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García-Padilla FM, Sánchez-Alcón M, Sosa-Cordobés E, Ortega-Galán ÁM, Garrido-Fernández A. Attitude towards health promotion in university students. Construction and validation of a scale. GACETA SANITARIA 2024; 38:102395. [PMID: 38781777 DOI: 10.1016/j.gaceta.2024.102395] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/22/2023] [Revised: 01/31/2024] [Accepted: 02/07/2024] [Indexed: 05/25/2024]
Abstract
OBJECTIVE To construct and validate a questionnaire about the attitude of university students toward health promotion. METHOD A cross-sectional study. A questionnaire of 14 questions was designed and administered to 1486 first-year undergraduates. The principal axes factoring method with oblique rotation was applied and a confirmatory factor analysis was carried out. Reliability was calculated through internal consistency with Cronbach's alpha and item-total correlation for the global scale and its subscales. RESULTS A 14-item scale was constructed, with two dimensions. Its Cronbach's alpha was 0.872, and 0.852, and 0.718 for its subscales. The adjustment values of the confirmatory factor analysis were adequate. CONCLUSIONS The attitude towards health promotion scale has shown to have adequate psychometric properties. It is an instrument that will help to detect referents and health assets for future interventions.
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Samper-Pardo M, Formento-Marín N, Oliván-Blázquez B, León-Herrera S, Benedé-Azagra B. Use of community resources as health assets for rehabilitation of people with Long COVID in northeastern Spain two years after the outbreak of the COVID-19 pandemic: qualitative study. Arch Public Health 2023; 81:125. [PMID: 37415256 DOI: 10.1186/s13690-023-01139-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2022] [Accepted: 06/22/2023] [Indexed: 07/08/2023] Open
Abstract
INTRODUCTION The epidemiology of Post COVID Condition is not yet known. There are different treatment options, but they are not recommended or suitable for all those affected. For this reason and due to the lack of health treatment, many of these patients have tried to carry out their own rehabilitation through the use of community resources. OBJECTIVE The objective of this study is to deepen into the understanding about the use of community resources as assets for health and rehabilitation by people with Long COVID and their utility. METHODOLOGY A qualitative design was carried out with the participation of 35 Long COVID patients, of which 17 subjects were interviewed individually and 18 of them were part of two focus groups. The participating patients were recruited in November and December 2021 from the Primary Health Care centers and through the Association of Long COVID patients of Aragon. The research topics were the use of community resources, before and after their infection by COVID-19, rehabilitation through their use, as well as barriers and strengths for their employment. All analyses were performed iteratively using NVivo software. RESULTS Long COVID patients who have used community resources for rehabilitation have seen an improvement in their physical and mental health. Most of them, specifically those affected, have used green spaces, public facilities, physical or cultural activities and associations. The main barriers identified have been the symptoms themselves and the fear of reinfection, with the main advantage of these activities being the perceived health benefits. CONCLUSION The use of community resources seems to be beneficial in the recovery process of Long COVID patients, so it is necessary to continue delving into this topic and promote the formal use of the Recommendation of Health Assets from Primary healthcare.
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Affiliation(s)
- Mario Samper-Pardo
- Institute for Health Research Aragón (IIS Aragón), C. de San Juan Bosco, 13, Zaragoza, 50009, Spain
| | - Natalia Formento-Marín
- Institute for Health Research Aragón (IIS Aragón), C. de San Juan Bosco, 13, Zaragoza, 50009, Spain
| | - Bárbara Oliván-Blázquez
- Institute for Health Research Aragón (IIS Aragón), C. de San Juan Bosco, 13, Zaragoza, 50009, Spain.
- Department of Psychology and Sociology, University of Zaragoza, Calle de Violante de Hungría, 23, Zaragoza, 50009, Spain.
- Research Network on Chronicity, Primary Care and Health Promotion (RD21/0016/0005), Carlos III Health Institute, Avda. de Monforte de Lemos, 5, Madrid, 28029, Spain.
| | - Sandra León-Herrera
- Institute for Health Research Aragón (IIS Aragón), C. de San Juan Bosco, 13, Zaragoza, 50009, Spain
| | - Belén Benedé-Azagra
- Institute for Health Research Aragón (IIS Aragón), C. de San Juan Bosco, 13, Zaragoza, 50009, Spain
- Research Network on Chronicity, Primary Care and Health Promotion (RD21/0016/0005), Carlos III Health Institute, Avda. de Monforte de Lemos, 5, Madrid, 28029, Spain
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Samper-Pardo M, León-Herrera S, Oliván-Blázquez B, Benedé-Azagra B, Magallón-Botaya R, Gómez-Soria I, Calatayud E, Aguilar-Latorre A, Méndez-López F, Pérez-Palomares S, Cobos-Rincón A, Valero-Errazu D, Sagarra-Romero L, Sánchez-Recio R. Development and Validation of a Mobile Application as an Adjuvant Treatment for People Diagnosed with Long COVID-19: Protocol for a Co-Creation Study of a Health Asset and an Analysis of Its Effectiveness and Cost-Effectiveness. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 20:ijerph20010462. [PMID: 36612782 PMCID: PMC9819090 DOI: 10.3390/ijerph20010462] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/21/2022] [Revised: 12/20/2022] [Accepted: 12/21/2022] [Indexed: 05/29/2023]
Abstract
OBJECTIVE To analyse the overall effectiveness and cost-efficiency of a mobile application (APP) as a community health asset (HA) with recommendations and recovery exercises created bearing in mind the main symptoms presented by patients in order to improve their quality of life, as well as other secondary variables, such as the number and severity of ongoing symptoms, physical and cognitive functions, affective state, and sleep quality. METHODS The first step was to design and develop the technologic community resource, the APP, following the steps involved in the process of recommending health assets (RHA). After this, a protocol of a randomised clinical trial for analysing its effectiveness and cost-efficiency as a HA was developed. The participants will be assigned to: (1st) usual treatment by the primary care practitioner (TAU), as a control group; and (2nd) TAU + use of the APP as a HA and adjuvant treatment in their recovery + three motivational interviews (MI), as an interventional group. An evaluation will be carried out at baseline with further assessments three and six months following the end of the intervention. DISCUSSION Although research and care for these patients are still in their initial stages, it is necessary to equip patients and health care practitioners with tools to assist in their recovery. Furthermore, enhanced motivation can be achieved through telerehabilitation (TR).
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Affiliation(s)
| | | | - Bárbara Oliván-Blázquez
- Department of Psychology and Sociology, University of Zaragoza, 50009 Zaragoza, Spain
- Institute for Health Research Aragon (IISAragon), 50009 Zaragoza, Spain
- Department of Physiatry and Nursing, University of Zaragoza, 50009 Zaragoza, Spain
| | - Belén Benedé-Azagra
- Institute for Health Research Aragon (IISAragon), 50009 Zaragoza, Spain
- Aragones Group of Research in Primary Health Care (GAIAP), 50009 Zaragoza, Spain
| | - Rosa Magallón-Botaya
- Department of Medicine, University of Zaragoza, 50009 Zaragoza, Spain
- Institute for Health Research Aragon (IISAragon), 50009 Zaragoza, Spain
- Aragones Group of Research in Primary Health Care (GAIAP), 50009 Zaragoza, Spain
| | - Isabel Gómez-Soria
- Institute for Health Research Aragon (IISAragon), 50009 Zaragoza, Spain
- Department of Physiatry and Nursing, University of Zaragoza, 50009 Zaragoza, Spain
| | - Estela Calatayud
- Institute for Health Research Aragon (IISAragon), 50009 Zaragoza, Spain
- Department of Physiatry and Nursing, University of Zaragoza, 50009 Zaragoza, Spain
| | - Alejandra Aguilar-Latorre
- Institute for Health Research Aragon (IISAragon), 50009 Zaragoza, Spain
- Aragones Group of Research in Primary Health Care (GAIAP), 50009 Zaragoza, Spain
| | - Fátima Méndez-López
- Institute for Health Research Aragon (IISAragon), 50009 Zaragoza, Spain
- Aragones Group of Research in Primary Health Care (GAIAP), 50009 Zaragoza, Spain
| | - Sara Pérez-Palomares
- Institute for Health Research Aragon (IISAragon), 50009 Zaragoza, Spain
- Department of Physiatry and Nursing, University of Zaragoza, 50009 Zaragoza, Spain
- Aragones Group of Research in Primary Health Care (GAIAP), 50009 Zaragoza, Spain
| | - Ana Cobos-Rincón
- Department of Nursing, University of La Rioja, 26004 Logroño, Spain
| | - Diana Valero-Errazu
- Department of Psychology and Sociology, University of Zaragoza, 50009 Zaragoza, Spain
| | - Lucia Sagarra-Romero
- GAIAS Research Group, Faculty of Health Sciences, University San Jorge, 50830 Zaragoza, Spain
| | - Raquel Sánchez-Recio
- Institute for Health Research Aragon (IISAragon), 50009 Zaragoza, Spain
- Department of Preventive Medicine and Public Health, University of Zaragoza, 50009 Zaragoza, Spain
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de Diego-Cordero R, Tarriño-Concejero L, Vargas-Martínez AM, Muñoz MÁGC. Effects of an educational intervention on nursing students' attitudes towards gypsy women: A non-randomized controlled trial. NURSE EDUCATION TODAY 2022; 113:105383. [PMID: 35508084 DOI: 10.1016/j.nedt.2022.105383] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/04/2021] [Revised: 03/01/2022] [Accepted: 04/24/2022] [Indexed: 06/14/2023]
Abstract
BACKGROUND The cultural differences between health professionals and patients, together with the ethnocentric opinions that some health professionals sometimes hold, generate prejudice and negatively influence the experiences of these groups, for example, the Gypsy population. METHODS We set up a quasi-experimental study to test the efficacy of an educational intervention among 40 nursing students in Spain based on the use of positive references in order to improve the students' attitude towards gypsy women receiving health care. Analysis of comparison of means and correlation analysis were carried out according to the type of variable compared. RESULTS The score in all the items that make up the Prejudicial Attitude Scale (PAT) decreased after the test, which demonstrated that their attitudes had become less prejudiced. The Stereotype Content Model (SCM), the perception of the outgroup and the stereotypes regarding the Roma population as "trustworthy" all improved showing a statistically significant difference between the periods (pre and post educational intervention). CONCLUSION Nursing educators have the opportunity, through theoretical and practical exposure to positive references, to explore the students' experience and perceptions, analyze interventions and change their perceptions of threat, thus contributing to a more inclusive group identity.
