Persona: Sánchez González, Diego
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0000-0002-4174-4546
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Sánchez González
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Diego
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Publicación Environmental and Psychosocial Interventions in Age-Friendly Communities and Active Ageing: A Systematic Review(MDPI, 2020) Rojo Pérez, Fermina; Rodríguez Rodríguez, Vicente; Fernández Mayoralas Fernández, Gloria; Sánchez González, Diego::virtual::4568::600; Sánchez González, Diego; Sánchez González, Diego; Sánchez González, DiegoThe academic literature contains little information regarding the interventions that create age-friendly cities and communities in order to promote active ageing. Objectives: A systematic review was carried out to determine the available empirical evidence in relation to the characteristics, content and eectiveness of interventions aimed at improving environmental and psychosocial risk factors for older people, from the perspective of age-friendly communities and the promotion of active ageing. Methods: Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, the studies retained in this review were identified through a systematic search of the academic literature in selected electronic databases including Web of Science and Scopus. Independent critical appraisal and data extraction were conducted by two reviewers. The checklist was used to assess the quality of the articles. Findings: The search identified 1020 potentially eligible documents, of which 11 satisfied the established criteria. Non-exhaustive practices prevailed over rigorous investigations, with a high proportion of studies observed to be of low methodological quality and at high risk of bias. This reflected the predominance of uncontrolled interventions. Environmental interventions were focused on reducing risk and adapting the everyday environmental setting, while psychosocial interventions prioritised social strategies (behavioural changes, promotion of participation) and training. Interventions were more eective in certain domains of age-friendly cities and communities such as transportation and housing, followed by increased participation as a lifestyle-related behavioural change. The inferred changes were associated with providing information and enhancing skills; modifying access, barriers, exposures, and opportunities; enhancing services and support; continuity and eectiveness of changes over time; and modifying policies based on the bottom-up approach of age-friendly cities and communities (AFCC). Discussion and conclusion: Interventions focused on personal and organisational aspects might have positive eects in the longer term. However, fewer changes would be observed in interventions revolving around changing lifestyles owing to the impact of complex multi-causal factors. The relative eectiveness in terms of health calls into question the design of interventions and the supposed “friendliness” of certain communities. There is a need to encourage sound longitudinal research aimed at providing key knowledge for the implementation and evaluation of public policies, and to encourage age-friendly community programmes to promote active ageing.Publicación Active Ageing and Age-Friendly Communities: Constructing an Image of Old Age and Ageing(Springer Publishing Company, 2022) Fernández Mayoralas Fernández, Gloria; Rodríguez Rodríguez, Vicente; Rojo Pérez, Fermina; Sánchez González, DiegoPublicación Residential Environment Assessment by Older Adults in Nursing Homes during COVID-19 outbreak(MDPI, 2022) Rojo Pérez, Fermina; Rodríguez Rodríguez, Vicente; Fernández Mayoralas Fernández, Gloria; Pérez de Arenaza Escribano, Carmen; Rojo Abuin, José Manuel; Forjaz, Maria João; Rodríguez Blázquez, Carmen; Sánchez González, Diego; Molina Martínez, Mª ÁngelesThe most vulnerable residential settings during the COVID-19 pandemic were older adult's nursing homes, which experienced high rates of incidence and death from this cause. This paper aims to ascertain how institutionalized older people assessed their residential environment during the pandemic and to examine the differences according to personal and contextual characteristics. The COVID-19 Nursing Homes Survey (Madrid region, Spain) was used. The residential environment assessment scale (EVAER) and personal and contextual characteristics were selected. Descriptive and multivariate statistical analysis were applied. The sample consisted of 447 people (mean age = 83.8, 63.1% = women, 50.8% = widowed, 40% = less than primary studies). Four residential assessment subscales (relationships, mobility, residential aspects, privacy space) and three clusters according to residential rating (medium-high with everything = 71.5% of cases, low with mobility = 15.4%, low with everything = 13.1%) were obtained. The logistic regression models for each cluster category showed to be statistically significant. Showing a positive affect (OR = 1.08), fear of COVID-19 (OR = 1.06), high quality of life (OR = 1.05), not having suspicion of depression (OR = 0.75) and performing volunteer activities (OR = 3.67) were associated with the largest cluster. It is concluded that a better residential evaluation was related to more favourable personal and contextual conditions. These results can help in the design of nursing homes for older adults in need of accommodation and care to facilitate an age-friendly environment.Publicación Development and Management of Cohousing Initiatives for a Friendly Ageing in Spain(Springer Publishing Company, 2022) Rojo Pérez, Fermina; Fernández Mayoralas Fernández, Gloria; Rodríguez Rodríguez, Vicente; Sánchez González, DiegoPublicación Active Ageing Profiles among Older Adults in Spain: A Multivariate Analysis Based on SHARE study(PLOS, 2022) Rojo Pérez, Fermina; Rodríguez Rodríguez, Vicente; Fernández Mayoralas Fernández, Gloria; Rojo Abuin, José Manuel; Ayala, Alba; Rodríguez Blázquez, Carmen; Calderón Larrañaga, Amaia; Ribeiro, Oscar Manuel Soares; Forjaz, María João; Sánchez González, Diego; Molina Martínez, Mª ÁngelesBackground: Following the active ageing model based on the Health, Lifelong Learning, Participation and Security pillars, this research has a twofold objective: i) to classify older adults according to active ageing profiles, taking into account the four pillars, and ii) to ascertain the relationship between the profiles and personal and contextual factors, as well as well-being and quality of life in old age. Methods: A study sample of 5,566 Spanish older adults who participated in wave 6 of the Survey of Health, Ageing and Retirement in Europe (SHARE) was included. Data were analysed in different steps applying several statistical analyses (Principal Component, Cluster, Discriminant, Multiple Correspondence and bivariate analysis with Pearson chi-square and ANOVA). Results: Five older adult profiles were obtained (I: with moderate activity; II: quasi-dependents; III: with active ageing-limiting conditions; IV: with diverse and balanced activity; V: with excellent active ageing conditions). The first three profiles were characterised by subjects with a high average age, low educational level, who were retired or housewives, and who perceived a moderate level of loneliness, satisfaction with the social network and quality of life, as well as having a larger family network, but living in small households or alone. In contrast, the latter two profiles showed better personal and contextual conditions, well-being and quality of life. Discussion and conclusions: The multidimensional approach to active ageing followed in this article has revealed the presence of several older adult profiles, which are confined to groups with better or worse active ageing conditions. In this context, if ageing is a process that reflects the previous way of life, intervention priorities will have to consider actions that promote better conditions during the life cycle