Community intervention to reduce social isolation in older adults in disadvantaged urban areas: study protocol for a mixed methods multi-approach evaluation

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• dc.contributor.author López, Maria José
• dc.contributor.author Lapena, Carolina
• dc.contributor.author Sánchez, Alba
• dc.contributor.author Continente Garcia, Xavier, 1980-
• dc.contributor.author Fernández, Ana
• dc.contributor.author Evaluation Group of the “Schools of Health for older people”
• dc.date.accessioned 2021-03-26T06:59:18Z
• dc.date.available 2021-03-26T06:59:18Z
• dc.date.issued 2019
• dc.description.abstract Background: The proportion of older people has dramatically increased in recent decades. Moreover, social and demographic trends show a global increase of older people at risk of loneliness and lack of social relationships. The objective of this study was to evaluate the process, the effectiveness and the cost-effectiveness of a planned 22 weekly group sessions called School of Health for Older People to reduce social isolation. Methods: This is a mixed methods multi-approach evaluation that includes: 1) A qualitative evaluation among coordinators and participants taking part in the intervention, through in depth-interviews and focus groups, respectively. The main topics covered will be positive and negative aspects of the intervention, suggestions for its improvement, opinions on different aspects of the intervention, and perceived benefits; 2) A quantitative quasi-experimental design, comparing a group of individuals taking part in the intervention with another group with similar characteristics not receiving the intervention. Data will be collected at the beginning and at the end of the intervention. Social support will be measured through questions drawn from the Medical Outcomes Study and the National Social Life, Health, and Aging Project questionnaires. Psychological morbidity will be measured through Goldberg's General Health Questionnaire, and Health-related Quality of Life will be measured through the EuroQoL questionnaire. Information on visits to the primary care center in the years before and after the intervention will be obtained from the electronic records of the primary care centers; 3) A cost-utility analysis, which will be conducted from a health system (primary care) perspective, including direct costs of the program and the primary care health services used. The effects of the intervention will be measured on quality-adjusted life years. Discussion: There is an urgent need for studies assessing the effectiveness and the efficiency of potential interventions to reduce social isolation among older persons. The results of this study will help to fill the knowledge gap in this area and might be especially useful for the development of social and public health policies and programs for older people in disadvantaged neighborhoods in urban areas.
• dc.format.mimetype application/pdf
• dc.identifier.citation López MJ, Lapena C, Sánchez A, Continente X, Fernández A; Evaluation Group of the “Schools of Health for older people”. Community intervention to reduce social isolation in older adults in disadvantaged urban areas: study protocol for a mixed methods multi-approach evaluation. BMC Geriatr. 2019; 19(1):44. DOI: 10.1186/s12877-019-1055-9
• dc.identifier.doi http://dx.doi.org/10.1186/s12877-019-1055-9
• dc.identifier.issn 1471-2318
• dc.identifier.uri http://hdl.handle.net/10230/46944
• dc.language.iso eng
• dc.publisher BioMed Central
• dc.relation.ispartof BMC Geriatr. 2019; 19(1):44
• dc.rights © The Author(s). 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
• dc.rights.accessRights info:eu-repo/semantics/openAccess
• dc.rights.uri http://creativecommons.org/licenses/by/4.0/
• dc.subject.keyword Aging
• dc.subject.keyword Evaluation
• dc.subject.keyword Older people
• dc.subject.keyword Social isolation
• dc.title Community intervention to reduce social isolation in older adults in disadvantaged urban areas: study protocol for a mixed methods multi-approach evaluation
• dc.type info:eu-repo/semantics/article
• dc.type.version info:eu-repo/semantics/publishedVersion