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Affiliation(s)
- Rocio de Diego-Cordero
- Research Group CTS 969 Innovation in HealthCare and Social Determinants of Health, Faculty of Nursing, Physiotherapy and Podiatry, University of Seville, 41009 Seville, Spain.
| | - Lorena Tarriño-Concejero
- Research Group CTS-1050: Complex Care, Cronocity and Health Outcome, Faculty of Nursing, Physiotherapy and Podiatry, University of Seville, 41009 Seville, Spain.
| | - Ana Magdalena Vargas-Martínez
- Research Group CTS 969 Innovation in HealthCare and Social Determinants of Health, Faculty of Nursing, Physiotherapy and Podiatry, University of Seville, 41009 Seville, Spain.
| | - Mª Ángeles García-Carpintero Muñoz
- Research Group CTS-1050: Complex Care, Cronocity and Health Outcome, Faculty of Nursing, Physiotherapy and Podiatry, University of Seville, 41009 Seville, Spain.
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Álvarez OS, Ruíz-Cantero MT, Argüelles MV, Margolles M, Cofiño R, Álvarez-Dardet C. Activos de salud, calidad de vida y morbimortalidad de la población en Asturias. Glob Health Promot 2022; 29:207-217. [PMID: 35343291 DOI: 10.1177/17579759211073177] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
INTRODUCCIÓN n promoción de la salud se ha detectado en los últimos años un incremento de investigaciones con enfoques teóricos basados en activos de salud. Pese a los estudios identificados, no se dispone de suficiente evidencia sobre los efectos que diferentes tipos de activos pueden tener en la calidad de vida y en la morbimortalidad de la población. OBJETIVO analizar la relación entre los activos de salud disponibles con indicadores de morbilidad, mortalidad y calidad de vida de la población asturiana en el año 2018. METODOLOGÍA diseño ecológico a partir de datos agregados municipales procedentes de los 78 municipios de Asturias (1.034.960 habitantes). Tras aplicar la definición de activos de salud como aquellas variables que pudieran redundar en una mejora de la salud y del bienestar de los individuos y de las comunidades, se seleccionaron 19 variables de activos agrupados en cuatro categorías: individuales, socioeconómicas, comunitarias e infraestructura. Una vez controladas las variables relacionadas con las características demográficas de la población, se analizó la asociación de los activos con las tasas de morbimortalidad y de calidad de vida. Se desarrollaron 5 modelos predictivos a partir de modelos de regresión lineal múltiple para las variables dependientes: calidad de vida, enfermedades crónicas, mortalidad por todas las causas, mortalidad por enfermedades cardiovasculares (ECV) y por cáncer. RESULTADOS la disponibilidad de recursos sanitarios (beta = 0.474), coberturas sociales (beta = 0.305) y redes de apoyo social (beta = 0.225) constituyen los activos de salud con mayor peso explicativo en los resultados de salud de la población asturiana. Las variables incluidas en los modelos predictivos de calidad de vida (R2 = 0.650) y de mortalidad por ECV (R2 = 0.544) son las que mostraron una mayor capacidad explicativa. CONCLUSIONES la inversión en recursos sociosanitarios y la mejora de redes de apoyo social impulsados desde el ámbito de la salud pública pueden producir importantes mejoras en la salud de la población asturiana.
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Affiliation(s)
- O Suárez Álvarez
- Programa de Doctorado en Ciencias de la Salud, Universidad de Alicante, España.,Dirección de Salud Pública, Asturias Regional Ministry of Health, Oviedo, España
| | - M T Ruíz-Cantero
- Grupo de Investigación Salud Pública, Universidad de Alicante, CIBERESP, Alicante, España
| | - M V Argüelles
- Dirección de Salud Pública, Asturias Regional Ministry of Health, Oviedo, España
| | - M Margolles
- Dirección de Salud Pública, Asturias Regional Ministry of Health, Oviedo, España
| | - R Cofiño
- Dirección de Salud Pública, Asturias Regional Ministry of Health, Oviedo, España
| | - C Álvarez-Dardet
- Grupo de Investigación Salud Pública, Universidad de Alicante, CIBERESP, Alicante, España
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Alberdi-Erice MJ, Rayón-Valpuesta E, Martinez H. Promoting Health in a Rural Community in the Basque Country by Leveraging Health Assets Identified through a Community Health Diagnosis. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19020627. [PMID: 35055446 PMCID: PMC8775813 DOI: 10.3390/ijerph19020627] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/04/2021] [Revised: 12/31/2021] [Accepted: 01/01/2022] [Indexed: 12/04/2022]
Abstract
Salutogenesis focuses on factors that generate health and is a useful construct for identifying factors that promote health and for guiding activities to this end. This article describes health assets identified in a community diagnosis and how to leverage them with actions for improvement to deepen the understanding of this concept and its impact on health promotion. An intervention strategy was designed following the principles of participatory action research (PAR). The study was carried out in Mañaria (Basque Country, Spain) using semi-structured and in-depth interviews, participant observation, desk review, and photographs, alongside different participatory strategies. Twenty-six women were interviewed, 21 of whom were community inhabitants, and five were key informants who worked in public or private institutions. Participant recruitment stopped when data saturation was reached. Data were analysed through discourse analysis, progressive coding, and categorisation. Six meta-categories emerged, and for each of these categories, health assets were identified together with actions to improve the community’s health. The latter were presented by the community to the authorities to trigger specific actions towards improving the health of the community. Identification of health assets led to different actions to improve the health of the community including improving the existing physical and social environments, personal and group skills, and the promotion of physical, social, emotional and cultural well-being.
