Impacto de una intervención multisectorial comunitaria en la salud de las personas con enfermedad de Parkinson y sus familiares cuidadores
Year: 2026
Type: article
Abstract: OBJECTIVE: To evaluate the impact of a community-based multisectoral intervention aimed at optimizing the use of local resources on the quality of life (QoL), perceived social support, and health status of individuals with Parkinson's disease (PD) and their family caregivers. METHODS: A randomized pre-post intervention study was conducted across six primary healthcare centers. The intervention comprised three monthly informational sessions over a three-month period, targeting both patients and caregivers, focused on raising awareness of available community resources and services. Outcome measures included QoL in individuals with PD (PDQ-39) and caregivers (PDQ-Carer), perceived social support (DUFSS), health status (EQ-5D-5L), and caregiver burden (BSFC-s). RESULTS: A total of 67 individuals with PD (mean age: 80.56 years in the intervention group [IG], 79.48 in the control group [CG]) and 56 family caregivers participated. The CG demonstrated statistically significant improvements in QoL in individuals with PD across the domains of emotional well-being (P=.011), cognitive functioning (P=.024), and communication (P=.041). Among caregivers, the CG also reported better scores in the self-care domain (P=.045). Attrition rates were 28.4% among individuals with PD and 25% among caregivers. CONCLUSIONS: This feasibility study facilitated the identification of community resources relevant to the target population. Expanding the resource mapping to additional districts and disseminating the information through public repositories could enhance the clinical applicability of the intervention. These findings support the potential for scaling up to a larger randomized controlled trial with an extended intervention period.
Source: Medicina de Familia SEMERGEN
Authors: M. Calzada García, A. Ayala, M.V. Navarta Sánchez, A.M. Palmar Santos, M.C. Portillo, B. González García, E. Carabajal Pendón, L. López Manzanares, A. Pedraz Marcos
Institutions: Instituto de Salud Carlos III, Unidad de Investigación en cuidados y servicios de salud (Investén-isciii), Instituto de Biomedicina de Sevilla, Hospital Universitario Virgen del Rocío, Universidad de Sevilla, Universidad Autónoma de Madrid, National Institute for Health and Care Research, University of Southampton, Hospital Universitario de La Princesa
Language: English
Subfield: Neurology
Field: Medicine
Domain: Health Sciences
Open Access status: hybrid
Estimated APC paid: $1,860
OpenAlex ID: W7129347648
