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

@article{ZabaletadelOlmo2018ComplexMR,
  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},
  author={Edurne Zabaleta-del-Olmo and Haizea Pombo and Mariona Pons-Vigu{\'e}s and Marc Casajuana-Closas and Enriqueta Pujol-Ribera and Tom{\`a}s L{\'o}pez-Jim{\'e}nez and Carmen Cabezas-Pe{\~n}a and Carme Mart{\'i}n-Borr{\`a}s and Antoni Serrano-Blanco and Maria Rubio-Valera and Joan Llobera and Alfonso Leiva and Caterina Vicens and Clara Vidal and Manuel Campi{\~n}ez and Remedios Mart{\'i}n-{\'A}lvarez and Jos{\'e} Angel Maderuelo and Jos{\'e}-Ignacio Recio and Luis Garc{\'i}a-Ort{\'i}z and Emma Motrico and Juan {\'A}ngel Bell{\'o}n and Patricia Moreno-Peral and Carlos Mart{\'i}n-Cantera and Ana Claver{\'i}a and Susana Aldecoa-Landesa and Rosa Magall{\'o}n-Botaya and Bonaventura Bolibar},
  journal={BMC Public Health},
  year={2018},
  volume={18}
}
BackgroundHealth 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… 

Cost-effectiveness analysis of a multiple health behaviour change intervention in people aged between 45 and 75 years: a cluster randomized controlled trial in primary care (EIRA study)

TLDR
The efficiency of EIRA intervention cannot be fully established and its recommendation should be conditioned by results on medium-long term effects, as shown in the cost-utility and cost-effectiveness analysis.

Multiple health behaviour change primary care intervention for smoking cessation, physical activity and healthy diet in adults 45 to 75 years old (EIRA study): a hybrid effectiveness-implementation cluster randomised trial

TLDR
Compared to usual care, the EIRA intervention was more effective in promoting MHBC and dietary behaviour change and implementation outcomes were satisfactory except for the fidelity to the planned intervention, which was low.

Effectiveness of a Multicomponent Intervention in Primary Care That Addresses Patients with Diabetes Mellitus with Two or More Unhealthy Habits, Such as Diet, Physical Activity or Smoking: Multicenter Randomized Cluster Trial (EIRA Study)

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The multicomponent individual, group and community interventions only showed a statistically significant improvement in adhering to Mediterranean diet, physical activity, sedentary lifestyle, smoking and quality of life.

Effectiveness of complex multiple-risk lifestyle interventions in reducing symptoms of depression: a study protocol for a systematic review and meta-analysis of randomised controlled trials

TLDR
The results of this systematic review and meta-analysis of randomised controlled trials of complex multiple-risk lifestyle interventions in reducing depressive symptoms in the adult population by the acquisition of at least two healthy habits could have important clinical and scientific implications for the improvement of symptoms of depression.

Implementation of the EIRA 3 Intervention by Targeting Primary Health Care Practitioners: Effectiveness in Increasing Physical Activity

TLDR
It is concluded that the intervention did not lead to a significant increase in PA and an increased proportion of patients in the intervention group who followed the WHO recommendations for PA.

The Relationship between Adherence to the Mediterranean Diet, Intake of Specific Foods and Depression in an Adult Population (45–75 Years) in Primary Health Care. A Cross-Sectional Descriptive Study

TLDR
Assessing the type of diet of patients presenting depressive symptoms and promoting adherence to a healthy diet is important, especially in patients with chronic diseases, however, depression is a very complex issue and the relationship between nutrition and depression must be further examined.

Health-care users, key community informants and primary health care workers’ views on health, health promotion, health assets and deficits: qualitative study in seven Spanish regions

TLDR
It is considered crucial to depart from the model of health services that focuses on the individual and the disease toward a socio-ecological health model that substantially increases the participation of health-care users and emphasizes health promotion, wellbeing and community participation.

Correction to: 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

It has been highlighted the original article (1) contained a typesetting mistake in the authorship, and that author Caterine Vicens was omitted.

Health status, lifestyle habits, and perceived social support in long-term cancer survivors: a cross-sectional study

Objective To compare the presence of comorbidities and self-perceived health and social support between long-term cancer survivors and people without a history of cancer from a clinical trial

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