1
|
Coll-Planas L, Carbó-Cardeña A, Jansson A, Dostálová V, Bartova A, Rautiainen L, Kolster A, Masó-Aguado M, Briones-Buixassa L, Blancafort-Alias S, Roqué-Figuls M, Sachs AL, Casajuana C, Siebert U, Rochau U, Puntscher S, Holmerová I, Pitkala KH, Litt JS. Nature-based social interventions to address loneliness among vulnerable populations: a common study protocol for three related randomized controlled trials in Barcelona, Helsinki, and Prague within the RECETAS European project. BMC Public Health 2024; 24:172. [PMID: 38218784 PMCID: PMC10787456 DOI: 10.1186/s12889-023-17547-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2023] [Accepted: 12/20/2023] [Indexed: 01/15/2024] Open
Abstract
BACKGROUND The negative effects of loneliness on population health and wellbeing requires interventions that transcend the medical system and leverage social, cultural, and public health system resources. Group-based social interventions are a potential method to alleviate loneliness. Moreover, nature, as part of our social and health infrastructure, may be an important part of the solutions that are needed to address loneliness. The RECETAS European project H2020 (Re-imagining Environments for Connection and Engagement: Testing Actions for Social Prescribing in Natural Spaces) is an international research project aiming to develop and test the effectiveness of nature-based social interventions to reduce loneliness and increase health-related quality of life. METHODS This article describes the three related randomized controlled trials (RCTs) that will be implemented: the RECETAS-BCN Trial in Barcelona (Spain) is targeting people 18+ from low socio-economic urban areas; the RECETAS-PRG Trial in Prague (Czech Republic) is addressing community-dwelling older adults over 60 years of age, and the RECETAS-HLSNK trial is reaching older people in assisted living facilities. Each trial will recruit 316 adults suffering from loneliness at least sometimes and randomize them to nature-based social interventions called "Friends in Nature" or to the control group. "Friends in Nature" uses modifications of the "Circle of Friends" methodology based on group processes of peer support and empowerment but including activities in nature. Participants will be assessed at baseline, at post-intervention (3 months), and at 6- and 12-month follow-up after baseline. Primary outcomes are the health-related quality-of-life according to 15D measure and The De Jong Gierveld 11-item loneliness scale. Secondary outcomes are health and psychosocial variables tailored to the specific target population. Nature exposure will be collected throughout the intervention period. Process evaluation will explore context, implementation, and mechanism of impact. Additionally, health economic evaluations will be performed. DISCUSSION The three RECETAS trials will explore the effectiveness of nature-based social interventions among lonely people from various ages, social, economic, and cultural backgrounds. RECETAS meets the growing need of solid evidence for programs addressing loneliness by harnessing the beneficial impact of nature on enhancing wellbeing and social connections. TRIAL REGISTRATION Barcelona (Spain) trial: ClinicalTrials.gov, ID: NCT05488496. Registered 29 July 2022. Prague (Czech Republic) trial: ClinicalTrials.gov, ID: NCT05522140. Registered August 25, 2022. Helsinki (Finland) trial: ClinicalTrials.gov, ID: NCT05507684. Registered August 12, 2022.
