The Role of Psychosocial Support in Balance Improvements Following a Community-Based Tai Chi Program Among Latino Older Adults

Falls are a leading cause of morbidity, loss of independence, and diminished quality of life among older adults, particularly in underserved ethnic minority populations. Physical activity interventions such as Tai Chi (TC) have been shown to improve balance and reduce the risk of falls. However, the influence of psychosocial factors in maximizing these benefits remains underexplored. This study examined the effectiveness of a community-based TC intervention and the role of psychosocial support in enhancing physical health outcomes among Latino older adults at risk of falling. Twenty-eight subjects were recruited to complete a 12-week TC program, and 23 participants with complete outcome data were included in the data analysis. Balance performance was assessed using the Timed Up and Go (TUG) Test at baseline, immediately after the 12-week intervention, and at a 12-week follow-up assessment (24 weeks from baseline). Psychosocial support was measured using the Norbeck Social Support Questionnaire. Linear mixed models were used to analyze changes in TUG scores and the moderating effect of psychosocial support. Results showed that participants with higher levels of psychosocial support showed significantly greater changes in balance than those with lower support scores (p < 0.05) immediately after the intervention program; these improvements were not maintained at follow-up. The findings should be interpreted cautiously, given the single-group design without a control group. Overall, the results highlight the importance of incorporating psychosocial components into health intervention programs for older adults, suggesting that supportive environments may be associated with improvements in both physical health and psychosocial well-being in aging minority populations.