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Affiliation(s)
- Maria Jose Alberdi-Erice
- Facultad de Medicina y Enfermería, Sección Donostia, Universidad Pública del País Vasco (UPV), 20014 San Sebastián, Spain;
| | - Esperanza Rayón-Valpuesta
- Facultad de Enfermería, Fisioterapia y Podología, Universidad Complutense de Madrid (UCM), 28040 Madrid, Spain
- Correspondence:
| | - Homero Martinez
- Hospital Infantil de Mexico Federico Gómez, Ciudad de Mexico 06720, Mexico;
- Nutrition International, Ottawa, ON K2P 2K3, Canada
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Represas-Carrera F, Couso-Viana S, Méndez-López F, Masluk B, Magallón-Botaya R, Recio-Rodríguez JI, Pombo H, Leiva-Rus A, Gil-Girbau M, Motrico E, Martí-Lluch R, Gude F, Clavería A. 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). INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:5788. [PMID: 34071171 PMCID: PMC8198299 DOI: 10.3390/ijerph18115788] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/20/2021] [Revised: 05/14/2021] [Accepted: 05/24/2021] [Indexed: 12/23/2022]
Abstract
Introduction: We evaluated the effectiveness of an individual, group and community intervention to improve the glycemic control of patients with diabetes mellitus aged 45-75 years with two or three unhealthy life habits. As secondary endpoints, we evaluated the inverventions' effectiveness on adhering to Mediterranean diet, physical activity, sedentary lifestyle, smoking and quality of life. Method: A randomized clinical cluster (health centers) trial with two parallel groups in Spain from January 2016 to December 2019 was used. Patients with diabetes mellitus aged 45-75 years with two unhealthy life habits or more (smoking, not adhering to Mediterranean diet or little physical activity) participated. Centers were randomly assigned. The sample size was estimated to be 420 people for the main outcome variable. Educational intervention was done to improve adherence to Mediterranean diet, physical activity and smoking cessation by individual, group and community interventions for 12 months. Controls received the usual health care. The outcome variables were: HbA1c (main), the Mediterranean diet adherence score (MEDAS), the international diet quality index (DQI-I), the international physical activity questionnaire (IPAQ), sedentary lifestyle, smoking ≥1 cigarette/day and the EuroQuol questionnaire (EVA-EuroQol5D5L). Results: In total, 13 control centers (n = 356) and 12 intervention centers (n = 338) were included with similar baseline conditions. An analysis for intention-to-treat was done by applying multilevel mixed models fitted by basal values and the health center: the HbA1c adjusted mean difference = -0.09 (95% CI: -0.29-0.10), the DQI-I adjusted mean difference = 0.25 (95% CI: -0.32-0.82), the MEDAS adjusted mean difference = 0.45 (95% CI: 0.01-0.89), moderate/high physical activity OR = 1.09 (95% CI: 0.64-1.86), not living a sedentary lifestyle OR = 0.97 (95% CI: 0.55-1.73), no smoking OR = 0.61 (95% CI: 0.54-1.06), EVA adjusted mean difference = -1.26 (95% CI: -4.98-2.45). Conclusions: No statistically significant changes were found for either glycemic control or physical activity, sedentary lifestyle, smoking and quality of life. The multicomponent individual, group and community interventions only showed a statistically significant improvement in adhering to Mediterranean diet. Such innovative interventions need further research to demonstrate their effectiveness in patients with poor glycemic control.
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Affiliation(s)
- Francisco Represas-Carrera
- Galicia South Health Research Institute, Hospital Álvaro Cunqueiro, Technical Block, Floor 2, Roal Clara Campoamor nº 341, 36213 Vigo, Spain; (S.C.-V.); (A.C.)
| | - Sabela Couso-Viana
- Galicia South Health Research Institute, Hospital Álvaro Cunqueiro, Technical Block, Floor 2, Roal Clara Campoamor nº 341, 36213 Vigo, Spain; (S.C.-V.); (A.C.)
| | - Fátima Méndez-López
- Aragonese Research Group in Primary Care (GAIAP), Institute of Health Research, Avenue San Juan Bosco, 13, 50009 Zaragoza, Spain; (F.M.-L.); (B.M.); (R.M.-B.)
| | - Bárbara Masluk
- Aragonese Research Group in Primary Care (GAIAP), Institute of Health Research, Avenue San Juan Bosco, 13, 50009 Zaragoza, Spain; (F.M.-L.); (B.M.); (R.M.-B.)
| | - Rosa Magallón-Botaya
- Aragonese Research Group in Primary Care (GAIAP), Institute of Health Research, Avenue San Juan Bosco, 13, 50009 Zaragoza, Spain; (F.M.-L.); (B.M.); (R.M.-B.)
| | - Jose I. Recio-Rodríguez
- San Juan Health Centre, Salamanca Primary Care Research Unit (APISAL), Institute of Biomedical Research of Salamanca (IBSAL), Department of Nursing and Physiotherapy (University of Salamanca), Avenue Portugal 83, 2 Floor, 37005 Salamanca, Spain;
| | - Haizea Pombo
- Ezkerraldea-Enkarterri-Cruces Integrated Health Organisation, Biocruces Bizkaia Health Research Institute Innovation Unit, Plaza de Cruces s/n, 48903 Barakaldo, Spain;
| | - Alfonso Leiva-Rus
- Balearic Islands Health Research Institute (IdISBa), Highway Valldemosa 79, 07120 Palma, Spain;
| | - Montserrat Gil-Girbau
- Research Group in Health Technology Assessment in Primary Care and Mental Health (PRISMA), Research and Development Unit, Institut de Recerca Sant Joan de Déu, Parc Sanitari Sant Joan de Déu, Street Dr. Antoni Pujadas, 42, 08830 Sant Boi de Llobregat, Spain;
| | - Emma Motrico
- Psychology Department, Universidad Loyola Andalucía, Avenue of the Universities, s/n, 41704 Dos Hermanas, Spain;
| | - Ruth Martí-Lluch
- Girona Research Support Unit, Jordi Gol i Gurina University Institute for Research in Primary Health Care Foundation (IDIAPJGol), Street Maluquer Salvador 11, 17002 Girona, Spain;
| | - Francisco Gude
- Clinical Epidemiology Unit, Research Methods Group, Santiago Institute of Sanitary Research (IDIS), Complejo Hospitalario Universitario de Santiago, Travesía da Choupana, s/n, 157056 Santiago de Compostela, Spain;
| | - Ana Clavería
- Galicia South Health Research Institute, Hospital Álvaro Cunqueiro, Technical Block, Floor 2, Roal Clara Campoamor nº 341, 36213 Vigo, Spain; (S.C.-V.); (A.C.)
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Calderón-Larrañaga S, Valls-Pérez B, Cardo-Miota A, Botello B, Lafuente N, Hernán M. Development and evaluation of a training programme on asset-based community development aimed at general practice trainees: protocol for a mixed-method multilevel and multicentric action research study. BMJ Open 2021; 11:e040043. [PMID: 34031107 PMCID: PMC8149302 DOI: 10.1136/bmjopen-2020-040043] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/30/2020] [Revised: 02/09/2021] [Accepted: 04/15/2021] [Indexed: 11/25/2022] Open
Abstract
INTRODUCTION Asset-based community development (ABCD) is a strategy aimed at strengthening communities of interest through the identification and enhancement of those protective resources (also called 'health assets') that contribute to improve population health. Although primary care is specially well placed to contribute to ABCD by facilitating patients' access to community health assets, the implementation of ABCD approaches is limited, in part due to training deficiencies amongst general practitioners. In this study, we will develop a training programme on ABCD aimed at general practice trainees and evaluate its implementation and scale-up in Andalusia, Spain. We will also investigate whether the programme may contribute to strengthen the community orientation of the primary care practices involved in the study. METHODS AND ANALYSIS We will undertake a mixed methods, multilevel and multicentric action research study drawing on theoretical frameworks relevant to learning (pedagogy) and community health promotion. The intervention will be implemented and evaluated in eight different study areas over 48 months. It will comprise a classroom-based session and a practical exercise, which will involve general practice trainees producing a map of community health assets relevant to common health conditions. In each study area, we will set up a stakeholder group to guide our study. We will run the intervention sequentially across the eight study areas, and modify and refine it iteratively by incorporating the findings from the evaluation. We will employ qualitative (interviews and focus groups with general practice trainees, primary care workers, members of the teaching units and policymakers) and quantitative methods (self-administered questionnaires with an approximate sample of 157 general practice trainees and 502 primary care workers). ETHICS AND DISSEMINATION Ethics approval from the Andalusian Regional Health Council has been granted (6/2020). It is envisaged that this research will provide relevant, evidence-based guidance on how best to incorporate learning on ABCD into the general practice training curriculum. Findings will be disseminated in an ongoing manner and will target the following audiences: (1) general practice trainees, primary care workers and members of the teaching units, (2) policymakers and strategic decision makers and (3) the academic community.
