{"id":31167,"date":"2025-04-11T14:52:25","date_gmt":"2025-04-11T12:52:25","guid":{"rendered":"https:\/\/www.fsyc.org\/actualitat\/programa-preserva-una-intervencion-innovadora-para-mejorar-la-recuperacion-en-mayores-de-45-anos\/"},"modified":"2025-04-11T14:53:50","modified_gmt":"2025-04-11T12:53:50","slug":"programa-preserva-una-intervencio-innovadora-per-millorar-la-recuperacio-en-mes-grans-de-45-anys","status":"publish","type":"post","link":"https:\/\/www.fsyc.org\/ca\/actualitat\/programa-preserva-una-intervencio-innovadora-per-millorar-la-recuperacio-en-mes-grans-de-45-anys\/","title":{"rendered":"Programa PRESERVA: una intervenci\u00f3 innovadora per millorar la recuperaci\u00f3 en m\u00e9s grans de 45 anys"},"content":{"rendered":"<blockquote>\n<p style=\"text-align: justify;\"><strong><span>El consum prolongat de drogues en persones m\u00e9s grans de 45 anys no nom\u00e9s genera problemes de salut f\u00edsica i mental, sin\u00f3 que tamb\u00e9 t\u00e9 un impacte significatiu en les seves funcions cognitives. Amb l&#8217;objectiu d&#8217;abordar aquesta problem\u00e0tica, la Fundaci\u00f3 Salut i Comunitat (FSC) ha desenvolupat el programa PRESERVA, una iniciativa pionera centrada en l&#8217;avaluaci\u00f3 i la millora de les capacitats cognitives en persones en tractament per drogodepend\u00e8ncies.<\/span><\/strong><\/p>\n<\/blockquote>\n<p style=\"text-align: justify;\"><span>L&#8217;informe de la fase explorat\u00f2ria del Projecte PRESERVA, realitzat per l&#8217;\u00c0rea d&#8217;Adiccions, G\u00e8nere i Fam\u00edlia de FSC, en col\u00b7laboraci\u00f3 amb l&#8217;equip d&#8217;avaluaci\u00f3 i investigaci\u00f3 de la Direcci\u00f3 T\u00e8cnica i Promoci\u00f3 de Projectes de la nostra entitat, ha perm\u00e8s analitzar una s\u00e8rie de resultats i aspectes clau, despr\u00e9s de la implementaci\u00f3 del programa duta a terme al llarg del 2024.<\/span><\/p>\n<p style=\"text-align: justify;\"><span>En concret, la implementaci\u00f3 del programa ha tingut lloc a la Comunitat Terap\u00e8utica Can Coll, on s&#8217;ha treballat amb una mostra inicial de 14 participants majors de 45 anys. Per avaluar l&#8217;estat cognitiu d&#8217;aquestes persones, s&#8217;han fet servir dues eines fonamentals: el Test Cognitiu de Montreal (MoCA), que mesura aspectes com la mem\u00f2ria, l&#8217;orientaci\u00f3 i l&#8217;atenci\u00f3, i l&#8217;Inventari de S\u00edmptomes Prefrontals (ISP-20), que avalua la funci\u00f3 executiva i la capacitat de presa de decisions.<\/span><\/p>\n<p style=\"text-align: justify;\"><span>Els resultats inicials del MoCA no mostren difer\u00e8ncies estad\u00edsticament significatives entre menors i m\u00e9s grans de 45 anys, si b\u00e9 s\u00ed que s&#8217;observa una tend\u00e8ncia preocupant en la poblaci\u00f3 gran, amb puntuacions m\u00e9s baixes que podrien indicar un deteriorament cognitiu lleu. D&#8217;altra banda, en l&#8217;avaluaci\u00f3 de l&#8217;ISP-20 s\u00ed que s&#8217;han trobat difer\u00e8ncies destacades en les funcions executives, amb m\u00e9s dificultats en atenci\u00f3, motivaci\u00f3 i presa de decisions en el grup de m\u00e9s edat.<\/span><\/p>\n<p style=\"text-align: justify;\"><span>Amb aquestes dades com a punt de partida, es va dissenyar una intervenci\u00f3 centrada a millorar aquestes funcions, a trav\u00e9s de sessions grupals d&#8217;estimulaci\u00f3 cognitiva, combinades amb ter\u00e0pia individual i seguiment multidisciplinari.<\/span><\/p>\n<p style=\"text-align: justify;\"><span>Despr\u00e9s de la implementaci\u00f3 del programa, els resultats han estat molt positius. A l&#8217;avaluaci\u00f3 posttractament, es va observar una millora significativa en la puntuaci\u00f3 del MoCA, que va passar de 23,3 a 25,6 punts, acostant-se als valors normals de refer\u00e8ncia. En el cas de l&#8217;ISP-20, les puntuacions van disminuir notablement, cosa que indica una millora en la capacitat de planificaci\u00f3, control emocional i presa de decisions. A m\u00e9s, s&#8217;han registrat millores en altres \u00e0rees fonamentals per a la recuperaci\u00f3 d&#8217;aquestes persones.