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This paper aims to explore the barriers and facilitators to psychosocial well-being among ethnic Nepali Bhutanese American older adults from the perspective of health care and service providers working with this population. Specifically, the authors aimed to understand health-care and service providers’ perceptions of the psychosocial well-being in this community and appropriate interventions.

Qualitative research methods were used to collect and analyze data in collaboration with a community-based organization. A total of ten participants were interviewed. Interviews were conducted in either English or Nepali, based on participant preference. An inductive thematic analysis approach was used to analyze the data.

Three major themes were generated from the analysis. The first two were in reference to perceived barriers to mental well-being among Bhutanese American older adults: isolation that older adults faced in the USA and shifting responsibilities and lifestyles that arose from the cultural and structural barriers in the USA. Throughout these themes, there was an understanding that acculturation threatened families’ connections to each other and impacted older adults’ connections with younger generations. The third theme, a perceived facilitator of well-being, was the power of storytelling to counteract feelings of isolation and disempowerment caused by shifting lifestyles felt by older adults, especially amid community events.

Bhutanese American older adults, many of whom have limited English proficiency, face numerous challenges, psychosocial stressors and factors contributing to well-being. Care for this population should prioritize dignity, empowerment and the incorporation of strengths within their narratives. Interventions and services tailored for older Bhutanese American adults need to be adapted to integrate multiple care systems.

This study aims to identify the key factors that influence household pro-environmental behaviors (HPEBs) and explore the differences caused by the same influencing factors between household waste management behavior (HWM) and household energy-saving behavior (HES).

A meta-analysis was conducted on 90 articles about HPEBs published between 2009 and 2023 to find the key factors. HPEBs were further categorized into HWM and HES to investigate the difference influenced by the above factors on two behaviors. The correlation coefficient was used as the unified effect size, and the random-effect model was adopted to conduct both main effect and moderating effect tests.

The results showed that attitude, subjective norms, and perceived behavioral control all positively influenced intention and HPEBs, but their effects were stronger on intention than on HPEBs. Intention was found to be the strongest predictor of HPEBs. Subjective norms were found to have a more positive effect on HES compared to HWM, while habits had a more positive effect on HWM. Furthermore, household size was negatively correlated with HWM but positively correlated with HES.

The same variables have different influences on HWM and HES. These results can help develop targeted incentives to increase the adoption of HPEBs, ultimately reducing household energy consumption and greenhouse gas emissions and contributing to the mitigation of global warming.