title: A health recreation program for u-healthcare clients: effects on mental health.
abstract: BACKGROUND
  In this study, a health recreation program was implemented with elderly patients (60 years of age or older) who were receiving ubiquitous healthcare (u-healthcare) services. Furthermore, we examined the effects of health recreation on perceived stress, anxiety, and depression, by comparing survey results before and after the recreation program was conducted. Thus, the aim of this study was to develop an offline service with the ability to promote the impact of the u-healthcare service on mental healthcare.
  
  
  METHODS
  A health recreation program, consisting of a variety of weekly games, songs, and minilectures about mental health over a 10-week period, was offered at a senior citizens center in K-Gu, Seoul, Korea. This program targeted 18 elderly people currently receiving u-healthcare services. Data on the impact of the program on the mental health of the elderly were collected through surveys administered before and after the recreation program, and the results were compared with those of a control group. The control group consisted of 18 elderly people who were receiving u-healthcare services from the same district.
  
  
  RESULTS
  The perceived stress and anxiety of the experimental group decreased significantly compared with those of the control group. However, the program did not result in a significant reduction in depression.
  
  
  CONCLUSIONS
  This offline health recreation program offered to elderly u-healthcare service clients contributed to the promotion of their mental health. Further studies will be required to better incorporate the offline mental healthcare program into their daily lives within the u-healthcare service.
authors.affiliation: 1 College of Nursing, Seoul National University , Seoul, Korea.
authors.forename: Jisan
authors.initials: J
authors.lastname: Lee
authors.forename: Jeongeun
authors.initials: J
authors.lastname: Kim
authors.forename: Suyong
authors.initials: S
authors.lastname: Jeong
authors.forename: Hanna
authors.initials: H
authors.lastname: Choi
authors.forename: Meiling
authors.initials: M
authors.lastname: Jin
authors.forename: Sukwha
authors.initials: S
authors.lastname: Kim
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D016022:Case-Control Studies; D002908:Chronic Disease; D005260:Female; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000517:prevention & control*; D008875:Middle Aged; D016730:Program Development; D015397:Program Evaluation; D011998:Recreation; D056910:Republic of Korea; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D016896:Treatment Outcome
keywords: health recreation; mental health; telemedicine; u-health; u-healthcare service