2023-09-28 14:46:10 +00:00
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abstract: 'Objectives: To explore the health effects of a community health
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intervention on older people who are isolated at home due to mobility
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problems or architectural barriers, to identify associated
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characteristics and to assess participants'' satisfaction.
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Design: Quasi-experimental before-after study.
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Setting: Five low-income neighbourhoods of Barcelona during 2010-15.
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Participants: 147 participants, aged >= 59, living in isolation due to
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mobility problems or architectural barriers were interviewed before the
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intervention and after 6 months.
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Intervention: Primary Health Care teams, public health and social
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workers, and other community agents carried out a community health
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intervention, consisting of weekly outings, facilitated by volunteers.
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Measurements: We assessed self-rated health, mental health using the
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General Health Questionnaire (GHQ-12), and quality of life through the
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EuroQol scale. Satisfaction with the programme was evaluated using a set
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of questions. We analysed pre and post data with McNemar tests and
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fitted lineal and Poisson regression models.
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Results: At 6 months, participants showed improvements in self-rated
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health and mental health and a reduction of anxiety. Improvements were
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greater among women, those who had not left home for >= 4 months, those
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with lower educational level, and those who had made >= 9 outings.
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Self-rated health {[}aRR: 1.29(1.04-1.62)] and mental health
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improvements {[}beta: 2.92(1.64-4.2)] remained significant in the
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multivariate models. Mean satisfaction was 9.3 out of 10.
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Conclusion: This community health intervention appears to improve
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several health outcomes in isolated elderly people, especially among the
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most vulnerable groups. Replications of this type of intervention could
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work in similar contexts. (c) 2021 The Authors. Published by Elsevier
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Espana, S.L.U.'
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affiliation: 'Daban, F (Corresponding Author), Agencia Salut Publ Barcelona, Barcelona,
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Spain.
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Daban, F (Corresponding Author), Inst Invest Biomed St Pau, Barcelona, Spain.
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Daban, F (Corresponding Author), Univ Pompeu Fabra, Dept Expt \& Hlth Sci, Barcelona,
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Spain.
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Daban, Ferran; Garcia-Subirats, Irene; Porthe, Victoria; Lopez, M. Jose; Pasarin,
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M. Isabel; Borrell, Carme; Artazcoz, Lucia; Perez, Anna; Diez, Elia, Agencia Salut
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Publ Barcelona, Barcelona, Spain.
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De-Eyto, Begona, Creu Roja Barcelona, Barcelona, Spain.
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Porthe, Victoria; Lopez, M. Jose; Pasarin, M. Isabel; Borrell, Carme; Artazcoz,
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Lucia; Diez, Elia, Ctr Invest Biomed Red Epidemiol \& Salud Publ CIBE, Madrid, Spain.
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Daban, Ferran; Garcia-Subirats, Irene; Lopez, M. Jose; Pasarin, M. Isabel; Borrell,
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Carme; Artazcoz, Lucia; Perez, Anna; Diez, Elia, Inst Invest Biomed St Pau, Barcelona,
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Spain.
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Daban, Ferran; Pasarin, M. Isabel; Borrell, Carme; Artazcoz, Lucia; Diez, Elia,
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Univ Pompeu Fabra, Dept Expt \& Hlth Sci, Barcelona, Spain.'
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author: Daban, Ferran and Garcia-Subirats, Irene and Porthe, Victoria and Lopez, M.
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Jose and De-Eyto, Begona and Pasarin, M. Isabel and Borrell, Carme and Artazcoz,
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Lucia and Perez, Anna and Diez, Elia
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author-email: fdaban@aspb.cat
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author_list:
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- family: Daban
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given: Ferran
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- family: Garcia-Subirats
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given: Irene
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- family: Porthe
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given: Victoria
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- family: Lopez
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given: M. Jose
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- family: De-Eyto
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given: Begona
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- family: Pasarin
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given: M. Isabel
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- family: Borrell
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given: Carme
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- family: Artazcoz
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given: Lucia
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- family: Perez
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given: Anna
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- family: Diez
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given: Elia
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da: '2023-09-28'
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doi: 10.1016/j.aprim.2021.102020
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earlyaccessdate: MAR 2021
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eissn: 1578-1275
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files: []
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issn: 0212-6567
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journal: ATENCION PRIMARIA
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keywords: 'Elderly; Loneliness; Social isolation; Health outcomes; Health
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inequalities; Community health intervention'
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keywords-plus: 'PREVENTING SOCIAL-ISOLATION; OLDER-PEOPLE; LONELINESS; PARTICIPATION;
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DEPRESSION'
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language: English
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month: MAY
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number: '5'
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number-of-cited-references: '40'
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orcid-numbers: 'Artazcoz, Lucía/0000-0002-6300-5111
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Diez, Elia/0000-0002-0353-3916
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Porthe Reggiardo, Victoria/0000-0003-4420-7794'
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papis_id: 3d9f2f9173554ef41c11fbbdb211ed5a
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ref: Daban2021improvingmental
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researcherid-numbers: 'Lopez, Maria/HHC-3659-2022
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Artazcoz, Lucía/G-9538-2017
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'
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times-cited: '9'
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title: 'Improving mental health and wellbeing in elderly people isolated at home due
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to architectural barriers: A community health intervention'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000652175900011
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usage-count-last-180-days: '3'
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usage-count-since-2013: '21'
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volume: '53'
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web-of-science-categories: Primary Health Care; Medicine, General \& Internal
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year: '2021'
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