Effectiveness of a community intervention to reduce social isolation among older people in low-income neighbourhoods

Background: Social and demographic trends show a global increase of proportion of older people at risk of social isolation. This study aimed to evaluate the effectiveness of an intervention conducted in low-income neighbourhoods to reduce social isolation and its negative effects on health in older persons. Methods: A quasi-experimental study with a comparison group was performed. The 'School of Health for Older People' is a weekly community intervention that promotes resources among individuals and communities to enhance their ability to identify problems and activate solutions, encouraging community participation. Data were collected at the beginning and at the end of the intervention. Social support, psychological morbidity and health-related quality of life were measured through questionnaires information on visits to the primary care centre was obtained from the electronic medical records of primary care centres. Multivariate regression models were conducted to assess changes after the intervention. Results: A total of 135 participants were included in the study. The intervention helped to improve participants' mental health (aPR = 0.46; 95% CI: 0.23-0.90) comparing with the comparison group. Also, the intervention helped to maintain quality of life and social support, which were worsened or maintained respectively in the case of comparison group. Conclusions: Our results provide evidence on how a community intervention can improve quality of life, mental health and social support in older people. The evidence can help to fill the knowledge gap in this area and might be especially useful for the design of social and public health policies and programmes for older people in disadvantaged neighbourhoods in urban areas. Trial registration: NCT0314204

Effectiveness of a comprehensive care protocol in patients with new diagnoses of type 2 diabetes mellitus and associated comorbidities in primary care : study protocol of a quasi-experimental trial

Type 2 diabetes mellitus (T2DM) is a highly prevalent chronic disease in the Spanish population. Typically, T2DM is associated with other chronic conditions. Intensive medication at the time of diagnosis has proven effective in reducing cardiovascular risk, improving glycaemic control and preventing T2DM complications. However, it has not yet been demonstrated that a comprehensive and intensive health education protocol at the time of diagnosis has the benefits described previously. Currently, there is great variability in the practices of primary care nurses regarding health education at the time of disease diagnosis.We aimed to evaluate the effectiveness of a systematic protocol with a comprehensive care programme in people with newly diagnosed T2DM with associated comorbidities. A multicentre quasi-experimental design comparing a group of individuals taking part in the intervention (intervention group (IG)) with a similar group receiving standard diabetes care (comparison group (CG)) is planned. The intervention will take place during the 3 months after study enrolment. Data will be collected at baseline and at 3, 6 and 12 months. Ten primary care centres in Barcelona city will be selected for participation: 5 for the IG and 5 for the CG. The IG will include five structured individual visits postdiagnosis with the primary care nurse, during which aspects of diabetes education will be discussed with the patient and his/her family. The results will be measured in terms of health-related quality of life and the change in main outcomes (glycated haemoglobin and weight). The study fully met the requirements of the Ethical Committee of Clinical Investigation of the IDIAP Jordi Gol (approval code: P13/118). Patients will be informed that their data are confidential, and they have the right to withdraw at any time without penalty. Dissemination will include publishing the findings in peer-reviewed journals and sharing our findings at scientific conferences. TRIAL REGISTRATION NUMBER: NCT03990857; Pre-results

Levantamento farmacoepidemiológico de antibióticos dispensados em um bairro da zona leste de São José dos Campos/SP/ Pharmacoepidemiological Survey of Antibiotics Dispensed in a Neighborhouse in the East Zone of São José Dos Campos / SP

Levantamento farmacoepidemiológico de antibióticos dispensados em uma Drogaria de bairro da Zona Leste de São José dos Campos – SP, onde a coleta de dados foi realizada entre os meses de janeiro de 2017 a junho de 2019 através de um relatório de saída de medicamentos (SNGPC) previsto pela ANVISA – RDC 68/2014. Foram coletadas informações sobre os antibióticos mais dispensados para os usuários da comunidade, sendo Amoxicilina e a Azitromicina os de maior frequência. Foram inclusas todas as faixas etárias e diferentes formas farmacêuticas para posterior discussão dos dados obtidos. A finalidade deste estudo foi discutir sobre a importância do uso racional dos antibióticos a fim de prevenir efeitos adversos e resistências bacterianas

The effectiveness of a health promotion with group intervention by clinical trial. Study protocol