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Affiliation(s)
- Sara Calderón-Larrañaga
- Centre for Primary Care and Mental Health, Institute of Population Health Sciences, Queen Mary University of London, London, UK
- Andalusian School of Public Health, Granada, Spain
| | - Blanca Valls-Pérez
- Andalusian School of Public Health, Granada, Spain
- Andalusian Health Service, Sevilla, Spain
| | | | - Blanca Botello
- Andalusian School of Public Health, Granada, Spain
- Andalusian Health Service, Sevilla, Spain
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Díaz JL, Codern-Bové N, Zomeño MD, Lassale C, Schröder H, Grau M. Quantitative and qualitative evaluation of the COMPASS mobile app: a citizen science project. Inform Health Soc Care 2021; 46:412-424. [PMID: 33847218 DOI: 10.1080/17538157.2021.1902332] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
To evaluate the usability of the COMPASS application with mixed-methodology, using a citizen science approach. Parents/tutors of 10-11 years old children attending a primary school in Barcelona, Spain, were invited to take part in the study. We conducted semi-structured interviews on a subset (n = 7) of participants, two weeks after using the app for the first time. A list of suggestions of improvement was extracted from the interviews. The System Usability Scale (SUS, range 0-100) was administered to all participants before and after the improvements were implemented. We provide both a quantitative analysis (t-test of change in SUS scores) and a qualitative thematic analysis of the interviews. A total of 22 participants were included in the study. The mean score before implementation of changes was 68.5 (Standard deviation, SD = 11.1), and improved to 73.1 (10.5) (p-value = 0.025). Regarding the qualitative assessment, we obtained 24 codes and grouped them into 3 categories. It uncovered problems in the installation phase and the main barriers to use: lack of time and the need for the app to evolve. The new version of COMPASS, improved by taking into account the participants' comments and suggestions, was more usable than the initial version.
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Affiliation(s)
- Jorge Luis Díaz
- Cardiovascular Epidemiology and Genetics, IMIM - Hospital del Mar Medical Research Institute, Barcelona, Spain.,Docent Unit of Preventive Medicine and Public Health Mar Health Park, Pompeu-Fabra University - Barcelona Public Health Agency, Spain
| | - Núria Codern-Bové
- Escola Universitària d'Infermeria i Teràpia Ocupacional de Terrassa (EUIT), Universitat Autònoma de Barcelona, Terrassa, Spain
| | - Maria-Dolors Zomeño
- Cardiovascular Risk and Nutrition, IMIM - Hospital del Mar Medical Research Institute, Barcelona, Spain.,Consortium for Biomedical Research in Obesity and Nutrition (CIBERobn), Barcelona, Spain.,School of Health Sciences, Blanquerna-Ramon Llul University, Barcelona, Spain
| | - Camille Lassale
- Cardiovascular Risk and Nutrition, IMIM - Hospital del Mar Medical Research Institute, Barcelona, Spain.,Consortium for Biomedical Research in Obesity and Nutrition (CIBERobn), Barcelona, Spain.,Department of Behavioural Science and Health, University College London, London, UK
| | - Helmut Schröder
- Cardiovascular Risk and Nutrition, IMIM - Hospital del Mar Medical Research Institute, Barcelona, Spain.,Consortium for Biomedical Research in Epidemiology and Public Health (CIBEResp), Spain
| | - María Grau
- Cardiovascular Epidemiology and Genetics, IMIM - Hospital del Mar Medical Research Institute, Barcelona, Spain.,Consortium for Biomedical Research in Epidemiology and Public Health (CIBEResp), Spain.,Serra-Húnter Fellow, Department of Medicine, University of Barcelona, Barcelona, Spain
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10
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Pou-Martí N, Oliveras-Casadellà S, Batlle-Amat P, Del Acebo Peña X, Estrada-Ocon M, Juvinyà-Canal D. [Community health decision-making through the assets mapping]. GACETA SANITARIA 2021; 36:392-395. [PMID: 33757691 DOI: 10.1016/j.gaceta.2021.01.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/06/2020] [Revised: 12/24/2020] [Accepted: 01/02/2021] [Indexed: 11/26/2022]
Abstract
This is a report about the experience on redefining the health asset mapping methodology. The aim of this experience consisted of making an analysis on health inequalities, as well as of using it as a tool in decision-making participative processes in the local administration area. Thus, a replicable procedure for all ages and groups was designed. Besides this, assets have been widely classified, in accordance with the territorial distribution, people's profiles and asset features. Both the upload of data to a geographical information system and the large amount of data gathered allowed us to enlarge the common interpretation of data and present the information in a dynamic way.
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Affiliation(s)
- Narcís Pou-Martí
- Cátedra de Promoción de la Salud, Universidad de Girona, Girona, España
| | | | - Pau Batlle-Amat
- Organisme de Salut Pública de la Diputació de Girona (Dipsalut), Girona, España
| | | | - Maria Estrada-Ocon
- Organisme de Salut Pública de la Diputació de Girona (Dipsalut), Girona, España
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11
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Barbero-Radío AM, García-Carpintero Muñoz MÁ, González-López JR. Importance of Mediation against Addictive, Affective-Emotional, and Sexual Behavior in Adolescents. Educational System versus Associations. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18031249. [PMID: 33573237 PMCID: PMC7908402 DOI: 10.3390/ijerph18031249] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/20/2020] [Revised: 01/13/2021] [Accepted: 01/26/2021] [Indexed: 11/16/2022]
Abstract
This article analyzes health mediation among equals as an educational strategy against risk behaviors in young people from both the educational and associative systems in Seville (Spain), based on qualitative research, with the aim of assessing and comparing its impact in those areas. To this end, interviews with 49 professionals and 427 adolescents were conducted in discussion groups. Results acknowledge mediation as individual or group intervention accepted by young people as advice and information on health issues and conflict resolution, but also as a method for data collection in order to obtain a community health diagnosis. The educational system implements this strategy, but in associations it seems to work better, particularly in the psycho-emotional and sexual spheres. Unfortunately, intervention programs are usually discontinuous due to lack of resources and territorial variability. And this is why mediators’ support is highly valued by the target users, with preference for a male figure in the case of boys, and larger predisposition towards a female mediator in girls, except in cases where this agent has a special social relevance.
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Affiliation(s)
- Antonio Manuel Barbero-Radío
- Servicio de Salud del Ayuntamiento de Sevilla, Calle Fray Isidoro de Sevilla 1, 41009 Sevilla, Spain;
- Department of Nursing, Faculty of Nursing, Physiotherapy and Podiatry, Universidad de Sevilla, C/Avenzoar nº6, 41009 Seville, Spain;
| | - María Ángeles García-Carpintero Muñoz
- Department of Nursing, Faculty of Nursing, Physiotherapy and Podiatry, Universidad de Sevilla, C/Avenzoar nº6, 41009 Seville, Spain;
- Correspondence:
| | - José Rafael González-López
- Department of Nursing, Faculty of Nursing, Physiotherapy and Podiatry, Universidad de Sevilla, C/Avenzoar nº6, 41009 Seville, Spain;
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12
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Riera-Sampol A, Bennasar-Veny M, Tauler P, Aguilo A. Effectiveness of physical activity prescription by primary care nurses using health assets: A randomized controlled trial. J Adv Nurs 2020; 77:1518-1532. [PMID: 33210773 DOI: 10.1111/jan.14649] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2020] [Revised: 09/07/2020] [Accepted: 10/20/2020] [Indexed: 11/30/2022]
Abstract
AIM To evaluate the effectiveness of a 12-month multifactorial intervention by primary care nurses using health assets in increasing adherence to physical activity prescription (150 min/week) in patients with two or more cardiovascular risk factors. BACKGROUND Physical activity promotion is a priority and helps to decrease mortality risk due to cardiovascular diseases. However, adherence to the habitual physical activity prescription in primary healthcare settings is low. DESIGN Multicentre, single-blind, parallel randomized (in two different branches) clinical trial. METHODS In total, 263 participants from 20 primary healthcare centres in Mallorca completed the randomized controlled trial study (intervention group N = 128, control group N = 135). The intervention consisted in four visits and included a motivational interview and an individualized prescription of physical activity using health assets. Primary outcome measure was the number of participants performing at least 150 min of weekly physical activity. Secondary outcomes included physical activity level and physical fitness, Sense of Coherence, cardiovascular risk, sociodemographic data, trans-theoretical stage of change, sleep quality, and depression. RESULTS Adherence to the recommendation of at least 150 min of physical activity was higher in the intervention than in the control group (χ2 = 3.951, p = .047). However, this higher adherence did not suppose higher physical activity levels because no differences between groups were found in the total physical activity performed after intervention (t=-0.915, p = .361). At the end of the intervention participants randomized to the intervention group spent more time walking than participants in the control group (t = 2.260, p = .025). CONCLUSION The multifactorial intervention performed by primary care nurses induced a higher adherence to the 150-min of weekly physical activity recommendation. IMPACT Adherence to the usual physical activity prescription in primary care is low. Physical activity prescription performed by primary care nurses and based on health assets and motivational interview can help to increase physical activity levels of patients. The main finding of the present study was that prescription using this approach was shown to be effective, leading to a higher adherence in the intervention group. This intervention is feasible in the nurse's primary healthcare setting, thus it could be implemented as the main tool when exercise is prescribed. TRIAL REGISTRATION International Standard Randomized Controlled Trial Number: ISRCTN76069254.
