 visitant ::
identificació
|
|||||||||||||||
|
Cerca | Lliura | Ajuda | Servei de Biblioteques | Sobre el DDD | Català English Español | |||||||||
| Pàgina inicial > Articles > Articles publicats > Complex multiple risk intervention to promote healthy behaviours in people between 45 to 75 years attended in primary health care (EIRA study) : |
(Universitat Autònoma de Barcelona) (Universitat Autònoma de Barcelona) (Universitat Autònoma de Barcelona) (Universitat Autònoma de Barcelona) (Generalitat de Catalunya. Departament de Salut) (Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública) (Institut d’Investigació Sanitària Illes Balears) (Instituto de Investigación Biomédica de Salamanca) (University of Salamanca. Department of Biomedical and Diagnostic Sciences) (Universidad Loyola. Departamento de Psicología, Sociología y Trabajo Social) (University of Malaga. Department of Public Health and Psychiatry) (Instituto de Investigación Biomédica de Málaga) (Universitat Autònoma de Barcelona) (Instituto de Investigación Sanitaria Galicia Sur) (Instituto de Investigación Sanitaria de Aragón) (Universitat Autònoma de Barcelona)
| Data: | 2018 |
| Resum: | Health promotion is a key process of current health systems. Primary Health Care (PHC) is the ideal setting for health promotion but multifaceted barriers make its integration difficult in the usual care. The majority of the adult population engages two or more risk behaviours, that is why a multiple intervention might be more effective and efficient. The primary objectives are to evaluate the effectiveness, the cost-effectiveness and an implementation strategy of a complex multiple risk intervention to promote healthy behaviours in people between 45 to 75 years attended in PHC. This study is a cluster randomised controlled hybrid type 2 trial with two parallel groups comparing a complex multiple risk behaviour intervention with usual care. It will be carried out in 26 PHC centres in Spain. The study focuses on people between 45 and 75 years who carry out two or more of the following unhealthy behaviours: tobacco use, low adherence to the Mediterranean dietary pattern or insufficient physical activity level. The intervention is based on the Transtheoretical Model and it will be made by physicians and nurses in the routine care of PHC practices according to the conceptual framework of the "5A's". It will have a maximum duration of 12 months and it will be carried out to three different levels (individual, group and community). Incremental cost per quality-adjusted life year gained measured by the tariffs of the EuroQol-5D questionnaire will be estimated. The implementation strategy is based on the "Consolidated Framework for Implementation Research", a set of discrete implementation strategies and an evaluation framework. EIRA study will determine the effectiveness and cost-effectiveness of a complex multiple risk intervention and will provide a better understanding of implementation processes of health promotion interventions in PHC setting. It may contribute to increase knowledge about the individual and structural barriers that affect implementation of these interventions and to quantify the contextual factors that moderate the effectiveness of implementation. , . Retrospectively registered on May 2, 2017. |
| Ajuts: | Ministerio de Economía y Competitividad PI15/00114 Generalitat de Catalunya SLT002/16/00112 Ministerio de Economía y Competitividad RD12/0005/0001 Ministerio de Economía y Competitividad RD16/0007/0001 |
| Drets: | Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.  |
| Llengua: | Anglès |
| Document: | Article ; recerca ; Versió publicada |
| Matèria: | Complex interventions ; Cost-effectiveness analysis ; Health behaviour ; Health promotion ; Hybrid trial ; Implementation research ; Mediterranean diet ; Physical activity ; Primary health care ; Smoking |
| Publicat a: | BMC public health, Vol. 18 (july 2018) , ISSN 1471-2458 |
