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| Pàgina inicial > Articles > Articles publicats > Multiple health behaviour change primary care intervention for smoking cessation, physical activity and healthy diet in adults 45 to 75 years old (EIRA study) : |
(Universitat Autònoma de Barcelona) (Universitat Autònoma de Barcelona) (Institut Universitari d'Investigació en Atenció Primària Jordi Gol) (Servei Català de la Salut) (Universitat Autònoma de Barcelona) (Generalitat de Catalunya. Departament de Salut) (Parc Hospitalari Martí Julià (Girona)) (Universidad Loyola) (Universidad Loyola) (Servicio Territorial de Sanidad de León (Castilla i Lleó)) (Universidad de Salamanca) (Universitat Autònoma de Barcelona) (Institut de Recerca Sant Joan de Déu) (Institut de Recerca Sant Joan de Déu) (Instituto de Investigación Sanitaria Galicia Sur) (Instituto de Investigación Sanitaria de Aragón) (Universidad de Málaga) (Universitat de Girona) (Instituto de Investigación Biomédica de Málaga) (Instituto de Investigación Sanitaria de las Illes Balears) (Universitat Autònoma de Barcelona)
| Data: | 2021 |
| Resum: | This study aimed to evaluate the effectiveness of a) a Multiple Health Behaviour Change (MHBC) intervention on reducing smoking, increasing physical activity and adherence to a Mediterranean dietary pattern in people aged 45-75 years compared to usual care; and b) an implementation strategy. A cluster randomised effectiveness-implementation hybrid trial-type 2 with two parallel groups was conducted in 25 Spanish Primary Health Care (PHC) centres (3062 participants): 12 centres (1481 participants) were randomised to the intervention and 13 (1581 participants) to the control group (usual care). The intervention was based on the Transtheoretical Model and focused on all target behaviours using individual, group and community approaches. PHC professionals made it during routine care. The implementation strategy was based on the Consolidated Framework for Implementation Research (CFIR). Data were analysed using generalised linear mixed models, accounting for clustering. A mixed-methods data analysis was used to evaluate implementation outcomes (adoption, acceptability, appropriateness, feasibility and fidelity) and determinants of implementation success. 14. 5% of participants in the intervention group and 8. 9% in the usual care group showed a positive change in two or all the target behaviours. Intervention was more effective in promoting dietary behaviour change (31. 9% vs 21. 4%). The overall adoption rate by professionals was 48. 7%. Early and final appropriateness were perceived by professionals as moderate. Early acceptability was high, whereas final acceptability was only moderate. Initial and final acceptability as perceived by the participants was high, and appropriateness moderate. Consent and recruitment rates were 82. 0% and 65. 5%, respectively, intervention uptake was 89. 5% and completion rate 74. 7%. The global value of the percentage of approaches with fidelity ≥50% was 16. 7%. Eight CFIR constructs distinguished between high and low implementation, five corresponding to the Inner Setting domain. Compared to usual care, the EIRA intervention was more effective in promoting MHBC and dietary behaviour change. Implementation outcomes were satisfactory except for the fidelity to the planned intervention, which was low. The organisational and structural contexts of the centres proved to be significant determinants of implementation effectiveness. , . Registered 2 May 2017, "retrospectively registered". The online version contains supplementary material available at 10. 1186/s12889-021-11982-4. |
| Ajuts: | Ministerio de Economía y Competitividad RD12/0005/0001 Ministerio de Economía y Competitividad RD16/0007/0001 Ministerio de Economía y Competitividad RD16/0007/0002 Ministerio de Economía y Competitividad RD16/0007/0003 Ministerio de Economía y Competitividad RD16/0007/0004 Ministerio de Economía y Competitividad RD16/0007/0005 Ministerio de Economía y Competitividad RD16/0007/0006 Ministerio de Economía y Competitividad RD16/0007/0008 Ministerio de Economía y Competitividad RD16/0007/0009 Ministerio de Economía y Competitividad RD16/0007/0010 Ministerio de Economía y Competitividad RD16/0007/0012 Ministerio de Economía y Competitividad RD16/0007/0013 Ministerio de Economía y Competitividad RD16/0007/0015 Generalitat de Catalunya SLT002/16/00112 Ministerio de Economía y Competitividad PI15/00114 Ministerio de Economía y Competitividad PI15/00565 Ministerio de Economía y Competitividad PI15/00762 Ministerio de Economía y Competitividad PI15/01072 Ministerio de Economía y Competitividad PI15/00896 Ministerio de Economía y Competitividad PI15/01412 Ministerio de Economía y Competitividad PI15/01151 Ministerio de Economía y Competitividad PI15/00519 Ministerio de Economía y Competitividad PI15/01133 |
| 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: | Health behaviour ; Health promotion ; Hybrid trial ; Implementation science ; Mediterranean diet ; Physical activity ; Primary health care ; Smoking cessation |
| Publicat a: | BMC public health, Vol. 21 (december 2021) , ISSN 1471-2458 |