<p>Abstract</p> <p>Background</p> <p>The promotion of health and the interventions in community health continue to be one of the pending subjects of our health system. The most prevalent health problems (cardiovascular diseases, cancer, diabetes...) are for the most part related to life habits. We propose a holistic and integral approach as the best option for tackling behavior and its determinants. The research team has elaborated the necessary educational material to realize group teaching, which we call "Health Workshops". The goal of the present study is to evaluate the effectiveness of these Health Workshops in the following terms: Health Related Quality of Life (HRQOL), incorporate and maintain a balanced diet, do physical activity regularly, maintain risk factors such as tension, weight, cholesterol within normal limits and diminish cardiovascular risk.</p> <p>Methods/Design</p> <p>Controlled and random clinical testing, comparing a group of persons who have participated in the Health Workshops with a control group of similar characteristics who have not participated in the Health Workshops.</p> <p>Field of study: the research is being done in Health Centers of the city of Barcelona, Spain.</p> <p>Population studied: The group is composed of 108 persons that are actually doing the Health Workshops, and 108 that are not and form the control group. They are assigned at random to one group or the other.</p> <p>Data Analysis: With Student's t-distribution test to compare the differences between numerical variables or their non parametric equivalent if the variable does not comply with the criteria of normality. (Kolmogorov-Smirnof test). Chi-square test to compare the differences between categorical variables and the Logistic Regression Model to analyze different meaningful variables by dichotomous analysis related to the intervention.</p> <p>Discussion</p> <p>The Health Workshop proposed in the present study constitutes an innovative approach in health promotion, placing the emphasis on the person's self responsibility for his/her own health.</p> <p>The rhythm of a weekly session during 8 weeks with recommended activities to put into practice, as well as the support of the group is an opportunity to incorporate healthy habits and make a commitment to self-care. The sheets handed out are a Health Manual that can always be consulted after the workshop ends.</p> <p>Trial registration</p> <p>Clinical Trials.gov Identifier: <a href="http://www.clinicaltrials.gov/ct2/show/NCT01440738">NCT01440738</a></p

Avaluació d’intervencions de promoció de la salut per a la millora de la qualitat de vida en gent gran