<\/span><\/p>\n<p style=\"text-align: justify;\"><span>D&#8217;altra banda, es van analitzar una s\u00e8rie de variables rellevants extretes de l&#8217;avaluaci\u00f3 estandarditzada que es fa habitualment en aquest dispositiu, com ara la qualitat de vida, l&#8217;ansietat, la depressi\u00f3, la impulsivitat o l&#8217;alian\u00e7a terap\u00e8utica, per assenyalar-ne alguns exemples. Els principals resultats reflecteixen que la intervenci\u00f3 va tenir un impacte positiu en la qualitat de vida, l&#8217;ansietat i la impulsivitat, amb millores significatives en aquestes \u00e0rees. Tot i aix\u00f2, encara que hi va haver una reducci\u00f3 en els s\u00edmptomes depressius, aquesta no va ser estad\u00edsticament significativa.<\/span><\/p>\n<p style=\"text-align: justify;\"><span>Aix\u00ed mateix, per garantir la validesa dels resultats, es va seleccionar un grup control integrat per persones majors de 45 anys ateses en aquesta mateixa comunitat per\u00f2 que no van participar al programa, assegurant que no hi hagu\u00e9s difer\u00e8ncies significatives en edat, g\u00e8nere o estat inicial respecte al grup experimental. Despr\u00e9s de la intervenci\u00f3, els resultats van mostrar millores notables al grup que va rebre el tractament, especialment en qualitat de vida, reducci\u00f3 de l&#8217;ansietat i disminuci\u00f3 de la impulsivitat, amb canvis significativament m\u00e9s grans que els del grup control.<\/span><\/p>\n<p style=\"text-align: justify;\"><span>Tot i aix\u00f2, encara que els s\u00edmptomes de depressi\u00f3 tamb\u00e9 van disminuir, aquesta millora no va ser prou determinant a nivell estad\u00edstic. Tot i aquests resultats encoratjadors, el redu\u00eft nombre de participants suggereix que futurs estudis amb mostres m\u00e9s \u00e0mplies podrien proporcionar una confirmaci\u00f3 m\u00e9s s\u00f2lida de l&#8217;impacte del programa.<\/span><\/p>\n<p style=\"text-align: justify;\"><span>Pel que fa a la valoraci\u00f3 dels mateixos usuaris\/\u00e0ries, les dades reflecteixen un alt nivell de satisfacci\u00f3 amb la intervenci\u00f3. El 100% dels participants va afirmar que la ter\u00e0pia es va adaptar a les necessitats i el 92,3% va percebre millores en la seva situaci\u00f3 general. A m\u00e9s, m\u00e9s del 76% va manifestar sentir-se m\u00e9s \u00e0gil mentalment despr\u00e9s de la intervenci\u00f3.<\/span><\/p>\n<p style=\"text-align: justify;\"><span>Aquests resultats reforcen la idea que les estrat\u00e8gies de tractament en drogodepend\u00e8ncies s&#8217;han d&#8217;adaptar a les necessitats dels diferents grups d&#8217;edat. L&#8217;experi\u00e8ncia de FSC amb el programa PRESERVA demostra que una intervenci\u00f3 espec\u00edfica centrada en el deteriorament cognitiu i la funci\u00f3 executiva pot marcar una gran difer\u00e8ncia en la recuperaci\u00f3 de persones de m\u00e9s de 45 anys.<\/span><\/p>\n<p style=\"text-align: justify;\"><span>L&#8217;\u00e8xit d&#8217;aquesta primera fase suggereix que el programa es podria consolidar com un model de refer\u00e8ncia en el tractament d&#8217;addiccions en poblaci\u00f3 m\u00e9s gran. En els propers anys, la Fundaci\u00f3 Salut i Comunitat espera poder ampliar la seva aplicaci\u00f3 a altres centres i continuar perfeccionant les estrat\u00e8gies utilitzades, amb l&#8217;objectiu d&#8217;oferir una resposta efectiva i basada en l&#8217;evid\u00e8ncia cient\u00edfica a una realitat cada cop m\u00e9s present als recursos de tractament.<\/span><\/p>\n<p style=\"text-align: justify;\">\n","protected":false},"excerpt":{"rendered":"<p>El consum prolongat de drogues en persones m\u00e9s grans de 45 anys no nom\u00e9s genera problemes de salut f\u00edsica i [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":30007,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[906,1071],"tags":[],"class_list":["post-31167","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-actualitat","category-addiccions"],"yoast_head":"<!-- This site is optimized 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