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.author
dc.date.accessioned
2019-09-24T10:45:51Z
dc.date.available
2019-09-24T10:45:51Z
dc.date.issued
2018-07-13
dc.identifier.issn
1471-2458
dc.identifier.uri
dc.description.abstract
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.
Methods
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.
Discussion
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
dc.description.sponsorship
This project is funded by the Institute of Health Carlos III, Ministry of Economy
and Competitiveness (Spain), with a grant for research projects on health (PI15/
00114) through the Network for Prevention and Health Promotion in Primary
Care (redIAPP, RD12/0005/0001; RD16/0007/0001), and by European Union
ERDF funds, (European Regional Development Fund). This study was also
funded by the Health Department (SLT002/16/00112) from the Generalitat of
Catalunya
dc.format.mimetype
application/pdf
dc.language.iso
eng
dc.publisher
BioMed Central
dc.relation.isformatof
Reproducció digital del document publicat a: https://doi.org/10.1186/s12889-018-5805-y
dc.relation.ispartof
BMC Public Health, 2018, vol. 18, art. núm. 874
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Articles publicats (D-I)
dc.rights
Attribution 4.0 International
dc.rights.uri
dc.title
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.type
info:eu-repo/semantics/article
dc.rights.accessRights
info:eu-repo/semantics/openAccess
dc.type.version
info:eu-repo/semantics/publishedVersion
dc.identifier.doi
dc.identifier.idgrec
029572
dc.type.peerreviewed
peer-reviewed