La proporció de gent gran ha augmentat i s’espera que els propers anys seguirà creixent. A més, les projeccions demogràfiques i socials indiquen un increment global de persones grans que pateixen de manca de relacions socials i de sentiment de solitud. Això suposa un repte per l’impacte que aquestes condicions suposen en la qualitat de vida de les persones grans i pels canvis en les necessitats sanitàries i socials. L’objectiu d’aquesta tesi és avaluar dues intervencions de promoció de la salut dirigides a gent gran de barris desafavorits de Barcelona: a) L’”Escola de Salut per a Gent Gran”, dirigida a combatre l’aïllament social i solitud i les seves conseqüències negatives en la salut; i b) El “Taller de Salut”, dirigida a promoure hàbits saludables. Es tracta d’un treball que combina: d’una banda una metodologia qualitativa amb les persones coordinadores i les participants en la intervenció de l’Escola de Salut, fent entrevistes en profunditat i grups de discussió, respectivament. Les principals dimensions treballades van ser: barreres i facilitadors, aspectes positius i negatius de la intervenció, beneficis percebuts i propostes de millora. D’altra banda, metodologia quantitativa amb un disseny quasi-experimental comparant un grup de persones que van participar en l’Escola de Salut, amb un altre grup de característiques similars que no van rebre la intervenció. En aquest cas, la informació va ser recollida abans i després de la intervenció. Es va mesurar la salut mental, la qualitat de vida, el suport social, la salut percebuda, i la freqüentació als Centres d’Atenció Primària. Tanmateix, es van recollir dades sobre el procés d’implementació (assistència i satisfacció) i variables sociodemogràfiques (edat, sexe, estat civil, convivència i nivell d’estudis). Tota la informació es va recollir mitjançant qüestionaris, excepte la informació sobre freqüentació sanitària, extreta de les històries clíniques informatitzades d’Atenció Primària. Aquest treball també avalua l’efectivitat d’un pilotatge del Taller de Salut en gent gran i en entorn comunitari analitzant els canvis en les mateixes variables que en el cas de l’Escola de Salut. Els nostres resultats mostren que l’Escola de Salut és efectiva en termes de qualitat de vida, salut mental i suport social. En canvi, l’ús de serveis sanitaris de l’atenció primària i la salut percebuda no van canviar després de la intervenció. Tanmateix, les principals barreres identificades per no participar en el programa eren les discapacitats individuals o obligacions com cites mèdiques o la cura de familiars, els principals facilitadors van ser les característiques organitzatives. Els aspectes ambivalents que podrien facilitar o dificultar la participació van ser el suport familiar i la dinàmica grupal. Els principals aspectes positius de la intervenció, van ser l’ampliació de coneixements sobre salut i recursos socials i sanitaris del barri, animar als participants a sortir de casa, promoure les relacions socials amb companys i establir vincles amb ponents. Les principals característiques negatives van ser alguns dels continguts senzills o repetitius. Els beneficis identificats van ser trencar la dinàmica de quedar-se a casa i no relacionar-se amb altres persones, la disminució de solitud/aïllament social per noves connexions, l’augment del coneixement d'activitats al barri i el sentiment de pertinença a una comunitat. Els resultats del pilotatge del Taller de Salut en entorn comunitari van mostrar un efecte positiu de la intervenció sobre la qualitat de vida, tant en la seva dimensió mental com física, així com millores en l'activitat física. Les dades generades en aquesta tesi aporten una evidència sòlida, rellevant i necessària en relació al paper fonamental que les intervencions comunitàries poden jugar en la millora de la qualitat de vida i benestar de les persones grans, especialment aquelles que viuen a barris de nivell socioeconòmic més desafavorit.The proportion of older people has increased and it is expected that the next years will continue to grow. In addition, demographic and