Long-term care based on person-centered care for the older adults in rural Spain: the rural care project

The findings provide evidence that the Rural Care program effectively improves key dimensions of QoL among older adults in deep-rural areas. Recommendations include implementing policy reforms to promote home-based LTC grounded in PCC principles. Prioritizing tailored support to enhance physical health and reduce medical dependency are critical outcomes that should be emphasized. Although the program did not produce significant effects on environmental context and social relationships, observed trends suggest potential benefits if future interventions are expanded to comprehensively address these areas. Thus, future programs should adopt a multifaceted approach, integrating strategies for environmental enhancements and promoting both formal and informal social interactions to empower older adults in decision-making processes.