Collapse
Affiliation(s)
- Laura Coll-Planas
- Research group on Methodology, Methods, Models and Outcomes of Health and Social Sciences (M3O). Faculty of Health Sciences and Welfare. Centre for Health and Social Care Research (CESS), University of Vic-Central University of Catalonia (UVic-UCC). Institute for Research and Innovation in Life Sciences and Health in Central Catalonia (IRIS-CC), Vic, Spain
| | - Aina Carbó-Cardeña
- Research group on Methodology, Methods, Models and Outcomes of Health and Social Sciences (M3O). Faculty of Health Sciences and Welfare. Centre for Health and Social Care Research (CESS), University of Vic-Central University of Catalonia (UVic-UCC). Institute for Research and Innovation in Life Sciences and Health in Central Catalonia (IRIS-CC), Vic, Spain
| | - Anu Jansson
- Department of General Practice, University of Helsinki, PO BOX 20, 00014, Helsinki, Finland
| | - Vladimira Dostálová
- Charles University, Faculty of Humanities - Centre of Expertise in Longevity and Long-Term Care, Pátkova 2137/5, 182 00, Prague, Czech Republic
| | - Alzbeta Bartova
- Charles University, Faculty of Humanities - Centre of Expertise in Longevity and Long-Term Care, Pátkova 2137/5, 182 00, Prague, Czech Republic
| | - Laura Rautiainen
- Department of General Practice, University of Helsinki, PO BOX 20, 00014, Helsinki, Finland
| | - Annika Kolster
- Department of General Practice, University of Helsinki, PO BOX 20, 00014, Helsinki, Finland
- Western Uusimaa Wellbeing Services, Health Services, Espoo, Finland
| | - Montse Masó-Aguado
- Research group on Methodology, Methods, Models and Outcomes of Health and Social Sciences (M3O). Faculty of Health Sciences and Welfare. Centre for Health and Social Care Research (CESS), University of Vic-Central University of Catalonia (UVic-UCC). Institute for Research and Innovation in Life Sciences and Health in Central Catalonia (IRIS-CC), Vic, Spain
| | - Laia Briones-Buixassa
- Innovation in Mental Health and Social Wellbeing Research group (ISAMBES), Faculty of Health Sciences and Welfare. Centre for Health and Social Care Research (CESS), University of Vic-Central University of Catalonia (UVic-UCC). Institute for Research and Innovation in Life Sciences and Health in Central Catalonia (IRIS-CC), Vic, Spain
| | - Sergi Blancafort-Alias
- Fundació Salut i Envelliment UAB, Casa Convalescència UAB C/ Sant Antoni M. Claret, 171, 4a planta, Barcelona, Spain
| | - Marta Roqué-Figuls
- Fundació Salut i Envelliment UAB, Casa Convalescència UAB C/ Sant Antoni M. Claret, 171, 4a planta, Barcelona, Spain
| | - Ashby Lavelle Sachs
- Barcelona Institute for Global Health (ISGlobal), Barcelona Biomedical Research Park (PRBB) Doctor Aiguader, 88 08003, Barcelona, Spain
- CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain
- Universitat Pompeu Fabra (UPF), Barcelona, Spain
| | - Cristina Casajuana
- Subdirecció General d'Addiccions, VIH, ITS i Hepatitis Víriques. Agència de Salut Pública de Catalunya, Carrer de Roc Boronat, 81-95, 08005, Barcelona, Spain
| | - Uwe Siebert
- Institute of Public Health, Medical Decision Making and Health Technology Assessment, Department of Public Health, Health Services Research and Health Technology Assessment, UMIT TIROL - University for Health Sciences and Technology, Hall in Tirol, Austria
- Center for Health Decision Science, Departments of Epidemiology and Health Policy & Management, Harvard T. H. Chan School of Public Health, Boston, MA, USA
- Institute for Technology Assessment, Department of Radiology, Harvard Medical School, Massachusetts General Hospital, Boston, MA, USA
| | - Ursula Rochau
- Institute of Public Health, Medical Decision Making and Health Technology Assessment, Department of Public Health, Health Services Research and Health Technology Assessment, UMIT TIROL - University for Health Sciences and Technology, Hall in Tirol, Austria
| | - Sibylle Puntscher
- Institute of Public Health, Medical Decision Making and Health Technology Assessment, Department of Public Health, Health Services Research and Health Technology Assessment, UMIT TIROL - University for Health Sciences and Technology, Hall in Tirol, Austria
| | - Iva Holmerová
- Charles University, Faculty of Humanities - Centre of Expertise in Longevity and Long-Term Care, Pátkova 2137/5, 182 00, Prague, Czech Republic
| | - Kaisu H Pitkala
- Department of General Practice, University of Helsinki, PO BOX 20, 00014, Helsinki, Finland
- Helsinki University Hospital, Unit of Primary Health Care, Helsinki, Finland
| | - Jill S Litt
- Fundació Salut i Envelliment UAB, Casa Convalescència UAB C/ Sant Antoni M. Claret, 171, 4a planta, Barcelona, Spain.
- Barcelona Institute for Global Health (ISGlobal), Barcelona Biomedical Research Park (PRBB) Doctor Aiguader, 88 08003, Barcelona, Spain.
- CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain.
| |
Collapse
|
2
|
Grazioli E, Cerulli C, Tranchita E, Moretti E, Mauri C, Broccatelli M, De Bellonia S, Abalașei BA, Dumitru IM, Moraru CE, Iacob RM, Blancafort-Alias S, González AI, Riau ÀD, Giménez i Sanz A, Ramos GI, Pekel HA, Altunsoy M, Ozkan S, Dikmen AU, Sacchetti M, Parisi A. Dropout and compliance to physical exercise in menopausal osteopenic women: the European "happy bones" project. Front Sports Act Living 2023; 5:1221409. [PMID: 37440873 PMCID: PMC10333592 DOI: 10.3389/fspor.2023.1221409] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2023] [Accepted: 06/14/2023] [Indexed: 07/15/2023] Open
Abstract
Introduction Decline in muscle mass and bone density seem to be two of the most disabling side effects of menopause that negatively affect women's quality of life. Promoting physical activity protocols in the workplace can represent a focal point in the prevention and management of several diseases. The study aims to evaluate the compliance and drop-out of menopausal osteopenic women engaged in combined training performed inside and outside the workplace. Strength and balance were analyzed to evaluate the effect of this protocol on osteoporosis prevention and the risk of falling. Methods 73 menopausal women were enrolled in 5 European countries. They performed 72 lessons of a combined training proposed in the working place (IW) or sport center (SC). Results Out of the total 39 women enrolled in the IW, 12.8% had to leave the program, while out of the 34 women enrolled in SC, 41.2% did not complete the training. According to the compliance results, 47% of women that completed the trained IW and 85% in the SC recorded high compliance (p = 0.019). Moreover, the strength of the lower limbs (p < 0.001) and static balance (p = 0.001) significantly improved in the whole group. Discussion In conclusion, proposing well-structured training in the workplace for menopausal women seems to reduce drop-out. Strength and balance results suggest its positive impact on bone health and risk of falls, despite where it is performed.
Collapse
Affiliation(s)
- Elisa Grazioli
- Department of Movement, Human and Health Sciences, Rome, Italy
| | - Claudia Cerulli
- Department of Movement, Human and Health Sciences, Rome, Italy
| | | | - Elisa Moretti
- Department of Movement, Human and Health Sciences, Rome, Italy
| | - Caterina Mauri
- Department of Movement, Human and Health Sciences, Rome, Italy
| | | | | | | | - Iulian-Marius Dumitru
- Faculty of Physical Education and Sports, University “Alexandru Ioan Cuza” of Iași, Iași, Romania
| | - Cristina-Elena Moraru
- Faculty of Physical Education and Sports, University “Alexandru Ioan Cuza” of Iași, Iași, Romania
| | - Radu-Mihai Iacob
- Faculty of Physical Education and Sports, University “Alexandru Ioan Cuza” of Iași, Iași, Romania
| | | | | | | | | | | | - Haci Ahmet Pekel
- Department of Public Health, Faculty of Sport Sciences, Gazi University, Yenimahalle/Ankara, Türkiye
| | - Mustafa Altunsoy
- Department of Public Health, Faculty of Sport Sciences, Gazi University, Yenimahalle/Ankara, Türkiye
| | - Secil Ozkan
- Department of Public Health, Faculty of Medicine, Gazi University, Yenimahalle/Ankara, Türkiye
| | - Asiye Ugras Dikmen
- Department of Public Health, Faculty of Medicine, Gazi University, Yenimahalle/Ankara, Türkiye
| | | | - Attilio Parisi
- Department of Movement, Human and Health Sciences, Rome, Italy
| |
Collapse
|
3
|
Rojano i Luque X, Blancafort-Alias S, Prat Casanovas S, Forné S, Martín Vergara N, Fabregat Povill P, Vila Royo M, Serrano R, Sanchez-Rodriguez D, Vílchez Saldaña M, Martínez I, Domínguez López M, Riba Porquet F, Intxaurrondo González A, Salvà Casanovas A. Identification of decreased intrinsic capacity: Performance of diagnostic measures of the ICOPE Screening tool in community dwelling older people in the VIMCI study. BMC Geriatr 2023; 23:106. [PMID: 36809987 PMCID: PMC9945724 DOI: 10.1186/s12877-023-03799-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2022] [Accepted: 02/03/2023] [Indexed: 02/24/2023] Open
Abstract