social projections indicate a global increase in elderly people suffering from lack of social relationships and loneliness. This is a challenge to the impact these conditions pose on the quality of life of the elderly and on the changes in health and social needs. The objective of this thesis is to evaluate two health promotion interventions aimed at the elderly in disadvantaged neighborhoods in Barcelona: a) The "School for Health for Older People", aimed at combating social isolation and solitude and its negative consequences on health; and b) The "Health Workshop", aimed at promoting healthy habits. This is a work that combines: on the one hand a qualitative methodology with the coordinating persons and the participants in the intervention of the School of Health, conducting in-depth interviews and focus groups, respectively. The main dimensions worked were: barriers and facilitators, positive and negative aspects of the intervention, perceived benefits and proposals for improvement. On the other hand, a quantitative methodology with a quasi-experimental design comparing a group of people who participated in the School of Health, with another group of similar characteristics that did not receive the intervention. In this case, the information was collected before and after the intervention. The mental health, the quality of life, the social support, the perceived health, and the frequentation in the Primary Care Centers were measured. Moreover, data on the implementation process (attendance and satisfaction) and sociodemographic variables (age, sex, marital status, cohabitation and level of studies) were collected. All the information was collected through questionnaires, except for the information on health frequentation, extracted from the computerized medical records of Primary Care. This work also evaluates the effectiveness of a piloting of the Health Workshop in older people and in the community environment, analyzing the changes in the same variables as in the case of the School of Health. Our results show that the School of Health is effective in terms of quality of life, mental health and social support. In contrast, the use of health services of primary care and perceived health did not change after the intervention. However, the main barriers identified to not participate in the program were individual disabilities or obligations such as medical appointments or caring for relatives, the main facilitators were organizational characteristics. The ambivalent aspects that could facilitate or hamper participation were family support and group dynamics. The main positive aspects of the intervention were the extension of health knowledge and social and health resources in the neighborhood, encourage participants to leave their homes, promote social relationships with colleagues and establish links with speakers. The main negative characteristics were some of the simple or repetitive contents. The identified benefits were to break the dynamics of staying at home and not relate to other people, the diminution of solitude / social isolation for new connections, the increased knowledge of activities in the neighborhood and the feeling of belonging to a community The results of the piloting of the Health Workshop in the community environment showed a positive effect of the intervention on the quality of life, both in its mental and physical dimensions, as well as improvements in physical activity. The data generated in this thesis provide solid, relevant and necessary evidence in relation to the fundamental role that community interventions can play in improving the quality of life and wellbeing of older people, especially those who live in disadvantaged neighborhoods

Paradoxes de la continuïtat assistencial entre l'hospital i els centres d'atenció primària

Master Oficial en Antropologia i EtnografiaMàster, Universitat de Barcelona. Facultat de Geografia i Història. Departament d'Antropologia Cultural i Història d'Amèrica i d'Àfrica, curs: 2010-2011, Co-tutors: Dra. Cristina Larrea Killinger i Dr. Ignasi Terradas Sabori

