Addressing unmet mental health needs of older adults in Turbo, Colombia: a multi-component psychosocial intervention feasibility study

Abstract Background Older adults have lived through extreme and stressful live events in Colombia, including during the armed conflict. Without adequate mental health resources in place, the aim of this study was to feasibility test a co-produced community-integrated intervention for older adults to...

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Main Authors: Clarissa Giebel, Erika Montoya, Gabriel Saldarriaga, Thais Caprioli, Mark Gabbay, Danicza Martinez, Jessica Rua, Maria Isabel Zuluaga
Format: Article
Language:English
Published: BMC 2025-01-01
Series:International Journal for Equity in Health
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Online Access:https://doi.org/10.1186/s12939-025-02381-x
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author Clarissa Giebel
Erika Montoya
Gabriel Saldarriaga
Thais Caprioli
Mark Gabbay
Danicza Martinez
Jessica Rua
Maria Isabel Zuluaga
author_facet Clarissa Giebel
Erika Montoya
Gabriel Saldarriaga
Thais Caprioli
Mark Gabbay
Danicza Martinez
Jessica Rua
Maria Isabel Zuluaga
author_sort Clarissa Giebel
collection DOAJ
description Abstract Background Older adults have lived through extreme and stressful live events in Colombia, including during the armed conflict. Without adequate mental health resources in place, the aim of this study was to feasibility test a co-produced community-integrated intervention for older adults to improve their mental health and well-being in Turbo, Colombia. Methods Based on a systematic review and meta-analysis of community-based mental health interventions for older adults in LMICs, qualitative interviews with older adults and local stakeholders, as well as a mental health needs assessment survey of the local older adult population in Turbo, Colombia, we consulted older adults in the region to co-produce a community-based intervention. The co-produced intervention ran for three months in 2023, with two sessions provided per week in a community centre (26 sessions in total). The multi-component intervention included social engagement, educational interventions, physical activities, and peer support. Older adults were recruited from the local community. Twelve participants were interviewed about their experiences of the intervention and its feasibility. Results Eighteen older adults participated in the intervention, with 13 completing the 12 weeks. Attendance rate was high, with 10 participants attending between 90 to 100% of all 26 sessions. Qualitative interviews with 12 participants showed that participants valued the intervention and the activities it offered, that the intervention was feasible, and expressed a keen interest for the intervention to be continued. Conclusions This co-produced and evidence-based intervention for older victims of ‘La Violencia’ in Colombia has the potential to provide affordable, acceptable and relevant community-based resources supporting mental health and wellbeing within the community; providing care and support with trained facilitation. Normally, this group would not be able to access services to address their social and psychological isolation and distress. In light of limited mental health support across LMICs, this intervention could provide mental health for older adults in other communities in Colombia and elsewhere developed through co-production, cultural adaptation, subject to further evaluation.
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spelling doaj-art-8c56f1574c30497791c8098b8383295e2025-01-26T12:20:42ZengBMCInternational Journal for Equity in Health1475-92762025-01-0124111010.1186/s12939-025-02381-xAddressing unmet mental health needs of older adults in Turbo, Colombia: a multi-component psychosocial intervention feasibility studyClarissa Giebel0Erika Montoya1Gabriel Saldarriaga2Thais Caprioli3Mark Gabbay4Danicza Martinez5Jessica Rua6Maria Isabel Zuluaga7Department of Primary Care & Mental Health, University of LiverpoolNational School of Public Health, University of AntioquiaNational School of Public Health, University of AntioquiaDepartment of Primary Care & Mental Health, University of LiverpoolDepartment of Primary Care & Mental Health, University of LiverpoolNational School of Public Health, University of AntioquiaNational School of Public Health, University of AntioquiaNational School of Public Health, University of AntioquiaAbstract Background Older adults have lived through extreme and stressful live events in Colombia, including during the armed conflict. Without adequate mental health resources in place, the aim of this study was to feasibility test a co-produced community-integrated intervention for older adults to improve their mental health and well-being in Turbo, Colombia. Methods Based on a systematic review and meta-analysis of community-based mental health interventions for older adults in LMICs, qualitative interviews with older adults and local stakeholders, as well as a mental health needs assessment survey of the local older adult population in Turbo, Colombia, we consulted older adults in the region to co-produce a community-based intervention. The co-produced intervention ran for three months in 2023, with two sessions provided per week in a community centre (26 sessions in total). The multi-component intervention included social engagement, educational interventions, physical activities, and peer support. Older adults were recruited from the local community. Twelve participants were interviewed about their experiences of the intervention and its feasibility. Results Eighteen older adults participated in the intervention, with 13 completing the 12 weeks. Attendance rate was high, with 10 participants attending between 90 to 100% of all 26 sessions. Qualitative interviews with 12 participants showed that participants valued the intervention and the activities it offered, that the intervention was feasible, and expressed a keen interest for the intervention to be continued. Conclusions This co-produced and evidence-based intervention for older victims of ‘La Violencia’ in Colombia has the potential to provide affordable, acceptable and relevant community-based resources supporting mental health and wellbeing within the community; providing care and support with trained facilitation. Normally, this group would not be able to access services to address their social and psychological isolation and distress. In light of limited mental health support across LMICs, this intervention could provide mental health for older adults in other communities in Colombia and elsewhere developed through co-production, cultural adaptation, subject to further evaluation.https://doi.org/10.1186/s12939-025-02381-xMental healthAgeingCommunity
spellingShingle Clarissa Giebel
Erika Montoya
Gabriel Saldarriaga
Thais Caprioli
Mark Gabbay
Danicza Martinez
Jessica Rua
Maria Isabel Zuluaga
Addressing unmet mental health needs of older adults in Turbo, Colombia: a multi-component psychosocial intervention feasibility study
International Journal for Equity in Health
Mental health
Ageing
Community
title Addressing unmet mental health needs of older adults in Turbo, Colombia: a multi-component psychosocial intervention feasibility study
title_full Addressing unmet mental health needs of older adults in Turbo, Colombia: a multi-component psychosocial intervention feasibility study
title_fullStr Addressing unmet mental health needs of older adults in Turbo, Colombia: a multi-component psychosocial intervention feasibility study
title_full_unstemmed Addressing unmet mental health needs of older adults in Turbo, Colombia: a multi-component psychosocial intervention feasibility study
title_short Addressing unmet mental health needs of older adults in Turbo, Colombia: a multi-component psychosocial intervention feasibility study
title_sort addressing unmet mental health needs of older adults in turbo colombia a multi component psychosocial intervention feasibility study
topic Mental health
Ageing
Community
url https://doi.org/10.1186/s12939-025-02381-x
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