ArticleBMC research notes2016
Effects of an integrated neighborhood approach on older people's (health-related) quality of life and well-being.
Article in BMC research notes, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The effectiveness of alternatives to residential care for older people with on-going health and social care needs: a systematic review.BMC geriatrics · 2026Pooled it
- Fundamentals of healthcare delivery science for the non-health systems scientist: the final step in translational research for late-life psychiatric and neurocognitive disorders.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026Review
- Aging towards walkable futures: insights from a multidisciplinary workshop held in Barcelona, Spain.BMC public health · 2025Article
- Friendly Residential Environments and Subjective Well-Being in Older People with and without Help Needs.International journal of environmental research and public health · 2022Article
- Assessing Quality of Life with Community Dwelling Elderly Adults: A Mass Survey in Taiwan.International journal of environmental research and public health · 2022Article
- Review
- Age-friendly neighbourhoods and physical activity of older Surinamese individuals in Rotterdam, the Netherlands.PloS one · 2022Article
- The Social Housing Crisis and the Barriers to Developing Dementia-Friendly Communities in Chile.Frontiers in public health · 2021Article
- Personal preferences of participation in fall prevention programmes: a descriptive study.BMC geriatrics · 2020Article
- Association of Formal and Informal Social Support With Health-Related Quality of Life Among Chinese Rural Elders.International journal of environmental research and public health · 2020Article
- Enabling and disabling behaviors in the social environment are associated with physical Activity of older people in the Netherlands.BMC public health · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIntegrated neighborhood approaches (INAs) are increasingly advocated to reinforce formal and informal community networks and support community-dwelling older people. They aim to augment older people's self-management abilities and engage informal networks before seeking professional support. INAs' effectiveness however remains unknown. We evaluated an INA's effects on older people's (health-related) quality of life (HRQoL) and well-being in Rotterdam.
methodsWe used a matched quasi-experimental design comparing INA with "usual" care and support. Community-dwelling frail older (70+ years) people and frailty- and gender-matched control subjects (n = 186 each) were followed over a 1-year period (measurements at baseline and 6 and 12 months). Primary outcomes were HRQoL (EQ-5D-3L, SF-20) and well-being [social production function instrument for the level of well-being (SPF-IL)]. The effect of INA was analysed using an "intention to treat" and an "as treated" approach.
resultsThe results indicated that pre-intervention participants had lower incomes and were significantly older, more often single, less educated and more likely to have ≥1 disease than control subjects; they had lower well-being, physical functioning, role functioning, and mental health. Generalized linear mixed modelling of repeated measurements revealed no substantial difference in well-being or HRQoL between the intervention and control group after 1 year. The small differences we did find in the intention to treat group though were in favour of the control subjects (SF-20 = 6.98, 95 % confidence interval [CI] = 2.45-11.52; SPF-IL = .09, 95 % CI = .01-.17). However, the difference in well-being (SPF-IL) disappeared in the as treated analysis.
conclusionsThe lack of effects of INA highlights the complexity of integrated care and support initiatives. Barriers associated with meeting the complex, varied needs of frail older people, and those related to dynamic political and social climates challenge initiative effectiveness. Trial registration The research was supported with a grant provided by the Netherlands Organisation for Health Research and Development (ZonMw, project number 314030201) as part of the National Care for the Elderly Programme.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.