Ricardo Pérez-Cuevas, Svetlana V Doubova, Laura Angélica Bazaldúa-Merino, Hortensia Reyes-Morales, David Martínez, Roberto Karam, Carlos Gamez, Onofre Muñoz-Hernández
{"title":"A social health services model to promote active ageing in Mexico: design and evaluation of a pilot programme.","authors":"Ricardo Pérez-Cuevas, Svetlana V Doubova, Laura Angélica Bazaldúa-Merino, Hortensia Reyes-Morales, David Martínez, Roberto Karam, Carlos Gamez, Onofre Muñoz-Hernández","doi":"10.1017/S0144686X14000361","DOIUrl":null,"url":null,"abstract":"<p><p>The objective of the study was to design and evaluate a pilot programme aimed at promoting the active ageing of older adults at the Mexican Institute of Social Security. The study was conducted in three stages: (a) design; (b) implementation; and (c) before-after evaluation through analysis of changes in functional status, occupational functioning and health-related quality of life. To overcome the limitations of the study design, we evaluated the effect of 80 per cent adherence to the programme on the outcome variables using the generalised linear regression models (GLM). Two hundred and thirty-nine older adults agreed to participate, of whom 65 per cent completed the programme. Most were women; the average age was 77 years. Adherence to the programme was higher than 75 per cent for the group who completed active ageing services and less than 60 per cent for the drop-out group. Overall, 46 per cent of older adults reached an adherence level of 80 per cent or higher. Adherence was significantly associated with improved quality of life total score (coefficient 2.7, <i>p</i><0.0001) and occupational functioning total score (coefficient 2.2, <i>p</i><0.0001). Participation of older adults in an active ageing programme may improve their health-related quality of life and occupational functioning. It is necessary to identify the potential barriers and to implement strategies to improve the recruitment and retention rates during the intervention.</p>","PeriodicalId":51364,"journal":{"name":"Ageing & Society","volume":null,"pages":null},"PeriodicalIF":2.3000,"publicationDate":"2015-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/S0144686X14000361","citationCount":"17","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Ageing & Society","FirstCategoryId":"90","ListUrlMain":"https://doi.org/10.1017/S0144686X14000361","RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2014/5/23 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"GERONTOLOGY","Score":null,"Total":0}
引用次数: 17
Abstract
The objective of the study was to design and evaluate a pilot programme aimed at promoting the active ageing of older adults at the Mexican Institute of Social Security. The study was conducted in three stages: (a) design; (b) implementation; and (c) before-after evaluation through analysis of changes in functional status, occupational functioning and health-related quality of life. To overcome the limitations of the study design, we evaluated the effect of 80 per cent adherence to the programme on the outcome variables using the generalised linear regression models (GLM). Two hundred and thirty-nine older adults agreed to participate, of whom 65 per cent completed the programme. Most were women; the average age was 77 years. Adherence to the programme was higher than 75 per cent for the group who completed active ageing services and less than 60 per cent for the drop-out group. Overall, 46 per cent of older adults reached an adherence level of 80 per cent or higher. Adherence was significantly associated with improved quality of life total score (coefficient 2.7, p<0.0001) and occupational functioning total score (coefficient 2.2, p<0.0001). Participation of older adults in an active ageing programme may improve their health-related quality of life and occupational functioning. It is necessary to identify the potential barriers and to implement strategies to improve the recruitment and retention rates during the intervention.
期刊介绍:
Ageing & Society is an interdisciplinary and international journal devoted to the understanding of human ageing and the circumstances of older people in their social and cultural contexts. It draws contributions and has readers from many disciplines including gerontology, sociology, demography, psychology, economics, medicine, social policy and the humanities. Ageing & Society promotes high-quality original research which is relevant to an international audience to encourage the exchange of ideas across the broad audience of multidisciplinary academics and practitioners working in the field of ageing.