Aging Clinical Trial
Official title:
Promoting Self-Management, Health Literacy And Social Capital In Socioeconomically Disadvantaged Older Adults To Reduce Later Life Health Inequalities: A Randomized Clinical Trial
Motivations:
Socio‐economic and education determinants have a big impact on health outcomes, in terms of
worse health status in populations living in more disadvantaged conditions. Social capital,
self‐management and health literacy are some of the intermediate determinants, with the
potential to mitigate health inequalities through interventions driven by local health
agents. These three determinants are intensely interlinked and have, separately, impacts on
self‐perceived health. Social capital is defined in this project as an umbrella concept,
which includes quantitative aspects of social resources (structural social capital: social
networks and contacts, social and civic participation) as well as qualitative or subjective
aspects (cognitive social capital: perceived social support, feeling of belonging and trust)
and covers relations between subjects at a micro or individual level (family and friends) as
well as at a macro or community level. Health literacy is understood as cognitive and social
skills which determine the motivation and ability of individuals to gain access to,
understand and use information in ways which promote and maintain good health. Both are key
aspects for self‐management behaviours. The target of our research project are older people
living in urban socioeconomically disadvantaged areas, since ageing is in itself an
inequality axis and urban environments concentrate the highest health disparities.
Objectives: With the aim to reduce health inequality, an intervention has been designed to
promote self‐management, health literacy and social capital among older people who perceived
their health as fair or poor and are living in urban socioeconomically disadvantaged areas
with the aim of improving their self‐perceived health. Secondarily, the efficacy of the
intervention will be analysed in terms of increasing self‐management, health literacy and
social capital (social support and social participation), quality of life, mental health and
healthy lifestyles.
In third place, behavioural health patterns will be identified in relation to health
literacy, social capital, gender, socioeconomic and educational level, and they will be
linked to the intervention efficacy levels.
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