglish
Pages (from-to)511-525
Number of pages15
JournalJournal of Community Health
Issue number6
StatePublished - Dec 2004


  • Health promotion
  • Low-income elderly
  • Program evaluation


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