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Affiliation(s)
- Aina Riera-Sampol
- Research Group on Evidence, Lifestyles and Health, University of the Balearic Islands, Palma, Spain.,Department of Nursing and Physiotherapy, University of the Balearic Islands, Palma, Spain.,Health Research Institute of the Balearic Islands (IdISBa), Palma, Spain
| | - Miquel Bennasar-Veny
- Research Group on Evidence, Lifestyles and Health, University of the Balearic Islands, Palma, Spain.,Department of Nursing and Physiotherapy, University of the Balearic Islands, Palma, Spain.,Health Research Institute of the Balearic Islands (IdISBa), Palma, Spain
| | - Pedro Tauler
- Research Group on Evidence, Lifestyles and Health, University of the Balearic Islands, Palma, Spain.,Health Research Institute of the Balearic Islands (IdISBa), Palma, Spain.,Department of Fundamental Biology and Health Sciences, University of the Balearic Islands, Palma, Spain
| | - Antoni Aguilo
- Research Group on Evidence, Lifestyles and Health, University of the Balearic Islands, Palma, Spain.,Department of Nursing and Physiotherapy, University of the Balearic Islands, Palma, Spain.,Health Research Institute of the Balearic Islands (IdISBa), Palma, Spain
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13
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Molina-Betancur JC, Agudelo-Suárez AA, Martínez-Herrera E. [Community health assets mapping in a slum in Medellin (Colombia)]. GACETA SANITARIA 2020; 35:333-338. [PMID: 32651056 DOI: 10.1016/j.gaceta.2020.04.012] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/17/2019] [Revised: 03/18/2020] [Accepted: 04/20/2020] [Indexed: 10/23/2022]
Abstract
OBJECTIVE To describe how the community from El Faro neighborhood identifies its community assets, uses them to face life's challenges through the capacity of collective agency; and by generating community development processes, applying the salutogenic theory that considers people as active subjects, with the capacity to conserve and generate health and well-being, through the use of their own resources called health assets. METHODS A map of community assets was made in 2018 in el Faro neighborhood, an informal settlement of Medellín, Colombia, following the phases recommended by other authors and from a qualitative, participatory approach that delves into the health situation of the community. RESULTS In this process were identified 12 individual community assets, 12 collective, 13 institutional and 10 in the environment. The main community asset among the 47 described was community participation, from the agency capacity, mainly of its leaders who participating in their own organizations encourage development, identity construction and well-being. CONCLUSION Asset mapping has served to identify intangible assets for the community and, in turn, this recognition has been useful in strengthening the agency's capacity for community development. This is a territory transformed by community reflection processes allowing to understand situations of exclusion and poverty, seeking to create a more livable place and developing a community capacity to solve their own problems, through solidarity and community support.
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Affiliation(s)
- Juan Camilo Molina-Betancur
- Línea de Investigación en Epidemiología y Salud Urbana, Grupo de Epidemiología de la Facultad Nacional de Salud Pública, Universidad de Antioquia, Medellín, Colombia.
| | | | - Eliana Martínez-Herrera
- Línea de Investigación en Epidemiología y Salud Urbana, Grupo de Epidemiología de la Facultad Nacional de Salud Pública, Universidad de Antioquia, Medellín, Colombia
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14
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Del Cura Bilbao A, Sandín Vázquez M. [Health assets and quality of life in people diagnosed with severe mental disorder]. GACETA SANITARIA 2020; 35:473-479. [PMID: 32467001 DOI: 10.1016/j.gaceta.2020.03.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/21/2019] [Revised: 02/28/2020] [Accepted: 03/04/2020] [Indexed: 11/19/2022]
Abstract
OBJECTIVE To identify health assets and describe quality of life for people diagnosed with severe mental disorder through their own testimonies; to understand the necessities and barriers that affect their quality of life; and offer improvement recommendations. METHOD A qualitative, descriptive analysis based on the information obtained through semi-structured interviews and asset mapping. RESULTS Assets are similar to those found in undiagnosed people, while needs and barriers differ in both groups. The main assets include social relationships, socioeconomic assets, personal development, leisure and free time assets, places, art, daily activities, which usually take place within the mental health network, sense of belonging, and autonomy. To improve their health and life quality, they need access to employment and studies, more and better social relationships, and more control over their lives. Side effects of medication and socio-economic exclusion, and the lack of autonomy derived from it are the main existing barriers, which have a negative effect in self-esteem and social interactions. An important measure to improve health and quality of life is the increase of economic and social assets for a more autonomous personal development. CONCLUSIONS This community action for health care has served to reveal the similarities between health and quality of life assets for severe mental disorder diagnosed and undiagnosed people, as well as the differences in the needs and difficulties to achieve them.
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Affiliation(s)
- Alicia Del Cura Bilbao
- Servicio de Medicina Preventiva, Hospital Universitario Miguel Servet, Zaragoza, España.
| | - María Sandín Vázquez
- Departamento de Cirugía, Ciencias Médicas y Sociales, Universidad de Alcalá, Alcalá de Henares (Madrid), España
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15
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[Does the Electronic Health Record reflect the social determinants of health from Primary Health Care?]. Aten Primaria 2020; 53:36-42. [PMID: 32417165 PMCID: PMC7752986 DOI: 10.1016/j.aprim.2020.01.007] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2019] [Revised: 12/03/2019] [Accepted: 01/09/2020] [Indexed: 11/23/2022] Open
Abstract
Objetivo Analizar si la utilización de códigos Z en la historia clínica electrónica (HCE) se correlaciona con la realidad socioeconómica de la población atendida en Atención Primaria (AP). Diseño Estudio observacional, descriptivo, transversal, de tipo ecológico. Emplazamiento 90 centros de salud de dos Direcciones Asistenciales de AP, Comunidad de Madrid. Participantes El total de pacientes atendidos durante el año 2016 fue de 1.920.124 (54,33% mujeres, 45,67% hombres). El 7,15% recibió algún código Z (67,29% mujeres, 32,71% hombres). Mediciones principales Como variable dependiente se estableció la proporción de pacientes con registros de códigos Z en su HCE. Como variables independientes se seleccionaron dos indicadores socioeconómicos que reflejan de forma objetiva las diferencias entre zonas básicas de salud: renta media disponible per cápita y proporción de inmigrantes económicos. Para evaluar la correlación entre variable dependiente e independientes se recurrió a análisis multivariante de correlación-regresión. Resultados Se observó que a mayor renta disponible, menor proporción de registros de episodios Z en las HCE (coeficiente de correlación de Pearson: −0,56). Sin embargo, existe una gran variabilidad de registro de códigos Z y la codificación no consigue visibilizar las realidades socioeconómicas de las poblaciones atendidas (odds ratio diagnóstica: 0,12 [IC: 0,05-0,32]). Conclusiones Resulta relevante para una orientación comunitaria de la AP la utilización de distintas herramientas que faciliten visibilizar el impacto en la salud de las desigualdades sociales, así como su evaluación a través de diversas metodologías de investigación. Los códigos Z no visibilizan en la zona estudiada los determinantes sociales de la salud de la población atendida.
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16
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Cubillo Llanes J, García Blanco D, Cofiño R, Hernán-García M. Técnicas de identificación de activos para la salud. Aplicable a cada centro de salud. ACTA ACUST UNITED AC 2019. [DOI: 10.1016/j.fmc.2019.07.002] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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17
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Agulló-Cantos JM, García-Alandete J, Paredes-Carbonell JJ. Activos para la salud en cuidadores familiares de enfermos de Alzheimer: desarrollo de un mapa de activos para la salud. Glob Health Promot 2019. [DOI: 10.1177/1757975919843076] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
Abstract
El Alzheimer es la enfermedad más prevalente en mayores de 65 años, siendo una enfermedad neurodegenerativa progresiva. El cuidado de estas personas enfermas se sustenta, en la mayoría de los casos, desde el núcleo familiar, siendo éste quien sufre las consecuencias del cuidado. Tradicionalmente, el estudio y análisis de las personas cuidadoras se ha realizado desde perspectivas de déficit o negativas. El presente estudio introduce el modelo salutogénico y de activos para la salud, e intenta comprender el valor positivo del cuidado y la superación de las circunstancias adversas, a través de aquellas habilidades o recursos del cuidador o de su entorno que le ayudan a afrontar de forma positiva esta enfermedad. En el estudio participaron cuidadores familiares ( n=45) de tres Centros de Estancias Diurnas para enfermos de Alzheimer diferentes, donde fueron entrevistados en grupos (de 5 a 13 participantes por entrevista) y grabados en audio, para su posterior trascripción y análisis de contenido temático. Los resultados muestran que los cuidadores familiares a pesar de vivir bajo una fuente de estrés, también puedn obtener consecuencias positivas de la experiencia del cuidado, siendo capaces de identificar activos para la salud, tanto internos como externos, que les ayudan a mejorar y/o mantener su salud como cuidador.