BACKGROUND The World Health Organization (WHO) has developed the Integrated Care for Older People (ICOPE) strategy to face the challenges of ageing societies. This strategy is focused on person centered care and the assessment intrinsic capacity (IC). Early identification of five domains of IC (cognition, locomotion, vitality, sensory (hearing and vision), and psychological) has been shown to be related with adverse outcomes and can guide actions towards primary prevention and healthy ageing. IC assessment proposed by the WHO ICOPE guidelines is composed by two steps: First, Screening for decreased IC by the ICOPE Screening tool; second, by the reference standard methods. The aim was to assess the performance of diagnostic measures (sensibility, specificity, diagnostic accuracy, and agreement of the ICOPE Screening tool) compared to the reference standard methods in European community-dwelling older adults. METHODS Cross-sectional analysis of the baseline of the ongoing VIMCI (Validity of an Instrument to Measure Intrinsic Capacity) cohort study, which was carried out in Primary Care centers and outpatient clinics from 5 rural and urban territories in Catalonia (Spain). Participants were 207community dwelling persons ≥ 70-year-old with Barthel ≥ 90, without dementia or advanced chronic conditions who provided their consent to participate. The 5 IC domains were assessed by the ICOPE Screening tool and the reference methods (SPPB, gait speed, MNA, Snellen chart, audiometry, MMSE, GDS5) during patients' visit. Agreement was assessed with the Gwet AC1 index. RESULTS ICOPE Screening tool sensitivity was higher for cognition (0.889) and ranged between 0.438 and 0.569 for most domains. Specificity ranged from 0.682 to 0.96, diagnostic accuracy from 0.627 to 0.879, Youden index from 0.12 to 0.619, and Gwet AC1 from 0.275 to 0.842. CONCLUSION The ICOPE screening tool showed fair performance of diagnostic measures; it was helpful to identify those participants with satisfactory IC and showed a modest ability to identify decreased IC in older people with high degree of autonomy. Since low sensitivities were found, a process of external validation would be recommended to reach better discrimination. Further studies about the ICOPE Screening tool and its performance of diagnostic measures in different populations are urgently required.
Collapse
Affiliation(s)
- Xavier Rojano i Luque
- grid.477257.40000 0004 4904 4581Fundació Salut i Envelliment UAB (FSIE-UAB), Barcelona, Spain ,grid.413396.a0000 0004 1768 8905Sant Pau Institute for Biomedical Research (IIB Sant Pau), Barcelona, Spain
| | - Sergi Blancafort-Alias
- Fundació Salut i Envelliment UAB (FSIE-UAB), Barcelona, Spain. .,Sant Pau Institute for Biomedical Research (IIB Sant Pau), Barcelona, Spain.
| | - Susanna Prat Casanovas
- grid.22061.370000 0000 9127 6969ABS Ripoll-Sant Joan de les Abadesses, Institut Català de la Salut (ICS), Ripoll, Spain
| | - Susanna Forné
- Fundació Sant Hospital, La Seu d’Urgell, Lleida, Spain
| | - Nuria Martín Vergara
- grid.22061.370000 0000 9127 6969EAP Horts de Miró, Institut Català de la Salut (ICS), Reus, Spain
| | | | - Maria Vila Royo
- grid.432291.f0000 0004 1755 8959Badalona Serveis Assistencials (BSA), Badalona, Spain
| | | | - Dolores Sanchez-Rodriguez
- grid.411371.10000 0004 0469 8354Department, Brugmann University Hospital, Université Libre de Bruxelles, Brussels, Belgium ,grid.4861.b0000 0001 0805 7253 Health Organization Collaborating Center for Public Health Aspects of Musculo-Skeletal Health and Ageing, Division of Public Health, Epidemiology and Health Economics, University of Liège, Liège, Belgium ,grid.20522.370000 0004 1767 9005Geriatrics Department, Rehabilitation Research Group, Hospital del Mar Medical Research Institute (IMIM), Barcelona, Spain
| | | | - Iris Martínez
- Fundació Sant Hospital, La Seu d’Urgell, Lleida, Spain
| | | | | | - Aimar Intxaurrondo González
- grid.477257.40000 0004 4904 4581Fundació Salut i Envelliment UAB (FSIE-UAB), Barcelona, Spain ,grid.413396.a0000 0004 1768 8905Sant Pau Institute for Biomedical Research (IIB Sant Pau), Barcelona, Spain
| | - Antoni Salvà Casanovas
- grid.477257.40000 0004 4904 4581Fundació Salut i Envelliment UAB (FSIE-UAB), Barcelona, Spain ,grid.413396.a0000 0004 1768 8905Sant Pau Institute for Biomedical Research (IIB Sant Pau), Barcelona, Spain
| |
Collapse
|