Esteban-Peña M, Gerechter-Fernández S, Martínez-Simancas A M, Zancada-González J, Hernandez-Barrera V, Jiménez-García R
Unidad de Formación e Investigación, Instituto de Salud Pública, Madrid Salud, Ayuntamiento de Madrid, Madrid, España.
Centro de Salud Municipal (CMS) de Ciudad Lineal, Subdirección de Prevención y Promoción de la Salud, Madrid Salud, Ayuntamiento de Madrid, Madrid, España.
Semergen. 2017 Jul-Aug;43(5):358-363. doi: 10.1016/j.semerg.2016.05.007. Epub 2016 Jun 26.
The measurement of the health-related quality of life (HRQoL) is a comprehensive way to estimate the health of both the individual and the community. The aim of this study was to assess changes in health and HRQoL using the intervention strategies «healthy people» and «health promotion programs» of the City Council of Madrid-Madrid Health. The study was conducted in the Municipal Health Centre of Ciudad Lineal, in 2014, and included promotion of exercise, healthy eating, smoking cessation, psycho-hygiene, memory training, and health education for the elderly, with group interventions.
A before and after community trial, with the administration of questionnaire with COOP/WONCA HRQoL charts to 200 participants.
The study population (n=87), included those who completed the first and second questionnaire. Positive changes were seen in the overall before and after COOP/WONCA scores, with a mean change from 23.16 to 21.94, with statistical significance, p≤0.002. In the psychology groups, it changed from 28.14 to 23.57 with a p≤0.05, and healthy eating from 22.81 to 20.85, with p≤0.03. In the health education groups it changed from 21 to 20.81 points, and in memory training from 23.31 to 22.45 points (both without significance).
The significant improvement in scores reflects a positive change in self-perceived health of this community after the intervention and proper operation of programs. The areas directly related to health and interventions in psychology and nutrition-exercise, are those with the most significant changes.