Avaluació d’intervencions de promoció de la salut per a la millora de la qualitat de vida en gent gran

La proporció de gent gran ha augmentat i s’espera que els propers anys seguirà creixent. A més, les projeccions demogràfiques i socials indiquen un increment global de persones grans que pateixen de manca de relacions socials i de sentiment de solitud. Això suposa un repte per l’impacte que aquestes condicions suposen en la qualitat de vida de les persones grans i pels canvis en les necessitats sanitàries i socials. L’objectiu d’aquesta tesi és avaluar dues intervencions de promoció de la salut dirigides a gent gran de barris desafavorits de Barcelona: a) L’”Escola de Salut per a Gent Gran”, dirigida a combatre l’aïllament social i solitud i les seves conseqüències negatives en la salut; i b) El “Taller de Salut”, dirigida a promoure hàbits saludables. Es tracta d’un treball que combina: d’una banda una metodologia qualitativa amb les persones coordinadores i les participants en la intervenció de l’Escola de Salut, fent entrevistes en profunditat i grups de discussió, respectivament. Les principals dimensions treballades van ser: barreres i facilitadors, aspectes positius i negatius de la intervenció, beneficis percebuts i propostes de millora. D’altra banda, metodologia quantitativa amb un disseny quasi-experimental comparant un grup de persones que van participar en l’Escola de Salut, amb un altre grup de característiques similars que no van rebre la intervenció. En aquest cas, la informació va ser recollida abans i després de la intervenció. Es va mesurar la salut mental, la qualitat de vida, el suport social, la salut percebuda, i la freqüentació als Centres d’Atenció Primària. Tanmateix, es van recollir dades sobre el procés d’implementació (assistència i satisfacció) i variables sociodemogràfiques (edat, sexe, estat civil, convivència i nivell d’estudis). Tota la informació es va recollir mitjançant qüestionaris, excepte la informació sobre freqüentació sanitària, extreta de les històries clíniques informatitzades d’Atenció Primària. Aquest treball també avalua l’efectivitat d’un pilotatge del Taller de Salut en gent gran i en entorn comunitari analitzant els canvis en les mateixes variables que en el cas de l’Escola de Salut. Els nostres resultats mostren que l’Escola de Salut és efectiva en termes de qualitat de vida, salut mental i suport social. En canvi, l’ús de serveis sanitaris de l’atenció primària i la salut percebuda no van canviar després de la intervenció. Tanmateix, les principals barreres identificades per no participar en el programa eren les discapacitats individuals o obligacions com cites mèdiques o la cura de familiars, els principals facilitadors van ser les característiques organitzatives. Els aspectes ambivalents que podrien facilitar o dificultar la participació van ser el suport familiar i la dinàmica grupal. Els principals aspectes positius de la intervenció, van ser l’ampliació de coneixements sobre salut i recursos socials i sanitaris del barri, animar als participants a sortir de casa, promoure les relacions socials amb companys i establir vincles amb ponents. Les principals característiques negatives van ser alguns dels continguts senzills o repetitius. Els beneficis identificats van ser trencar la dinàmica de quedar-se a casa i no relacionar-se amb altres persones, la disminució de solitud/aïllament social per noves connexions, l’augment del coneixement d'activitats al barri i el sentiment de pertinença a una comunitat. Els resultats del pilotatge del Taller de Salut en entorn comunitari van mostrar un efecte positiu de la intervenció sobre la qualitat de vida, tant en la seva dimensió mental com física, així com millores en l'activitat física. Les dades generades en aquesta tesi aporten una evidència sòlida, rellevant i necessària en relació al paper fonamental que les intervencions comunitàries poden jugar en la millora de la qualitat de vida i benestar de les persones grans, especialment aquelles que viuen a barris de nivell socioeconòmic més desafavorit.The proportion of older people has increased and it is expected that the next years will continue to grow. In addition, demographic and social projections indicate a global increase in elderly people suffering from lack of social relationships and loneliness. This is a challenge to the impact these conditions pose on the quality of life of the elderly and on the changes in health and social needs. The objective of this thesis is to evaluate two health promotion interventions aimed at the elderly in disadvantaged neighborhoods in Barcelona: a) The "School for Health for Older People", aimed at combating social isolation and solitude and its negative consequences on health; and b) The "Health Workshop", aimed at promoting healthy habits. This is a work that combines: on the one hand a qualitative methodology with the coordinating persons and the participants in the intervention of the School of Health, conducting in-depth interviews and focus groups, respectively. The main dimensions worked were: barriers and facilitators, positive and negative aspects of the intervention, perceived benefits and proposals for improvement. On the other hand, a quantitative methodology with a quasi-experimental design comparing a group of people who participated in the School of Health, with another group of similar characteristics that did not receive the intervention. In this case, the information was collected before and after the intervention. The mental health, the quality of life, the social support, the perceived health, and the frequentation in the Primary Care Centers were measured. Moreover, data on the implementation process (attendance and satisfaction) and sociodemographic variables (age, sex, marital status, cohabitation and level of studies) were collected. All the information was collected through questionnaires, except for the information on health frequentation, extracted from the computerized medical records of Primary Care. This work also evaluates the effectiveness of a piloting of the Health Workshop in older people and in the community environment, analyzing the changes in the same variables as in the case of the School of Health. Our results show that the School of Health is effective in terms of quality of life, mental health and social support. In contrast, the use of health services of primary care and perceived health did not change after the intervention. However, the main barriers identified to not participate in the program were individual disabilities or obligations such as medical appointments or caring for relatives, the main facilitators were organizational characteristics. The ambivalent aspects that could facilitate or hamper participation were family support and group dynamics. The main positive aspects of the intervention were the extension of health knowledge and social and health resources in the neighborhood, encourage participants to leave their homes, promote social relationships with colleagues and establish links with speakers. The main negative characteristics were some of the simple or repetitive contents. The identified benefits were to break the dynamics of staying at home and not relate to other people, the diminution of solitude / social isolation for new connections, the increased knowledge of activities in the neighborhood and the feeling of belonging to a community The results of the piloting of the Health Workshop in the community environment showed a positive effect of the intervention on the quality of life, both in its mental and physical dimensions, as well as improvements in physical activity. The data generated in this thesis provide solid, relevant and necessary evidence in relation to the fundamental role that community interventions can play in improving the quality of life and wellbeing of older people, especially those who live in disadvantaged neighborhoods

