• Elia Díez, Ferran Daban, Maribel Pasarín, Lucía Artazcoz, Carmen Fuertes, M José López, and Núria Calzada.
• Agència de Salut Pública de Barcelona, Barcelona, España; CIBER de Epidemiología y Salud Pública (CIBERESP), España; Universitat Autònoma de Barcelona, España; Institut d'Investigació Biomèdica Sant Pau, Barcelona, España. Electronic address: ediez@aspb.es.
• Gac Sanit. 2014 Sep 1; 28 (5): 386-8.

ObjectiveSocial isolation impairs health. An intervention to reduce isolation due to architectural barriers in elderly persons was carried out in Barcelona (Spain). This study aimed to evaluate its effects on health.MethodsWe conducted a quasi-experimental before-after study. Isolated older people were identified in three deprived urban areas from 2009 to 2011. Participants had twice-weekly outings with volunteers in a stair-climbing power wheelchair. User satisfaction was evaluated and perceived health status, quality of life, and mental health before and after four outings were compared with McNemar tests.ResultsThere were 74 participants (median age: 83 years; IQR: 78-89). Perceived health improved by 21%, mental health by 24%, and psychological distress was reduced by 16%. Most participants (98%) were satisfied.ConclusionThe intervention improved perceived health and mental health. Elderly people with impaired mobility should not live in buildings with architectural barriers and, if this cannot be avoided, similar programs should be implemented.Copyright © 2014 SESPAS. Published by Elsevier Espana. All rights reserved.

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