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

**Authors:** Huan Feng, YanJin Li, XiaoYi Wang, QingChuan Wang, ZhiHua Wang

PMC · DOI: 10.3389/fpubh.2025.1695787 · Frontiers in Public Health · 2025-10-27

## TL;DR

This study explores how rural villages in China can effectively promote sports for older adults through various governance approaches, finding that specialized personnel are essential but no single method is required.

## Contribution

The study introduces configurational analysis to rural public administration, showing multiple sufficient pathways exist for effective sports participation without universal prerequisites.

## Key findings

- Specialized Personnel were present in all six sufficient configurations for effective sports participation.
- Leadership Support appeared in five of six configurations, but one pathway achieved success without it.
- The study found no universally necessary conditions, supporting flexible governance models for rural development.

## Abstract

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.

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.

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.

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.

## Full-text entities

- **Diseases:** PN (MESH:D000071064), cardiovascular disease (MESH:D002318)
- **Species:** HF [taxon 2008765], Homo sapiens (human, species) [taxon 9606]

## Full text

_Full body text omitted from this summary view._ Fetch the complete paper as Markdown: https://tomesphere.com/paper/PMC12604643/full.md

## Figures

1 figure with captions in the complete paper: https://tomesphere.com/paper/PMC12604643/full.md

## References

91 references — full list in the complete paper: https://tomesphere.com/paper/PMC12604643/full.md

---
Source: https://tomesphere.com/paper/PMC12604643