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 {[}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.'
affiliation: 'Daban, F (Corresponding Author), Agencia Salut Publ Barcelona, Barcelona,
  Spain.

  Daban, F (Corresponding Author), Inst Invest Biomed St Pau, Barcelona, Spain.

  Daban, F (Corresponding Author), Univ Pompeu Fabra, Dept Expt \& Hlth Sci, Barcelona,
  Spain.

  Daban, Ferran; Garcia-Subirats, Irene; Porthe, Victoria; Lopez, M. Jose; Pasarin,
  M. Isabel; Borrell, Carme; Artazcoz, Lucia; Perez, Anna; Diez, Elia, Agencia Salut
  Publ Barcelona, Barcelona, Spain.

  De-Eyto, Begona, Creu Roja Barcelona, Barcelona, Spain.

  Porthe, Victoria; Lopez, M. Jose; Pasarin, M. Isabel; Borrell, Carme; Artazcoz,
  Lucia; Diez, Elia, Ctr Invest Biomed Red Epidemiol \& Salud Publ CIBE, Madrid, Spain.

  Daban, Ferran; Garcia-Subirats, Irene; Lopez, M. Jose; Pasarin, M. Isabel; Borrell,
  Carme; Artazcoz, Lucia; Perez, Anna; Diez, Elia, Inst Invest Biomed St Pau, Barcelona,
  Spain.

  Daban, Ferran; Pasarin, M. Isabel; Borrell, Carme; Artazcoz, Lucia; Diez, Elia,
  Univ Pompeu Fabra, Dept Expt \& Hlth Sci, Barcelona, Spain.'
author: Daban, Ferran and Garcia-Subirats, Irene and Porthe, Victoria and Lopez, M.
  Jose and De-Eyto, Begona and Pasarin, M. Isabel and Borrell, Carme and Artazcoz,
  Lucia and Perez, Anna and Diez, Elia
author-email: fdaban@aspb.cat
author_list:
- family: Daban
  given: Ferran
- family: Garcia-Subirats
  given: Irene
- family: Porthe
  given: Victoria
- family: Lopez
  given: M. Jose
- family: De-Eyto
  given: Begona
- family: Pasarin
  given: M. Isabel
- family: Borrell
  given: Carme
- family: Artazcoz
  given: Lucia
- family: Perez
  given: Anna
- family: Diez
  given: Elia
da: '2023-09-28'
doi: 10.1016/j.aprim.2021.102020
earlyaccessdate: MAR 2021
eissn: 1578-1275
files: []
issn: 0212-6567
journal: ATENCION PRIMARIA
keywords: 'Elderly; Loneliness; Social isolation; Health outcomes; Health

  inequalities; Community health intervention'
keywords-plus: 'PREVENTING SOCIAL-ISOLATION; OLDER-PEOPLE; LONELINESS; PARTICIPATION;

  DEPRESSION'
language: English
month: MAY
number: '5'
number-of-cited-references: '40'
orcid-numbers: 'Artazcoz, Lucía/0000-0002-6300-5111

  Diez, Elia/0000-0002-0353-3916

  Porthe Reggiardo, Victoria/0000-0003-4420-7794'
papis_id: 3d9f2f9173554ef41c11fbbdb211ed5a
ref: Daban2021improvingmental
researcherid-numbers: 'Lopez, Maria/HHC-3659-2022

  Artazcoz, Lucía/G-9538-2017

  '
times-cited: '9'
title: 'Improving mental health and wellbeing in elderly people isolated at home due
  to architectural barriers: A community health intervention'
type: Article
unique-id: WOS:000652175900011
usage-count-last-180-days: '3'
usage-count-since-2013: '21'
volume: '53'
web-of-science-categories: Primary Health Care; Medicine, General \& Internal
year: '2021'