Publication:
Complex multiple risk intervention to promote healthy behaviours in people between 45 to 75 years attended in primary health care (EIRA study): study protocol for a hybrid trial.

dc.contributor.authorZabaleta-Del-Olmo, Edurne
dc.contributor.authorPombo, Haizea
dc.contributor.authorPons-Vigués, Mariona
dc.contributor.authorCasajuana-Closas, Marc
dc.contributor.authorPujol-Ribera, Enriqueta
dc.contributor.authorLópez-Jiménez, Tomás
dc.contributor.authorCabezas-Peña, Carmen
dc.contributor.authorMartín-Borràs, Carme
dc.contributor.authorSerrano-Blanco, Antoni
dc.contributor.authorRubio-Valera, Maria
dc.contributor.authorLlobera, Joan
dc.contributor.authorLeiva, Alfonso
dc.contributor.authorVicens, Caterina
dc.contributor.authorVidal, Clara
dc.contributor.authorCampiñez, Manuel
dc.contributor.authorMartín-Álvarez, Remedios
dc.contributor.authorMaderuelo, José-Ángel
dc.contributor.authorRecio, José-Ignacio
dc.contributor.authorGarcía-Ortiz, Luis
dc.contributor.authorMotrico, Emma
dc.contributor.authorBellón, Juan-Ángel
dc.contributor.authorMoreno-Peral, Patricia
dc.contributor.authorMartín-Cantera, Carlos
dc.contributor.authorClavería, Ana
dc.contributor.authorAldecoa-Landesa, Susana
dc.contributor.authorMagallón-Botaya, Rosa
dc.contributor.authorBolíbar, Bonaventura
dc.date.accessioned2023-01-25T10:20:53Z
dc.date.available2023-01-25T10:20:53Z
dc.date.issued2018-07-13
dc.description.abstractHealth 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. ClinicalTrials.gov , NCT03136211 .Retrospectively registered on May 2, 2017.
dc.identifier.doi10.1186/s12889-018-5805-y
dc.identifier.essn1471-2458
dc.identifier.pmcPMC6045838
dc.identifier.pmid30005705
dc.identifier.pubmedURLhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6045838/pdf
dc.identifier.unpaywallURLhttps://doi.org/10.1186/s12889-018-5805-y
dc.identifier.urihttp://hdl.handle.net/10668/12707
dc.issue.number1
dc.journal.titleBMC public health
dc.journal.titleabbreviationBMC Public Health
dc.language.isoen
dc.organizationMálaga
dc.organizationValle del Guadalhorce
dc.organizationInstituto de Investigación Biomédica de Málaga-IBIMA
dc.page.number874
dc.pubmedtypeJournal Article
dc.pubmedtypeRandomized Controlled Trial
dc.pubmedtypeResearch Support, Non-U.S. Gov't
dc.rightsAttribution 4.0 International
dc.rights.accessRightsopen access
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectComplex interventions
dc.subjectCost-effectiveness analysis
dc.subjectHealth behaviour
dc.subjectHealth promotion
dc.subjectHybrid trial
dc.subjectImplementation research
dc.subjectMediterranean diet
dc.subjectPhysical activity
dc.subjectPrimary health care
dc.subjectSmoking
dc.subject.meshAged
dc.subject.meshCost-Benefit Analysis
dc.subject.meshFemale
dc.subject.meshHealth Behavior
dc.subject.meshHealth Promotion
dc.subject.meshHealth Risk Behaviors
dc.subject.meshHumans
dc.subject.meshMale
dc.subject.meshMiddle Aged
dc.subject.meshPrimary Health Care
dc.subject.meshProgram Evaluation
dc.subject.meshResearch Design
dc.subject.meshSpain
dc.subject.meshSurveys and Questionnaires
dc.titleComplex multiple risk intervention to promote healthy behaviours in people between 45 to 75 years attended in primary health care (EIRA study): study protocol for a hybrid trial.
dc.typeresearch article
dc.type.hasVersionVoR
dc.volume.number18
dspace.entity.typePublication

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