目的：隨著台灣邁入超高齡社會，社區為基礎的預防性介入已成為促進健康老化的重要策略，職能治療在其中扮演關鍵角色，強調透過有意義之活動促進身心健康與生活參與，本研究旨在探討老年族群對社區「預防及延緩失能課程」之參與偏好與滿意度，並分析不同人口學變項對課程滿意度之影響。 方法： 本研究採問卷調查，以台南市三個實施「預防及延緩失能課程」之社區據點為研究場域，共回收有效問卷 32 份。研究工具為結構式問卷，內容涵蓋基本資料、活動偏好、滿意度及其他建議四部分。結果：結果顯示，受訪者以女性、65 歲以上及退休者居多，整體滿意度高。活動偏好方面，「肌力強化運動」為最受歡迎、最有收穫且最被認為有需要之課程，而「口腔保健」之需求最低。滿意度結果顯示，活動設計、人員安排獲得最高評價，而活動時段、次數及據點設備則為主要改進方向。進一步分析顯示，學歷與授課人員之「準時」、「負責」與「積極」評分呈顯著負相關。結論：整體而言，老年族群對課程抱持高度肯定，惟課程多樣性及設備完善度仍待加強。本研究結果揭示老年族群在社區課程參與中的實際需求與活動傾向，研究結果可作為政府推動相關課程優化與跨專業合作的重要參考，促進老年族群健康老化之實現。

Objective: As Taiwan transitions into a super-aged society, community-based preventive interventions have become a critical strategy for promoting healthy aging. Occupational therapy plays a key role in this context by emphasizing meaningful activities to enhance physical and psychological well-being as well as life participation. This study aimed to examine

older adults’ participation preferences and satisfaction with community-based “Disability Prevention and Delay Programs”, and to analyze the influence of demographic variables on

program satisfaction. Methods: A questionnaire-based survey design was employed. The study was conducted at three community sites in Tainan City that implemented “Disability

Prevention and Delay Programs”. A total of 32 valid questionnaires were collected. The structured questionnaire comprised four sections: demographic characteristics, activity

preferences, program satisfaction, and additional suggestions. Results: The results indicated that most participants were female, aged 65 years or older, and retired, with an overall high level of satisfaction. Regarding activity preferences, “muscle-strengthening exercises” were rated as the most popular, most rewarding, and most necessary course, whereas “oral

health care” was considered least needed. In terms of satisfaction, “activity design” and “staff arrangement” received the highest ratings, while “activity schedule”, “frequency”, and “facility equipment” were identified as primary areas for improvement. Further analysis revealed a significant negative correlation between participants’ educational level and their ratings of instructors’ “punctuality”, “responsibility”, and “enthusiasm”. Conclusion: Overall, older adults expressed strong approval of the program; however, there remains room for improvement in course diversity and facility adequacy. The findings reveal the actual needs and activity tendencies of middle-aged and older adults in community program participation. These results can serve as an important reference for optimizing program design and promoting interprofessional collaboration in government initiatives, thereby facilitating the realization of healthy aging among older adults.