Evidence map›Paper›PMID 41229463›Full record

ArticleFrontiers in public health2025

Configurational pathways to effective rural older adult sports participation: a necessity and sufficiency analysis using NCA and QCA.

Huan Feng, YanJin Li, XiaoYi Wang, QingChuan Wang, ZhiHua Wang

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Article in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Huan FengCollege of Physical Education, Sichuan University, Chengdu, China.
YanJin LiCollege of Physical Education, Jiangxi Normal University, Nanchang, China.
XiaoYi WangCompetitive Sports College, Shanghai University of Sport, Shanghai, China.
QingChuan WangCollege of Sports, Chengdu Sport University, Chengdu, China.
ZhiHua WangCollege of Physical Education, Sichuan University, Chengdu, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Rural older adult populations face significant disparities in sports participation compared to urban areas. Traditional linear analytical approaches often fail to capture the complex configurational nature of effective public service delivery in rural contexts, necessitating sophisticated methodological approaches that accommodate multiple pathways to effectiveness. Methods: This study employed Necessary Condition Analysis (NCA) and Qualitative Comparative Analysis (QCA) to examine village-level conditions promoting effective rural older adult sports participation in China. Data were collected from 156 villages across three regional contexts, using a multi-stage stratified sampling design. Seven conditions were analyzed: Leadership Support (LD), Planning Systems (PS), Specialized Personnel (PN), Funding Allocation (FD), Facility Infrastructure (FT), Organizational Capacity (OG), and Activity Implementation (AT). NCA identified necessary conditions using ceiling envelopment with free disposal hull (CE-FDH) and ceiling regression with free disposal hull (CR-FDH) techniques, while crisp-set QCA revealed sufficient configurational pathways. Results: NCA revealed no universally necessary conditions, indicating rural communities can achieve success through multiple alternative pathways without specific prerequisites. QCA identified six distinct sufficient configurations with solution consistency of 0.886 and coverage of 0.43, demonstrating equifinality in rural governance. Specialized Personnel emerged as the only condition present across all pathways (100% frequency), while Leadership Support appeared in five of six solutions (83.3% frequency). Configurations ranged from governance-focused approaches that emphasized leadership coordination to resource-intensive models that integrated formal planning and funding. One pathway achieved effectiveness without traditional Leadership Support, suggesting institutional systems can substitute for individual leadership commitment. Conclusion: The absence of necessary conditions challenges policy frameworks assuming uniform implementation requirements and supports flexible, context-responsive governance models. Multiple sufficient pathways indicate that effective rural development strategies should accommodate diverse approaches rather than relying on prescriptive solutions. Specialized Personnel represent a fundamental requirement across all configurations, while frequent "don't care" conditions reveal significant substitutability among governance arrangements. These findings contribute to the application of configurational methodology in public administration, providing practical guidance for adaptive rural development policies tailored to local conditions.

Indexed as

Rural PopulationSportsAgedChinaFemaleHumansLeadershipMaleMiddle AgedQualitative Researchconfigurational analysisnecessary condition analysispublic service deliveryqualitative comparative analysisrural governancerural older adult(s)sports participation

Identifiers

PMID41229463
PMCPMC12604643

What Socratic holds

Textmetadata
LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.