Qualitative evaluation of a community‐based intervention to reduce social isolation among older people in disadvantaged urban areas of Barcelona

Lapena, Carolina; Continente, Xavier; Mascuñano, Alba Sánchez; Pons‐Vigués, Mariona; Ribera, Enriqueta Pujol; López, María José

doi:10.1111/hsc.12971

Cited by 13 publications

(48 citation statements)

References 48 publications

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“…A greater dependence among older men whose wives had died was observed. Instrumental support is of greater importance for older men and influences their life satisfaction, general health, and sense of loneliness [ 29 , 41 ]. However, older men often preferer to receive instrumental support from their wives [ 42 ].…”

Section: Discussionmentioning

confidence: 99%

Typology of Family Support in Home Care for Iranian Older People: A Qualitative Study

Shamsikhani

Ahmadi

Kazemnejad

et al. 2021

IJERPH

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The world population is rapidly aging. In older people, age-related biological decline in most body systems causes functional decline, an increase in dependence, and an increased need for support, especially by their family members. The aim of this study was to explore the main aspects of family support for older parents in home care. This qualitative study was conducted using a deductive qualitative content analysis approach. Participants were 21 older parents living in their own homes, as well as four family members of some participants. Data were collected using semi-structured interviews and then were analyzed using the primary matrix developed based on the existing literature. The main aspects of family support for older parents were grouped into five predetermined categories and one new category: “instrumental support”, “financial support”, “psycho-emotional support”, “healthcare-related support”, “informational-technological support”, and “social preference support “. Family support for older people in home care is a multi-dimensional phenomenon. Family members can identify the needs of their older parents and provide them with appropriate support in collaboration with healthcare professionals to enhance their quality of life, autonomy, and satisfaction with life.

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Section: Discussionmentioning

confidence: 99%

Typology of Family Support in Home Care for Iranian Older People: A Qualitative Study

Shamsikhani

Ahmadi

Kazemnejad

et al. 2021

IJERPH

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“…The studies included in this review showed the range of people in a situation of social vulnerability assisted by Nursing. With regard to age, studies involving adults ( 16 - 17 , 19 , 21 , 23 - 25 ) , older adults ( 18 , 22 , 27 ) , children ( 15 ) and adolescents ( 20 ) stood out; regarding gender, there was predominance of studies involving women ( 16 - 17 , 21 , 23 - 24 ) ; and, regarding race/ethnicity, of studies associated with the Aboriginal ( 21 ) and African-American ( 26 ) population.…”

Section: Discussionmentioning

confidence: 99%

“…In addition to that, they took into account the individual context, life history, experience, and family support. The assessment of needs fulfillment was carried out through home visits and hospitalizations, mainly through Sensitive Conditions to Primary Health Care (SCPHC) ( 15 , 18 - 19 , 21 - 23 , 25 , 27 ) .…”

Section: Discussionmentioning

confidence: 99%

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Indicators of Good Nursing Practices for Vulnerable Groups in Primary Health Care: A Scoping Review

Egry

Fornari

Taminato

et al. 2021

Rev. Latino-Am. Enfermagem

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Objective: to map the indicators of Good Nursing Practices in Primary Health Care, from the perspective of Collective Health, reported to the vulnerable social groups. Method: this is a scoping review according to the PRISMA Extension for Scoping Reviews. The searches were carried out in2020 in six databases and in a virtual library. Independent reviewers performed the reading of the full texts, as well as treatment, analysis and synthesis of the content. Results: a total of 13 articles were found, the first from 2007 and the last from 2020. The data were classified according to the following empirical categories: assessment and control of health conditions(3 indicators); assessment of knowledge about health(3 indicators); use of sociodemographic characteristics to estimate risks or vulnerabilities(3 indicators); assessment and monitoring of health needs(5 indicators); promotion of safety and trust in health services(6 indicators); and assessment of the care process(4 indicators). Conclusion: the articles showed a variety of indicators that assess the interventions carried out in the context of Nursing in Primary Care with vulnerable social groups. These indicators are related to health conditions, especially those of the biopsychological body, reported to vulnerable populations, especially women, children, adolescents and older adults.

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“…23 User's satisfaction with the programme was evaluated through a set of questions used in Barcelona Health in the Neighbourhoods interventions to assess general satisfaction, dimensions of frequency, duration, time, place and punctuality and whether the participants would recommend it to other people. 24 , 25 …”

Section: Methodsmentioning

confidence: 99%

Improving mental health and wellbeing in elderly people isolated at home due to architectural barriers: A community health intervention

et al. 2021

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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 [ β : 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.

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Qualitative evaluation of a community‐based intervention to reduce social isolation among older people in disadvantaged urban areas of Barcelona

Cited by 13 publications

References 48 publications

Typology of Family Support in Home Care for Iranian Older People: A Qualitative Study

Typology of Family Support in Home Care for Iranian Older People: A Qualitative Study

Indicators of Good Nursing Practices for Vulnerable Groups in Primary Health Care: A Scoping Review

Improving mental health and wellbeing in elderly people isolated at home due to architectural barriers: A community health intervention

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