北海岸背山面海，地理環境封閉，人口老化情形嚴重，所在的新北市65歲以上老人於2022年3月人口數655,616人，佔總人口數16.43%，為全台最多老人的城市；而三芝區因社會結構改變，人口老化、少子化及子女外出就業更甚，老化程度更趨嚴重，且老年人口(65歲以上)佔總人口數之20.53%，因此，更迫切需要重視老人關懷與老人健康問題。本USR計畫以活躍老化的觀點為中心，推動以三芝老人為實施對象的老人健康樂活體適能計畫、三芝健康城計畫和營造馬偕好厝邊計畫，實施內容以運動與健康體能、失能失智篩檢、心理健康和社會參與為重點。二年期計畫達成成效如下：1.三芝居民定期健檢共舉辦21場，完成955人次篩檢(民眾對健檢的平均滿意度96.5%)，向居民衛教宣導飲食及運動等注意事項，以競賽獎勵方式鼓勵居民讓自己的生活更健康。2.辦理社區老人音律健康操及運動訓練：於三芝4個社區共辦理53場體適能活動，共計1,503人次參加(平均滿意度95.7%)；3.參與運動老人肌力健康指標提升10%以上，心理憂鬱表現改善17%。4.在地志工之培訓：完成培訓音律活化運動志工共167位以及森林導覽員共21位(培訓志工平均滿意度97.9%)，5.建立心靈社群及平台，辦理3場高齡者智慧手機課程，鼓勵老人應用智慧型手機交流及搜尋資源等，並推播心靈健康短文，及時節慶的孤單高齡者之心靈建設；此計畫成果可以應用於促進台灣和相似社會結構的社區活躍老化計劃推展。

The northern coast is backed by mountains and faces the sea. The geographical environment is closed. Population ageing is serious. In New Taipei City, where the older adults over the age of 65 accounted for 16.43% in March 2022. The Sanzhi District, where the school is located, has changed due to its social structure, the population is aging. The decline in birthrates and the fact that adults and young children go out to work and study are even worse. The degree of aging is becoming more serious, and the older adult’s population reaches 20.53% of total population in 2022. As a college in Sanzhi District, the school urgently needs to pay attention to the issue of elderly care and health for the older adults. Focusing on the perspective of active aging, this program promotes the Sanzhi Elderly Health and Vitality Project, the Sanzhi Health City Project, and the Mackay Good Neighbors Project, which are aimed at the implementation of the Sanzhi Elderly Care. The implementation focuses on exercise and health fitness, screening for disability and dementia, mental health and social participation. The results of the twoyear plan are as follows: 1. Sanzhi residents held a total of 21 events of regular health screening and completed 955 older adults’ health screening (the average satisfaction of the public with health screening is 96.5%). Advocated precautions such as diet and exercise to the residents and encouraged residents to make their lives healthier in the form of competition rewards. 2. Conducted community elderly music aerobic exercises and sports training: A total of 53 physical fitness activities were held in 4 communities in Sanzhi, with a total of 1,503 participants (average satisfaction of 95.7%). 3. The muscle strength health indicators of the elderly participating in the exercise increased by more than 10%, and the psychological depression status improved by 17%. 4. Training of domestic volunteers: A total of 167 volunteers and 21 forest guiders completed the training (the average satisfaction rate of training volunteers was 97.9%). 5. Established a spiritual community and platform, conducted 3 smartphone courses for the older adults, encouraged the older adults to use smartphones to communicate and search for resources, etc. Promoted spiritual health essays to celebrate the spiritual construction of lonely and older adults in a timely manner. The results could be applied to promote active aging program in Taiwan and similar communities.