Objective To construct a conceptual framework for family proactivity in the context of rural disabled older adults, and to provide a reference for leveraging the supportive role of families. Methods Using purposive sampling, nine disabled older adults and their nine family caregivers from rural areas in Zhengzhou City were selected for semi-structured interviews. The interview data were analyzed using the three-level coding procedure of grounded theory to construct the theoretical framework. Results Three core categories "Health", "Participation", "Security" were identified, along with seven main categories, nine sub-categories, and thirty-seven concepts, forming the conceptual framework for family proactivity in rural disabled older adults.Conclusion The conceptual framework of family proactivity aligns with the concept of active aging and can serve as a foundation for subsequently deve-loping assessment tools and constructing intervention programs, thereby enhancing the quality of life of disabled older adults in rural areas.