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首页> 外文期刊>BMC Public Health >Promoting self-management, health literacy and social capital to reduce health inequalities in older adults living in urban disadvantaged areas: protocol of the randomised controlled trial AEQUALIS
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Promoting self-management, health literacy and social capital to reduce health inequalities in older adults living in urban disadvantaged areas: protocol of the randomised controlled trial AEQUALIS

机译：促进自我管理，健康素养和社会资本，以减少生活在城市贫困地区的老年人的健康不平等：随机对照试验AEQUALIS的方案

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Older people living in socio-economic deprived urban areas especially?suffer the effects of health inequalities but have been insufficiently targeted. Strategies promoted by local primary health care agents might influence health and social behaviours as intermediate social determinants that are modifiable and thus can potentially mitigate health inequalities. Therefore, we aim to develop and assess the effectiveness of a complex intervention based on a community programme that promotes self-management, health literacy and social capital targeting older people from urban socioeconomically disadvantaged areas in?order to improve their self-perceived health as?an indicator of health inequality reduction. Design: A pragmatic multicentre, parallel, randomised controlled trial will be implemented in 16 primary health care centres from six urban areas in neighbourhoods with low-socioeconomic level. Target: community-dwelling aged 60?years or above who perceive their health as fair or poor. The programme is called “Sentir-nos Bé” (“Feeling well”) and comprises 12 two-hour sessions held once a week in groups of 12–15 people. Group dynamics are designed to promote mutual support, social participation and new knowledge on health literacy and self-management, resulting in meaningful changes in their daily life that positively affect their health and wellbeing. A sample size of 390 participants, randomised to the intervention or the control group, will be needed to detect a clinically relevant benefit in the primary outcome self-perceived health after 3-month intervention. A follow-up will be conducted at 9?months post-intervention. Participants in the control group will receive usual care and remain in a waiting-list to join the programme once the trial ends. A process evaluation will provide greater confidence in the conclusions about the effectiveness of the intervention. Ethics approval: Clinical Investigation Ethics Committee of the IDIAP Jordi Gol (P15/031). Dissemination: Findings will be disseminated through conference presentations and open-access journals. The project will promote the implementation of evidence-based intervention procedures in future health policy strategies targeting older people while considering the social aspects of inequality. NCT02733523 . Retrospectively registered. Date of registration: April 11, 2016.
机译：生活在社会经济匮乏的城市地区的老年人尤其受到健康不平等的影响，但针对性不足。地方初级卫生保健代理人倡导的策略可能会影响健康和社会行为，因为这是可修改的中间社会决定因素，因此有可能缓解健康不平等现象。因此，我们旨在开发和评估基于社区计划的复杂干预措施的有效性，该计划旨在促进针对城市社会经济弱势地区的老年人的自我管理，健康素养和社会资本，以改善他们的自我感知健康状况。健康不平等程度降低的指标。设计：将在社会经济水平较低的地区的六个城市的16个初级卫生保健中心实施一项实用的多中心，平行，随机对照试验。目标人群：60岁或以上的社区居民，他们认为自己的健康状况是公平或贫困。该计划称为“感觉良好”（Sentir-nosBé）（“感觉良好”），包括12个为时两个小时的课程，每周12-15人为一组。团体动态旨在促进相互支持，社会参与以及有关健康素养和自我管理的新知识，从而导致他们日常生活中的有意义的变化，从而对他们的健康和福祉产生积极影响。需要390名参与者的样本量，随机分配至干预组或对照组，以检测3个月干预后对主要结局自我感觉健康的临床相关益处。干预将在干预后9个月进行。对照组的参与者将获得常规护理，并在试验结束后留在候补名单中，以加入该计划。过程评估将使人们对干预效果的结论更有信心。伦理批准：IDIAP Jordi Gol的临床研究伦理委员会（P15 / 031）。传播：调查结果将通过会议演讲和开放获取期刊传播。该项目将在考虑到不平等的社会方面的同时，在针对老年人的未来卫生政策战略中促进实施循证干预程序。 NCT02733523。追溯注册。注册日期：2016年4月11日。

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