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Affiliation(s)
- José Manuel Agulló-Cantos
- Universidad Católica de Valencia San Vicente Mártir, València, España
- Centro de Estancias Diurnas AFA Caudete, Albacete, España
| | | | - Joan J. Paredes-Carbonell
- Departamento de salud de La Ribera, Conselleria de Sanitat Universal i Salut Pública, Alzira, España
- Facultat d’Infermeria i Podologia, Universitat de València, València, España
- Fundació per a la investigació sanitària i biomèdica de la Comunitat Valenciana (FISABIO), València, España
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18
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Iáñez Domínguez A, Álvarez Pérez R, García-Cubillana de la Cruz P, Luque Ribelles V, Morales Marente E, Palacios Gálvez MS. La desmedicalización de la vida cotidiana de las mujeres: los grupos socioeducativos en el Sistema Sanitario Público Andaluz. GACETA SANITARIA 2019; 33:398-400. [DOI: 10.1016/j.gaceta.2018.06.014] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/26/2018] [Revised: 06/20/2018] [Accepted: 06/25/2018] [Indexed: 11/25/2022]
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19
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Del Busto S, Galindo I, Hernandez JJ, Camarelles F, Nieto E, Caballero Á, Sandín Vázquez M. Creating a Collaborative Platform for the Development of Community Interventions to Prevent Non-Communicable Diseases. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 16:ijerph16050676. [PMID: 30813523 PMCID: PMC6427668 DOI: 10.3390/ijerph16050676] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/31/2018] [Revised: 02/20/2019] [Accepted: 02/21/2019] [Indexed: 11/28/2022]
Abstract
Chronic diseases, also known as non-communicable diseases (NCD) are one of the most important public health problems of our time. Many of these diseases can be reduced by achieving healthy lifestyles. Community interventions are very useful in reducing these types of diseases since they have a direct impact over daily conditions and are adjustable to the complex situations that they carry. This article describes the process of the creation of a collaborative platform for the design and implementation of community interventions to prevent NCDs. This platform includes six non-governmental organizations who have aligned their prevention and health promotion objectives to develop joint community interventions. The intervention levels approach, based on the socio-ecological model has been the basic model to structure the working groups of the platform. Dealing with institutional differences, complexity and variability of contexts, defining the roles and responsibilities and managing the resources are key elements to have in mind to achieve good relations and functional partnerships to design and implement effective community interventions at different levels. Institutional recognition, support and planning based on local priorities are also key elements for these kinds of platforms to be successful, sustainable and, therefore, have an impact on people’s health.
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Affiliation(s)
- Sebastian Del Busto
- Prevention and Health Promotion programs coordinator, Spanish Association Against Cancer (AECC), 28010 Madrid, Spain.
| | - Inés Galindo
- Management Director, Spanish Heart Foundation (FEC), 28028 Madrid, Spain.
| | | | - Francisco Camarelles
- President of Preventive Activities and Health Promotion Program (PAPPS), Spanish Society of Family and Community Medicine (semFYC), Family Doctor, 28004 Madrid, Spain.
| | - Esther Nieto
- General Secretariat, Spanish Federation of Community Nursing Associations (FAECAP), 28008 Madrid, Spain.
| | - Águeda Caballero
- Lifestyle working group, Spanish Diabetes Society (SED), 28002 Madrid, Spain.
| | - María Sandín Vázquez
- Surgery and Medical and Social Sciences Department, School of Medicine, University of Alcalá de Henares, 28805 Madrid, Spain.
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20
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Alpuente AC, Cintas FA, Foà C, Cosentino C. Mapping Caregivers' Health Assets. A self-care project using Salutogenesis and Mindfulness. ACTA BIO-MEDICA : ATENEI PARMENSIS 2018; 89:70-77. [PMID: 30539930 PMCID: PMC6502141 DOI: 10.23750/abm.v89i7-s.7863] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/16/2018] [Accepted: 11/19/2018] [Indexed: 12/20/2022]
Abstract
Background: Thousands of caregivers around the world take care
of impaired people, with negative repercussions on their physical,
psychological, social and economic resources. The need to promote
caregivers’ wellbeing is internationally recognized, thus reducing health
inequalities. Mindfulness is a powerful tool, directly related to the reduction
of stress, able to increase skills and attitudes promoting well-being. The basis
of this project of community development based on active health, is the
self-care achieved through mindfulness. Aims: The overall aim
of this project is to improve the caregivers’ health and quality of life
through community mapping strategies and mindfulness. Methods:
According to the salutogenic model, and to the model of community development
based on active health (ABCD) we will create a map of the caregivers’
internal and external health assets. The project will have a participatory
action research methodology, and it will go throygh five different phases, with
mindfulness as a central tool. Results: At the end of the
project, results will be analyzed referring to structures, processes and
objective and subjective outcomes. Conclusions: At the end of
the project, we will evaluate if the Salutogenic ABCD methodology along with
Mindfulness, will be able to reduce health inequalities improving
caregivers’ wellbeing.
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21
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Incorporación de la perspectiva de género en la salud comunitaria. Informe SESPAS 2018. GACETA SANITARIA 2018; 32 Suppl 1:92-97. [DOI: 10.1016/j.gaceta.2018.07.006] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/15/2018] [Revised: 07/09/2018] [Accepted: 07/23/2018] [Indexed: 11/17/2022]
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22
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Galarraga P, Vives M, Cabrera-Manzano D, Urda L, Brito M, Gea-Caballero V. [The incorporation of community health in the planning and transformation of the urban environment. SESPAS Report 2018]. GACETA SANITARIA 2018; 32 Suppl 1:74-81. [PMID: 30249349 DOI: 10.1016/j.gaceta.2018.08.001] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/26/2018] [Revised: 07/31/2018] [Accepted: 08/03/2018] [Indexed: 11/20/2022]
Abstract
Urbanized and built-up environments are determinants of health as well as community health. Therefore, we intend to analyze the influence of urban development on both public and community health, from the perspective of gender, citizen participation in urban planning projects, and accessibility. From a bibliographic review and narrative analysis, based on the experience of the authors, we found several urban transformation projects focusing, in particular, on four large areas: school centres and playgrounds, empty urban spaces and disused buildings, pedestrian pathways, and various housing interventions. The participatory processes (driven by institutions and/or citizens) developed within the framework of urban diagnostic projects and the preparation of plans and projects, constitute a double opportunity to work on community health: on the one hand, considering them as an objective, and on the other, as a tool to design environments that promote the well-being of the community. The incorporation of citizens and the collaboration of all the agents involved, taking their diversity into account, are essential, and this is a shared responsibility between local/supra-local administration, and citizenship. Regulation must be designed to facilitate the processes and when it is applied must allow the population to take a central role in the transformation of environments that will promote well-being and health.
