Cultural appropriateness, co-creation, and subjective vitality: a pre-post structural modeling study of immersive performances in rural Guangdong, China.

Authors

Yuqi Shang

Published in

Frontiers in public health. Volume 14. Pages 1945573. Epub Sep 18, 2026.

Abstract

This study examined short-term changes in social connectedness and subjective vitality following culturally adapted, co-created immersive performances, and explored baseline-adjusted associations among cultural appropriateness, co-creation engagement, social connectedness, and vitality.
A single-group pre-post field study was conducted across four communities in Guangdong, China. Data from 786 matched participants were analyzed using paired-samples tests and structural equation modeling with bootstrap estimation.
Social connectedness was higher after participation than at baseline (3.48 vs. 3.27, dz = 0.40, p < 0.001), as was subjective vitality (4.57 vs. 4.20, dz = 0.46, p < 0.001). Cultural appropriateness was positively associated with co-creation engagement (β = 0.551), which was associated with social connectedness (β = 0.355); social connectedness was associated with vitality (β = 0.419). Significant indirect associations were observed through co-creation alone (β = 0.068, 95% CI [0.037, 0.102]) and through co-creation and social connectedness (β = 0.082, 95% CI [0.065, 0.100]).
Participants reported higher immediate social connectedness and subjective vitality after the performances, while the structural findings were consistent with theory-informed indirect pathways. Given the study design, these associations should not be interpreted as evidence of causal mediation.

PMID:
42827449
Bibliographic data and abstract were imported from PubMed on 03 Oct 2026.

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