Abstract
Promoting health and quality of life among rural older people has received little attention especially in Spain where the number of interventions designed specifically for the rural elderly is sparse. The aim of this study was to explore the effectiveness of an intervention program aiming at improving quality of life through cognitive stimulation, physical and crafts activities in a group of community-dwelling older adults living in a depopulated rural area in Ourense, Galicia, Spain. The sample of this study comprised 86 people (78 people in the intervention group and 8 people in the control group) age 65 years and older (M age=70.82; SD=6.35). The evaluation included the MEC, the CDT and the WHOQOL-Bref questionnaire. The intervention was applied for a period of nine months and consisted of three weakly workshops with a mean duration of four hours that included cognitive stimulation, crafts and physical activity. The results of the ANCOVA revealed that independently of the age, educational, level, gender and pretest scores the participants of the intervention group had a lower risk of cognitive impairment. Also they maintained their score on the Psychological health dimension of the WHOQOL-Bref questionnaire while the participants in the control group slightly decreased their score. The intervention program had a positive effect on the participants’ perception with regard to their opportunities to participate in leisure activities and improved their cognitive functioning which in turn contributed to their more positive perception of their psychological health.
Blane, D., Netuveli, G., & Montgomery, S. M. (2008). Quality of life, health and physiological status and change at older ages. Social Sciences and Medicine, 66(7), 1579-1587. http://dx.doi.org/10.1016/j.socscimed.2007.12.021
Bowling, A. (2004). A taxonomy and overview of quality of life. In J. Brown, A. Bowling & T. Flynn (Eds.), Models of quality of life: A taxonomy and systematic review of the literature (pp. 6-12). Sheffield: European Forum on Population Ageing Research.
Bowling, A., & Gabriel, Z. (2007). Lay theories of quality of life in older age. Ageing & Society, 27, 827-848. https://doi.org/10.1017/S0144686X07006423
Bowling, A., & Iliffe, S. (2011). Psychological approach to successful ageing predicts future quality of life in older adults. Health and Quality of Life Outcomes, 9, 13. http://dx.doi.org/10.1186/1477-7525-9-13
Bowling, A., & Windsor, J. (2001). Towards the good life: A population survey of dimensions of quality of life. Journal of Happiness Studies, 2, 55-81. http://dx.doi.org/10.1023/A:1011564713657
Bukov, A., Maas, I., & Lampert, T. (2002). Social participation in very old age: Cross-sectional and longitudinal findings from BASE. Journals of Gerontology, Series B, 57(6), 510-517.
Cacho, L. J., García-García, R., Arcaya, J., Vicente, J. L., & Lantada, N. (1999). Una propuesta de aplicación y puntuación del Test del Reloj en la enfermedad de Alzheimer. Revista de Neurología,28, 648-655.
Cardenas, D., Henderson, K. A., & Wilson, B. E. (2009). Physical activity and senior games participation: Benefits, constraints, and behaviors. Journal of Aging and Physical Activity,17(2), 135-153.
Cheng, S. T., Chan, A. C. M., & Phillips, D. R. (2004). Quality of life in old age: An investigation of well older persons in Hong Kong. Journal of Community Psychology, 32(3), 309-326. http://dx.doi.org/10.1002/jcop.20003
Desai, A. K., Grossberg, G. T., & Chibnall, J. T. (2010). Healthy brain aging: A road map. Clinics in Geriatric Medicine,26(1), 1-16. http://dx.doi.org/10.1016/j.cger.2009.12.002
Ekström, H., Dahlin-Ivanoff, S., & Elmståhl, S. (2008). Restriction in social participation and lower life satisfaction among fractured in pain: Results from the population study "Good Aging in Skåne". Archives of Gerontology and Geriatrics, 46(3), 409-424. http://dx.doi.org/10.1016/j.archger.2007.06.001
Fabre, C., Chamari, K., Mucci, P., Massé-Biron, J., & Préfaut, C. (2002). Improvement of cognitive function by mental and/or individualized aerobic training in healthy elderly subjects. International Journal of Sports Medicine, 23, 415-421. http://dx.doi.org/10.1055/s-2002-33735
García-González, J., & Rodríguez-Rodríguez, P. (2005). Rompiendo distancias: un programa integral para prevenir y atender la dependencia de las personas mayores en el medio rural. Revista Española de Geriatría y Gerontología, 40(1), 22-33.
García-Sanz, B. (1997). Envejecimiento y mundo rural: problemas y soluciones. Madrid: IMSERSO.
Higgs, P., Hyde, M., Wiggins, R., & Blane, D. (2003). Researching quality of life in early old age: The importance of the sociological dimension. Social Policy and Administration, 37, 239-252. http://dx.doi.org/10.1111/1467-9515.00336
Hui, E. K., & Rubenstein, L. Z. (2006). Promoting physical activity and exercise in older adults. Journal of the American Medical Directors Association, 7(5), 310-314. http://dx.doi.org/10.1016/j.jamda.2006.03.006
Instituto de Mayores y Servicios Sociales. (2009). Las Personas Mayores en España (Informe 2008. Documento Estadístico N.° 22018). Madrid: Ministerio de Trabajo y Asuntos Sociales. Recuperado de http://www.imsersomayores.csic.es/documentos/estadisticas/informe-mayores/2008/volumen-1/00-informe-personas-mayores-2008-vol-01.pdf
Jean, L., Bergeron, M. E., Thivierge, S., & Simard, M. (2010). Cognitive intervention programs for individuals with mild cognitive impairment: Systematic review of the literature. The American Journal of Geriatric Psychiatry, 18(4), 281-296. http://dx.doi.org/10.1097/JGP.0b013e3181c37ce9
Jylhä, M. (2004). Old age and loneliness: Cross-sectional and longitudinal analyses in the tamper longitudinal study on aging. Canadian Journal of Aging, 23(2), 157-168.