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Affiliation(s)
- Patxi Galarraga
- Projekta Urbes, Consultoría en Urbanismo Inclusivo y Saludable, Zarautz (Gipuzkoa), España.
| | - Miren Vives
- Projekta Urbes, Consultoría en Urbanismo Inclusivo y Saludable, Zarautz (Gipuzkoa), España
| | - David Cabrera-Manzano
- Escuela Técnica Superior de Arquitectura, Universidad de Granada, Granada, España; Auguria, Taller de Urbanismo, Granada, España
| | - Lucila Urda
- Escuela Técnica Superior de Arquitectura, Universidad Politécnica de Madrid, Madrid, España; Pez Arquitectos, Madrid, España
| | - Mariela Brito
- Tritzquel Arquitectura, Quito, Ecuador, y Barcelona, España
| | - Vicente Gea-Caballero
- Escuela de Enfermería La Fe, Valencia, España; Grupo de Investigación Emergente Acreditado en Arte y Ciencia del Cuidado GREIACC, Instituto de Investigación Sanitaria La Fe, Valencia, España
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23
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Cubillo-Llanes J, Botello-Díaz B, Gea-Caballero V, March S, Segura-Benedicto A, Hernán-García M. [Assets: from maps to territory. SESPAS Report 2018]. GACETA SANITARIA 2018; 32 Suppl 1:98-102. [PMID: 30227942 DOI: 10.1016/j.gaceta.2018.06.006] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/15/2018] [Accepted: 06/14/2018] [Indexed: 10/28/2022]
Abstract
In recent years, health asset maps have become increasingly important tools in the field of health promotion. They are being incorporated into the daily practice of many healthcare workers, in individualized care in consultations (through social prescription), and in groups or community development processes. It is necessary to reflect on how the asset maps are being produced, analyzing how the different stages of the process can be involved in their construction. The formats in which the data is obtained through the identification of health assets are presented, as well as the processes of production of the information, participative and evaluated processes, are crucial for the maps to be useful, for professionals as well as citizens and institutions.
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Affiliation(s)
| | - Blanca Botello-Díaz
- Distrito de Atención Primaria Condado-Campiña, Servicio Andaluz de Salud, La Palma del Condado, Huelva, España
| | - Vicente Gea-Caballero
- Escuela de Enfermería La Fe, Valencia, España; Grupo de Investigación Acreditado Enfermero en Arte y Ciencia del Cuidado @GREIACC, Instituto de Investigación Sanitaria La Fe, Valencia, España
| | | | - Andreu Segura-Benedicto
- Consell Assessor de Salut Pública, Departament de Salut, Generalitat de Catalunya, Barcelona, España; Comitè de Bioètica de Catalunya, Departament de Salut, Generalitat de Catalunya, Barcelona, España
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Zabaleta-del-Olmo E, Pombo H, Pons-Vigués M, Casajuana-Closas M, Pujol-Ribera E, López-Jiménez T, Cabezas-Peña C, Martín-Borràs C, Serrano-Blanco A, Rubio-Valera M, Llobera J, Leiva A, Vidal C, Campiñez M, Martín-Álvarez R, Maderuelo JÁ, Recio JI, García-Ortiz L, Motrico E, Bellón JÁ, Moreno-Peral P, Martín-Cantera C, Clavería A, Aldecoa-Landesa S, Magallón-Botaya R, Bolíbar B. 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. BMC Public Health 2018; 18:874. [PMID: 30005705 PMCID: PMC6045838 DOI: 10.1186/s12889-018-5805-y] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2018] [Accepted: 07/05/2018] [Indexed: 12/19/2022] Open
Abstract
BACKGROUND 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. TRIAL REGISTRATION ClinicalTrials.gov , NCT03136211 .Retrospectively registered on May 2, 2017.
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Affiliation(s)
- Edurne Zabaleta-del-Olmo
- Institut Universitarid’Investigació en AtencióPrimària Jordi Gol (IDIAP Jordi Gol), Gran Via Corts Catalanes 587 àtic, 08007 Barcelona, Spain
- Gerència Territorial de Barcelona, Institut Català de la Salut, c/Balmes 22, 08007 Barcelona, Spain
- Universitat Autònoma de Barcelona, Bellaterra, Cerdanyola del Vallès, Spain
- Faculty of Nursing, Universitat de Girona, Carrer d’Emili Grahit, 77, 17003 Girona, Spain
| | - Haizea Pombo
- Primary Care Research Unit of Bizkaia, Basque Health Service-Osakidetza, Luis Power Kalea 18, 48014 Bilbao, Spain
| | - Mariona Pons-Vigués
- Institut Universitarid’Investigació en AtencióPrimària Jordi Gol (IDIAP Jordi Gol), Gran Via Corts Catalanes 587 àtic, 08007 Barcelona, Spain
- Universitat Autònoma de Barcelona, Bellaterra, Cerdanyola del Vallès, Spain
- Faculty of Nursing, Universitat de Girona, Carrer d’Emili Grahit, 77, 17003 Girona, Spain
| | - Marc Casajuana-Closas
- Institut Universitarid’Investigació en AtencióPrimària Jordi Gol (IDIAP Jordi Gol), Gran Via Corts Catalanes 587 àtic, 08007 Barcelona, Spain
- Universitat Autònoma de Barcelona, Bellaterra, Cerdanyola del Vallès, Spain
| | - Enriqueta Pujol-Ribera
- Institut Universitarid’Investigació en AtencióPrimària Jordi Gol (IDIAP Jordi Gol), Gran Via Corts Catalanes 587 àtic, 08007 Barcelona, Spain
- Gerència Territorial de Barcelona, Institut Català de la Salut, c/Balmes 22, 08007 Barcelona, Spain
- Universitat Autònoma de Barcelona, Bellaterra, Cerdanyola del Vallès, Spain
- Faculty of Nursing, Universitat de Girona, Carrer d’Emili Grahit, 77, 17003 Girona, Spain
| | - Tomás López-Jiménez
- Institut Universitarid’Investigació en AtencióPrimària Jordi Gol (IDIAP Jordi Gol), Gran Via Corts Catalanes 587 àtic, 08007 Barcelona, Spain
- Universitat Autònoma de Barcelona, Bellaterra, Cerdanyola del Vallès, Spain
| | - Carmen Cabezas-Peña
- Deputy Directorate of Health Promotion, Public Health Agency, Department of Health, Goverment of Catalonia, Roc Boronat, 81-95 (Edifici Salvany), 08005 Barcelona, Spain
| | - Carme Martín-Borràs
- Faculty of Psychology, Education and Sport Sciences (FPCEE) Blanquerna, Ramon Llull University, C/Císter 34, 08022 Barcelona, Spain
- Faculty of Health Sciences (FCS) Blanquerna, Ramon Llull Univesity, C/Padilla 326-332, 08025 Barcelona, Spain
| | - Antoni Serrano-Blanco
- Parc SanitariSant Joan de Déu, Institut de Recerca Sant Joan de Déu, C/Santa Rosa 39-57, 08950 Esplugues de Llobregat, Spain
- Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain
| | - Maria Rubio-Valera
- Parc SanitariSant Joan de Déu, Institut de Recerca Sant Joan de Déu, C/Santa Rosa 39-57, 08950 Esplugues de Llobregat, Spain
- Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain
| | - Joan Llobera
- Gerènciad’AtencióPrimària de Mallorca, Institut de InvestigacióSanitària de les Illes Balears IdISBa, C/Escola Graduada 3, 07002 Palma, Mallorca Spain
| | - Alfonso Leiva
- Gerènciad’AtencióPrimària de Mallorca, Institut de InvestigacióSanitària de les Illes Balears IdISBa, C/Escola Graduada 3, 07002 Palma, Mallorca Spain
| | - Clara Vidal
- Gerènciad’AtencióPrimària de Mallorca, Institut de InvestigacióSanitària de les Illes Balears IdISBa, C/Escola Graduada 3, 07002 Palma, Mallorca Spain
| | - Manuel Campiñez
- Primary Health Centre Vallcarca, Edificio Pedraforca, Av. Vallcarca 169-205, 08023 Barcelona, Spain
| | - Remedios Martín-Álvarez
- Primary Health Centre Vallcarca, Edificio Pedraforca, Av. Vallcarca 169-205, 08023 Barcelona, Spain
| | - José-Ángel Maderuelo
- Institute of Biomedical Research of Salamanca (IBSAL), Primary Health Care Research Unit, La Alamedilla Health Center, Health Service of Castilla y León (SACyL), Avda. Comuneros 27-31, 37003 Salamanca, Spain
| | - José-Ignacio Recio
- Institute of Biomedical Research of Salamanca (IBSAL), Primary Health Care Research Unit, La Alamedilla Health Center, Health Service of Castilla y León (SACyL), Avda. Comuneros 27-31, 37003 Salamanca, Spain
- Department of Nursing and Physiotherapy, University of Salamanca, Salamanca, Spain
| | - Luis García-Ortiz
- Institute of Biomedical Research of Salamanca (IBSAL), Primary Health Care Research Unit, La Alamedilla Health Center, Health Service of Castilla y León (SACyL), Avda. Comuneros 27-31, 37003 Salamanca, Spain
- Department of Biomedical and Diagnostic Sciences, University of Salamanca, Salamanca, Spain
| | - Emma Motrico
- Psychology Department, Universidad Loyola Andalucía, c/Energía Solar 1, Sevilla, Spain
| | - Juan-Ángel Bellón
- Research Unit, Primary Care District of Málaga-Guadalhorce, c/ Sevilla 23, Málaga, Spain
