Improving mental health and wellbeing in elderly people isolated at home due to architectural barriers: A community health intervention
Por:
Daban, F, Garcia-Subirats, I, Porthe, V, Lopez, MJ, De-Eyto, B, Pasarin, MI, Borrell, C, Artazcoz, L, Perez, A, Diez, E
Publicada:
1 may 2021
Ahead of Print:
1 mar 2021
Resumen:
Objectives: To explore the health effects of a community health intervention on older people who are isolated at home due to mobility problems or architectural barriers, to identify associated characteristics and to assess participants' satisfaction.
Design: Quasi-experimental before-after study.
Setting: Five low-income neighbourhoods of Barcelona during 2010-15.
Participants: 147 participants, aged >= 59, living in isolation due to mobility problems or architectural barriers were interviewed before the intervention and after 6 months.
Intervention: Primary Health Care teams, public health and social workers, and other community agents carried out a community health intervention, consisting of weekly outings, facilitated by volunteers.
Measurements: We assessed self-rated health, mental health using the General Health Questionnaire (GHQ-12), and quality of life through the EuroQol scale. Satisfaction with the programme was evaluated using a set of questions. We analysed pre and post data with McNemar tests and fitted lineal and Poisson regression models.
Results: At 6 months, participants showed improvements in self-rated health and mental health and a reduction of anxiety. Improvements were greater among women, those who had not left home for >= 4 months, those with lower educational level, and those who had made >= 9 outings. Self-rated health [aRR: 1.29(1.04-1.62)] and mental health improvements [beta: 2.92(1.64-4.2)] remained significant in the multivariate models. Mean satisfaction was 9.3 out of 10.
Conclusion: This community health intervention appears to improve several health outcomes in isolated elderly people, especially among the most vulnerable groups. Replications of this type of intervention could work in similar contexts. (c) 2021 The Authors. Published by Elsevier Espana, S.L.U.
Filiaciones:
Daban, F:
Agencia Salut Publ Barcelona, Barcelona, Spain
Inst Invest Biomed St Pau, Barcelona, Spain
Univ Pompeu Fabra, Dept Expt & Hlth Sci, Barcelona, Spain
Garcia-Subirats, I:
Agencia Salut Publ Barcelona, Barcelona, Spain
Inst Invest Biomed St Pau, Barcelona, Spain
Porthe, V:
Agencia Salut Publ Barcelona, Barcelona, Spain
Ctr Invest Biomed Red Epidemiol & Salud Publ CIBE, Madrid, Spain
Lopez, MJ:
Agencia Salut Publ Barcelona, Barcelona, Spain
Ctr Invest Biomed Red Epidemiol & Salud Publ CIBE, Madrid, Spain
Inst Invest Biomed St Pau, Barcelona, Spain
De-Eyto, B:
Creu Roja Barcelona, Barcelona, Spain
Pasarin, MI:
Agencia Salut Publ Barcelona, Barcelona, Spain
Ctr Invest Biomed Red Epidemiol & Salud Publ CIBE, Madrid, Spain
Inst Invest Biomed St Pau, Barcelona, Spain
Univ Pompeu Fabra, Dept Expt & Hlth Sci, Barcelona, Spain
Borrell, C:
Agencia Salut Publ Barcelona, Barcelona, Spain
Ctr Invest Biomed Red Epidemiol & Salud Publ CIBE, Madrid, Spain
Inst Invest Biomed St Pau, Barcelona, Spain
Univ Pompeu Fabra, Dept Expt & Hlth Sci, Barcelona, Spain
Artazcoz, L:
Agencia Salut Publ Barcelona, Barcelona, Spain
Ctr Invest Biomed Red Epidemiol & Salud Publ CIBE, Madrid, Spain
Inst Invest Biomed St Pau, Barcelona, Spain
Univ Pompeu Fabra, Dept Expt & Hlth Sci, Barcelona, Spain
Perez, A:
Agencia Salut Publ Barcelona, Barcelona, Spain
Inst Invest Biomed St Pau, Barcelona, Spain
Diez, E:
Agencia Salut Publ Barcelona, Barcelona, Spain
Ctr Invest Biomed Red Epidemiol & Salud Publ CIBE, Madrid, Spain
Inst Invest Biomed St Pau, Barcelona, Spain
Univ Pompeu Fabra, Dept Expt & Hlth Sci, Barcelona, Spain
gold, Green Published
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