Lobo, A., Esquerra, J., Gómez Burgada, F., Sala, J. M., & Seva, A.(1979). El Mini-Examen Cognoscitivo: un test sencillo y práctico para detectar alteraciones intelectuales en pacientes médicos. Actas Luso Españolas de Neurología, Psiquiatría y Ciencias Afines, 3, 189-202.
Lobo, A., Saz, P., Marcos, G., Día, J. L., De la Cámara, C., Ventura, T., … Aznar, S. (1999). Revalidación y normalización del Mini-Examen Cognoscitivo (primera versión en castellano del Mini-Mental Status Examination) en la población general geriátrica. Medicina Clínica,112(20), 767-774.
Low, G., & Molzahn, A. E. (2007). Predictors in quality of life in old age: A Cross-validation study. Research in Nursing and Health, 30(2), 141-150.
Lucas, C. R. (1998). Versión Española del WHOQOL. División de Salud Mental, Organización Mundial de la Salud. Madrid: Ergon.
Michalos, C., Hubley, A. M., Zumbo, B. D., & Hemingway, D. (2001). Health and other aspects of the quality of life of older people. Social Indicators Research,54(3), 239-274.
Milne, A., Hatzidimitriadou, E., & Wiseman, J. (2007). Health and quality of life among older people in rural England: Exploring the impact and efficacy of policy. Journal of Social Policy, 36(3), 477-495. https://doi.org/10.1017/S0047279407001055
Monreal, P., del Valle, A., & Tarrés, R. (2009). Hacer visible lo invisible: Peralada un estudio de caso. Anuario de Psicología, 40(3), 391-406.
Monreal, P., & Vilà, A. (2008). Programa integral de atención a las personas mayores en una zona rural. Anuario de Psicología, 39(3), 351-370.
Netuveli, G., Hildon, Z., Montgomery, S., Wiggins, R., & Blane, D. (2005). Need for change in focus from illness to functioning to improve quality of life: Evidence from a national survey. British Medical Journal, 331, 1382-1383. http://dx.doi.org/10.1136/bmj.331.7529.1382
Rey, A., Canales, I., & Táboas, M. I. (2011). Características y efectos de un programa integrado de estimulación cognitiva a través de la motricidad. Apunts: Educación Física y Deportes, 105, 21-27.http://dx.doi.org/10.5672/apunts.2014-0983.es
Rodríguez-Rodríguez, P. (2004). Envejecimiento en el mundo rural: necesidades singulares, políticas específicas. Madrid: IMSERSO.
Rodríguez-Rodríguez, P. (2010). La atención integral centrada en la persona. Madrid: IMSERSO.
Rowe, J. W., & Kahn, R. L. (1997). Successful aging. The Gerontologist, 37(4), 433-440.
Smith, A. E., Sim, J., Scharf, T., &Phillipson, C. (2004). Determinants of quality of life amongst older people in deprived neighbourhoods. Ageing and Society, 24(5), 793-814. https://doi.org/10.1017/S0144686X04002569
Tardif, S., & Simard, M. (2011). Cognitive stimulation programs in healthy elderly: A review. International Journal of Alzheimer’s Disease, 37893. http://dx.doi.org/10.4061/2011/378934
Triadó, C., Villar, F., Solé, C., & Osuna, M. J. (2003). Envejecer en entornos rurales (Estudios de I+D+I. N.° 19). Madrid: IMSERSO.
Valencia, C., López-Alzate, E., Tirado, V., Zea-Herrera, M. D., Lopera, F., Rupprecht, R., & Oswald, W. D. (2008). Efectos cognitivos de un entrenamiento combinado de memoria y psicomotricidad en adultos mayores. Revista de Neurología, 46(8), 465-471.
Walker, A., & Lowenstein, A. (2009). European perspectives on quality of life in old age. European Journal of Ageing, 6, 61. http://dx.doi.org/10.1007/s10433-009-0117-9
World Health Organization [WHO]. (2002). Active ageing: A policy framework[Resource document. N° WHO/NMH/NPH/02.8]. Madrid: Author. Retrieved from http://apps.who.int/iris/bitstream/10665/67215/1/WHO_NMH_NPH_02.8.pdf
The World Health Organization Quality of Life Group. (1994). Development of the WHOQOL: Rationale and current status. International Journal of Mental Health, 23, 24-56.
The World Health Organization Quality of Life Group. (1995). The World Health Organization Quality of Life Assessment (WHOQOL) [Position Paper from the World Health Organization]. Social Science & Medicine,41(10), 1403-1409.
The World Health Organization Quality of Life Group. (1998). Development of the World Health Organization WHOQOL-BREF quality of life assessment. Psychological Medicine, 28, 551-558.
Wilcox, S., Bopp, M., Oberrecht, L., Kammermann, S. K., & McElmurray, C. T. (2003). Psychosocial and perceived environmental correlates of physical activity in rural and older African American and white women. Journals of Gerontology: Series B, 58, 329-337.
Yaffé, K., Lindquist, K., Vittinghoff, E., Barnes, D., Simonsick, E. M., Newman, A., … Harris, T. (2010). The effect of maintaining cognition on risk of sisability and death. Journal of the American Geriatrics Society, 58(5), 889-894. http://dx.doi.org/10.1111/j.1532-5415.2010.02818.x
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