El cuidado de la salud : de la información al conocimiento, febrero 2010

Material docent de la Universitat Oberta de Catalunya.Material docente de la "Universitat Oberta de Catalunya".Learning material of the "Universitat Oberta de Catalunya"

Avaluació d'intervencions de promoció de la salut per a la millora de la qualitat de vida en gent gran

La proporció de gent gran ha augmentat i s'espera que els propers anys seguirà creixent. A més, les projeccions demogràfiques i socials indiquen un increment global de persones grans que pateixen de manca de relacions socials i de sentiment de solitud. Això suposa un repte per l'impacte que aquestes condicions suposen en la qualitat de vida de les persones grans i pels canvis en les necessitats sanitàries i socials. L'objectiu d'aquesta tesi és avaluar dues intervencions de promoció de la salut dirigides a gent gran de barris desafavorits de Barcelona: a) L'"Escola de Salut per a Gent Gran", dirigida a combatre l'aïllament social i solitud i les seves conseqüències negatives en la salut; i b) El "Taller de Salut", dirigida a promoure hàbits saludables. Es tracta d'un treball que combina: d'una banda una metodologia qualitativa amb les persones coordinadores i les participants en la intervenció de l'Escola de Salut, fent entrevistes en profunditat i grups de discussió, respectivament. Les principals dimensions treballades van ser: barreres i facilitadors, aspectes positius i negatius de la intervenció, beneficis percebuts i propostes de millora. D'altra banda, metodologia quantitativa amb un disseny quasi-experimental comparant un grup de persones que van participar en l'Escola de Salut, amb un altre grup de característiques similars que no van rebre la intervenció. En aquest cas, la informació va ser recollida abans i després de la intervenció. Es va mesurar la salut mental, la qualitat de vida, el suport social, la salut percebuda, i la freqüentació als Centres d'Atenció Primària. Tanmateix, es van recollir dades sobre el procés d'implementació (assistència i satisfacció) i variables sociodemogràfiques (edat, sexe, estat civil, convivència i nivell d'estudis). Tota la informació es va recollir mitjançant qüestionaris, excepte la informació sobre freqüentació sanitària, extreta de les històries clíniques informatitzades d'Atenció Primària. Aquest treball també avalua l'efectivitat d'un pilotatge del Taller de Salut en gent gran i en entorn comunitari analitzant els canvis en les mateixes variables que en el cas de l'Escola de Salut. Els nostres resultats mostren que l'Escola de Salut és efectiva en termes de qualitat de vida, salut mental i suport social. En canvi, l'ús de serveis sanitaris de l'atenció primària i la salut percebuda no van canviar després de la intervenció. Tanmateix, les principals barreres identificades per no participar en el programa eren les discapacitats individuals o obligacions com cites mèdiques o la cura de familiars, els principals facilitadors van ser les característiques organitzatives. Els aspectes ambivalents que podrien facilitar o dificultar la participació van ser el suport familiar i la dinàmica grupal. Els principals aspectes positius de la intervenció, van ser l'ampliació de coneixements sobre salut i recursos socials i sanitaris del barri, animar als participants a sortir de casa, promoure les relacions socials amb companys i establir vincles amb ponents. Les principals característiques negatives van ser alguns dels continguts senzills o repetitius. Els beneficis identificats van ser trencar la dinàmica de quedar-se a casa i no relacionar-se amb altres persones, la disminució de solitud/aïllament social per noves connexions, l'augment del coneixement d'activitats al barri i el sentiment de pertinença a una comunitat. Els resultats del pilotatge del Taller de Salut en entorn comunitari van mostrar un efecte positiu de la intervenció sobre la qualitat de vida, tant en la seva dimensió mental com física, així com millores en l'activitat física. Les dades generades en aquesta tesi aporten una evidència sòlida, rellevant i necessària en relació al paper fonamental que les intervencions comunitàries poden jugar en la millora de la qualitat de vida i benestar de les persones grans, especialment aquelles que viuen a barris de nivell socioeconòmic més desafavorit.The proportion of older people has increased and it is expected that the next years will continue to grow. In addition, demographic and social projections indicate a global increase in elderly people suffering from lack of social relationships and loneliness. This is a challenge to the impact these conditions pose on the quality of life of the elderly and on the changes in health and social needs. The objective of this thesis is to evaluate two health promotion interventions aimed at the elderly in disadvantaged neighborhoods in Barcelona: a) The "School for Health for Older People", aimed at combating social isolation and solitude and its negative consequences on health; and b) The "Health Workshop", aimed at promoting healthy habits. This is a work that combines: on the one hand a qualitative methodology with the coordinating persons and the participants in the intervention of the School of Health, conducting in-depth interviews and focus groups, respectively. The main dimensions worked were: barriers and facilitators, positive and negative aspects of the intervention, perceived benefits and proposals for improvement. On the other hand, a quantitative methodology with a quasi-experimental design comparing a group of people who participated in the School of Health, with another group of similar characteristics that did not receive the intervention. In this case, the information was collected before and after the intervention. The mental health, the quality of life, the social support, the perceived health, and the frequentation in the Primary Care Centers were measured. Moreover, data on the implementation process (attendance and satisfaction) and sociodemographic variables (age, sex, marital status, cohabitation and level of studies) were collected. All the information was collected through questionnaires, except for the information on health frequentation, extracted from the computerized medical records of Primary Care. This work also evaluates the effectiveness of a piloting of the Health Workshop in older people and in the community environment, analyzing the changes in the same variables as in the case of the School of Health. Our results show that the School of Health is effective in terms of quality of life, mental health and social support. In contrast, the use of health services of primary care and perceived health did not change after the intervention. However, the main barriers identified to not participate in the program were individual disabilities or obligations such as medical appointments or caring for relatives, the main facilitators were organizational characteristics. The ambivalent aspects that could facilitate or hamper participation were family support and group dynamics. The main positive aspects of the intervention were the extension of health knowledge and social and health resources in the neighborhood, encourage participants to leave their homes, promote social relationships with colleagues and establish links with speakers. The main negative characteristics were some of the simple or repetitive contents. The identified benefits were to break the dynamics of staying at home and not relate to other people, the diminution of solitude / social isolation for new connections, the increased knowledge of activities in the neighborhood and the feeling of belonging to a community The results of the piloting of the Health Workshop in the community environment showed a positive effect of the intervention on the quality of life, both in its mental and physical dimensions, as well as improvements in physical activity. The data generated in this thesis provide solid, relevant and necessary evidence in relation to the fundamental role that community interventions can play in improving the quality of life and wellbeing of older people, especially those who live in disadvantaged neighborhoods