Improving mental health and wellbeing in elderly people isolated at home due to architectural barriers: a community health intervention
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- dc.contributor.author Daban Aguilar, Ferran, 1976-
- dc.contributor.author García Subirats, Irene, 1982-
- dc.contributor.author Porthé, Victoria
- dc.contributor.author López, Maria José
- dc.contributor.author Eyto, Begoña de
- dc.contributor.author Pasarín i Rua, M. Isabel
- dc.contributor.author Borrell i Thió, Carme
- dc.contributor.author Artazcoz Lazcano, Lucía, 1963-
- dc.contributor.author Pérez Giménez, Anna
- dc.contributor.author Díez, Elia
- dc.date.accessioned 2023-06-19T06:17:02Z
- dc.date.available 2023-06-19T06:17:02Z
- dc.date.issued 2021
- dc.description.abstract 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 [ˇ: 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.
- dc.format.mimetype application/pdf
- dc.identifier.citation Daban F, Garcia-Subirats I, Porthé V, López MJ, de-Eyto B, Pasarín MI, Borrell C, Artazcoz L, Pérez A, Díez E. Improving mental health and wellbeing in elderly people isolated at home due to architectural barriers: a community health intervention. Aten Primaria. 2021;53(5):102020. DOI: 10.1016/j.aprim.2021.102020
- dc.identifier.doi http://dx.doi.org/10.1016/j.aprim.2021.102020
- dc.identifier.issn 0212-6567
- dc.identifier.uri http://hdl.handle.net/10230/57225
- dc.language.iso eng
- dc.publisher Elsevier
- dc.relation.ispartof Atención Primaria. 2021;53(5):102020.
- dc.rights © 2021 The Authors. Published by Elsevier España, S.L.U. This is an open access article under the CC BY-NC-ND license (http:// creativecommons.org/licenses/by-nc-nd/4.0/).
- dc.rights.accessRights info:eu-repo/semantics/openAccess
- dc.rights.uri http://creativecommons.org/licenses/by-nc-nd/4.0/
- dc.subject.keyword Elderly
- dc.subject.keyword Loneliness
- dc.subject.keyword Social isolation
- dc.subject.keyword Health outcomes
- dc.subject.keyword Health inequalities
- dc.subject.keyword Community health intervention
- dc.title Improving mental health and wellbeing in elderly people isolated at home due to architectural barriers: a community health intervention
- dc.type info:eu-repo/semantics/article
- dc.type.version info:eu-repo/semantics/publishedVersion