Uemura, Yamada, Okamoto (2021)
Japan |
Randomized clinical trial/level 2 |
Active learning program on literacy/health education, lifestyle behaviors, physical function and mental health |
Improved literacy/health education, engagement in moderate to vigorous physical activity, food variety, mobility in the living space, expanding the social network and depressive symptoms |
Risco et al. (2020)
Asturias. |
Quasi-experimental study, non-randomized/level 3 |
Self-care and mindfulness intervention program (PAMAP), led by PHC nurses |
Implementation of PAMAP can be effective in reducing symptoms of anxiety and depression and drug use |
| Anjara et al. (2019) Indonesia |
Randomized clinical trial/level 2 |
Additional Mental Health Training Program for Pairs of General Practitioners and Nurses (WHO MHGAP) in PHC |
General Practitioners supported by PHC nurses could effectively manage mild to moderate mental health problems; it indicates lower costs and better results when this integration of specialists in Primary Care takes place |
Dias et al. (2019)
India |
Randomized clinical trial/level 2 |
Problem solving therapy; brief behavioral treatment for insomnia; education in self-care and assistance in accessing social programs. All these interventions were performed by lay people |
Reduction in the incidence of Severe Depression and depressive symptoms |
Dantas et al. (2019)
Brazil |
Longitudinal, quasi-experimental study/level 3 |
Multidimensional interventions using active methodologies with the elderly in PHC. |
Reduction of depressive symptoms, significant improvement in mental health, general perceptions of health and physical function in the elderly |
Brunozi et al. (2019)
Brazil |
Qualitative, descriptive and reflective/level 6 |
Therapeutic community group |
Reduction of the stigma related to mental illness, optimization of relational care technologies, low cost and accessible to professionals |
Hills et al. (2019)
Australia |
Cross-sectional quantitative study/level 6 |
Routine assessment of anxiety using the “Geriatric Anxiety Inventory” |
Good acceptance by PHC medical professionals |
| International viability in low-, middle- and high-income global communities |
| PHC in Australia is a fertile scenario to adopt such an instrument in routine care |
| Mental health nurses stand out as crucial in supporting PHC nurses |
| Disease prevention and health protection actions offer low cost |
| Provides better quality of life around the world for people's health throughout life |
Previato et al. (2019)
Brazil |
Qualitative, exploratory-descriptive/level 6 |
Elderly community group for active aging |
Opportunity for socializing leisure, |
| Potent learning space for senior citizens |
| The importance of the Community Group in the process of health and active aging promotion among the elderly |
| Essential for adherence to community groups |
| Damasceno, Sousa (2018) Brazil |
Qualitative, descriptive and reflective/level 6 |
Queries, home visits,
educational actions
|
Mental health care practices based on listening to health needs |
| Professional nurses as the main mediators of care |
| Possibilities of interrupting an evolution towards serious psychic suffering |
Amaral et al. (2018)
Brazil |
Participant observation research and interviews/level 6 |
Matrix support (MS) |
Changes in the attitude of professionals |
| Expanded access to services |
| Development of new care practices |
| Increased effectiveness in PHC |
| MS qualifies attention to Mental Health |
| The perspective of the Community Health Agents (CHAs) is highlighted |
Fisher et al. (2017)
USA |
Before and after clinical trial/level 3 |
Project called ECHO (Extension for Community Healthcare Outcomes) and GEMH (Geriatric Mental Health) - a learning and mentoring program |
It led to improvements in the knowledge and practices of mental health management of the elderly for the clinical medical professional |
| Emergency costs decreased for the elderly diagnosed with mental health disorders |
| High-quality, evidence-based care for older adults and senior citizens with mental health problems |
| Transformation of health care systems in terms of demands and costs aspects |
Tsang et al. (2017)
USA |
Cross-sectional quantitative/level 6 |
Mini mental state examination (MMSE) to help identify people at risk for cognitive decline |
Education is a major factor in cognitive function |
| PHC physicians advanced in identifying elderly people at high risk for cognitive impairment |
Walters et al. (2017)
United Kingdom |
Quasi-experimental, controlled and randomized, multicenter study/level 4 |
Lifestyle intervention among the elderly - the “lifestyle redesign”, adapted to an elderly population in the UK |
Mental well-being, and other dimensions of health |
| Little evidence of clinical or cost-effectiveness in the recruited population |
| Reductions in aspects of emotional loneliness |
| Relationships and social networks established between the participants |
Wanderbroocke et al. (2016)
Brazil |
Experience report/level 7 |
Memory workshops |
Favored the perception of new ways to stimulate memory in daily life |
| Stimulus for self-care |
| Perception of the capacity to carry out group activities |
| Benefits to self-esteem |
| Strengthening socialization spaces |
| Strengthening of bonds |
| Feeling of belonging to the group |
| Resignification of the aging process |
| Position and importance in the family |
| Decreased isolation of the elderly |
Fuller et al. (2015)
Australia |
Participatory mixed methods case study/level 7 |
Facilitated reflection management model on the network feedback as a means of engaging services in problem solving, offering integrated primary health care to the elderly |
Efficiency of facilitated reflection, considering the variety of issues identified through feedback from network data, such as conflicts of interest in services and conflicts of roles |
| The local services recognized themselves as a network and started communication and referral movements |
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Source: Authors.