Portal de Periódicos da CAPES

Artigo Acesso aberto Produção Nacional Revisado por pares

BIBTEX RIS

Impact of multidimensional interventions on quality of life and depression among older adults in a primary care setting in Brazil: a quasi-experimental study

2019; Associação Brasileira de Psiquiatria; Volume: 42; Issue: 2 Linguagem: Inglês

10.1590/1516-4446-2019-0577

1809-452X

Bruno Araújo da Silva Dantas, Jéssica Maria Arouca de Miranda, Anna Carolyna Vieira Cavalcante, Gislani Acásia da Silva Toscano, Larissa Silva Sadovski Torres, Simone Camargo de Oliveira Rossignolo, Thaíza Teixeira Xavier Nobre, Eulália Maria Chavez Maia, Francisco Arnoldo Nunes de Miranda, Gilson de Vasconcelos Torres,

Dementia and Cognitive Impairment Research

Objective: To evaluate the impact of multidimensional interventions on quality of life (QoL) and depressive symptoms in Brazilian older adults living in the community. Methods: Longitudinal, quasi-experimental study of older adults receiving conventional primary health care (PHC). The interventions were designed in response to a first round of data collection and validated through pilot testing in groups of older adults from another community. The validated interventions were then applied to an intervention group (IG). To measure their effect, we used the Medical Outcomes Short-Form Health Survey (SF-36) quality of life scale and the Geriatric Depression Scale (GDS-30). Results: The sample comprised 118 participants. IG participants exhibited significant improvement in several QoL domains (SF-36): mental health (p = 0.010), general health perceptions (p = 0.016), and physical functioning (p = 0.045). No such improvement occurred in controls (p > 0.050). The prevalence of depression (GDS-30) fell from 36.7 to 23.3% in the IG, despite no significant difference (p = 0.272). Controls also reported a reduction in depressive symptoms, but only from 44.8 to 41.4% (p = 0.112). Conclusions: This multidimensional intervention was associated with significant improvement in mental health, general health perceptions, and physical functioning in a sample of Brazilian older adults. Clinical trial registration: RBR-92dbtx.