- Institute of Biomedical Research in Málaga (IBIMA), c/ Sevilla 23, Málaga, Spain
- El Palo Health Center, Andalusian Health Service (SAS), Av. Salvador Allende 159, 29018 Málaga, Spain
- Department of Public Health and Psychiatry, University of Malaga, Campus de Teatinos s/n, 29071 Málaga, Spain
| | - Patricia Moreno-Peral
- Research Unit, Primary Care District of Málaga-Guadalhorce, c/ Sevilla 23, Málaga, Spain
- Institute of Biomedical Research in Málaga (IBIMA), c/ Sevilla 23, Málaga, Spain
| | - Carlos Martín-Cantera
- Institut Universitarid’Investigació en AtencióPrimària Jordi Gol (IDIAP Jordi Gol), Gran Via Corts Catalanes 587 àtic, 08007 Barcelona, Spain
- Universitat Autònoma de Barcelona, Bellaterra, Cerdanyola del Vallès, Spain
| | - Ana Clavería
- Grupo I-Saúde, Instituto de Investigación Sanitaria Galicia-Sur (IISGS), Xerencia de Xestión Integrada de Vigo, ServizoGalego de Saúde (SERGAS), Universidade de Vigo, Avda Rosalía Castro 21, 36201 Vigo, Spain
| | - Susana Aldecoa-Landesa
- Grupo I-Saúde, Instituto de Investigación Sanitaria Galicia-Sur (IISGS), Xerencia de Xestión Integrada de Vigo, ServizoGalego de Saúde (SERGAS), Universidade de Vigo, Avda Rosalía Castro 21, 36201 Vigo, Spain
- Primary Health Centre Beiramar, Xerencia de Xestión Integrada Vigo, Servizo Galego de Saúde (SERGAS), Avda Rosalía Castro 21, 36201 Vigo, Spain
| | - Rosa Magallón-Botaya
- Instituto de Investigación Sanitaria Aragón, Avda. San Juan Bosco 13, 50009 Zaragoza, Spain
| | - Bonaventura Bolíbar
- Institut Universitarid’Investigació en AtencióPrimària Jordi Gol (IDIAP Jordi Gol), Gran Via Corts Catalanes 587 àtic, 08007 Barcelona, Spain
- Universitat Autònoma de Barcelona, Bellaterra, Cerdanyola del Vallès, Spain
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Torrecilla-Abril M, Crespo-Mateos AP, Cartagena-Martínez E, Oyarzabal-Arocena M, Pérez-Ortiz CI. Community health training for Family and Community Health Nursing residents in a Multiprofessional Teaching Unit. Three years of experience. ENFERMERIA CLINICA 2018; 29:336-343. [PMID: 29859778 DOI: 10.1016/j.enfcli.2018.04.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2017] [Revised: 03/05/2018] [Accepted: 04/07/2018] [Indexed: 11/30/2022]
Abstract
OBJECTIVE To determine the interest of nursing residents in the training areas of Family and Community Nursing (EFyC) at the beginning of their training, to evaluate community activities in health centres and to determine satisfaction with the training received and activities carried out. METHOD We present the experience of training in the public and community health competencies of EFyC Nursing from 2014 to 2017 in a multiprofessional teaching unit. The training was divided into 3theoretical modules. The training was completed with 2activities: the design and development of a health education programme and an asset mapping in the basic health area. A questionnaire was completed on satisfaction with the course and the activities carried out. RESULT During this period, 27 residents received training. As part of the training process, 26 health education programmes and 17 asset mappings were conducted in accredited health centres. The areas of intervention addressed were: lifestyles, life transitions and health problems. The overall satisfaction with the course was 4.5 ±.1 out of 5. CONCLUSIONS The results show a high degree of interest in this area, as well as high evaluation of the activities carried out and the training received. Training in community health and health education during the period of residence is essential to include these competencies in the professional role. The dedication and involvement of the multiprofessional teaching units is essential in the development of these competences, training the residents through the integration of a biopsychosocial approach, community health and teamwork in primary care.
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Affiliation(s)
- Maravillas Torrecilla-Abril
- Unidad Docente Multiprofesional de Atención Familiar y Comunitaria de Alicante, Departamento de Salud de Alicante-Hospital General, ISABIAL-FISABIO, Conselleria de Sanitat Universal i Salut Pública, Generalitat Valenciana, Alicante, España.
| | - Ana Patricia Crespo-Mateos
- Unidad Docente Multiprofesional de Atención Familiar y Comunitaria de Alicante, Departamento de Salud de Alicante-Hospital General, ISABIAL-FISABIO, Conselleria de Sanitat Universal i Salut Pública, Generalitat Valenciana, Alicante, España
| | - Esther Cartagena-Martínez
- Unidad Docente Multiprofesional de Atención Familiar y Comunitaria de Alicante, Departamento de Salud de Alicante-Hospital General, ISABIAL-FISABIO, Conselleria de Sanitat Universal i Salut Pública, Generalitat Valenciana, Alicante, España
| | - Milagros Oyarzabal-Arocena
- Unidad Docente Multiprofesional de Atención Familiar y Comunitaria de Alicante, Departamento de Salud de Alicante-Hospital General, ISABIAL-FISABIO, Conselleria de Sanitat Universal i Salut Pública, Generalitat Valenciana, Alicante, España
| | - Clara Isabel Pérez-Ortiz
- Unidad Docente Multiprofesional de Atención Familiar y Comunitaria de Alicante, Departamento de Salud de Alicante-Hospital General, ISABIAL-FISABIO, Conselleria de Sanitat Universal i Salut Pública, Generalitat Valenciana, Alicante, España
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Gállego-Diéguez J, Aliaga Traín P, Benedé Azagra CB, Bueno Franco M, Ferrer Gracia E, Ipiéns Sarrate JR, Muñoz Nadal P, Plumed Parrilla M, Vilches Urrutia B. [Networks of experiences on community health as an information system in health promotion: lessons learned in Aragon (Spain)]. GACETA SANITARIA 2018; 30 Suppl 1:55-62. [PMID: 27837796 DOI: 10.1016/j.gaceta.2016.05.016] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/10/2015] [Revised: 05/21/2016] [Accepted: 05/23/2016] [Indexed: 11/18/2022]
Abstract
Networks of community health experiences promote interaction and knowledge management in health promotion among their participants. These networks integrate both professionals and social agents who work directly on the ground in small environments, with defined objectives and inclusion criteria and voluntary participation. In this article, networks in Aragon (Spain) are reviewed in order to analyse their role as an information system. The Health Promotion Projects Network of Aragon (Red Aragonesa de Proyectos de Promoción de la Salud, RAPPS) was launched in 1996 and currently includes 73 projects. The average duration of projects is 12.7 years. RAPPS interdisciplinary teams involve 701 people, of which 89.6% are professionals and 10.6% are social agents. The Aragon Health Promoting Schools Network (Red Aragonesa de Escuelas Promotoras de Salud, RAEPS) integrates 134 schools (24.9% of Aragon). The schools teams involve 829 teachers and members of the school community, students (35.2%), families (26.2%) and primary care health professionals (9.8%). Experiences Networks boost citizen participation, have an influence in changing social determinants and contribute to the formulation of plans and regional strategies. Networks can provide indicators for a health promotion information and monitoring system on: capacity building services in the territory, identifying assets and models of good practice, cross-sectoral and equity initiatives. Experiences Networks represent an opportunity to create a health promotion information system, systematising available information and establishing quality criteria for initiatives.
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Affiliation(s)
- Javier Gállego-Diéguez
- Sistema de Asesoramiento y Recursos en Educación para la Salud (SARES), Dirección General de Salud Pública, Gobierno de Aragón, Zaragoza, España.
| | - Pilar Aliaga Traín
- Sistema de Asesoramiento y Recursos en Educación para la Salud (SARES), Dirección General de Salud Pública, Gobierno de Aragón, Zaragoza, España
| | - Carmen Belén Benedé Azagra
- Grupo PACAP (Programa de Actividades Comunitarias en Atención Primaria) de Aragón, Sociedad Aragonesa de Medicina de Familia y Comunitaria (SAMFYC), Zaragoza, España
| | - Manuel Bueno Franco
- Sistema de Asesoramiento y Recursos en Educación para la Salud (SARES), Dirección General de Salud Pública, Gobierno de Aragón, Zaragoza, España
| | - Elisa Ferrer Gracia
- Sistema de Asesoramiento y Recursos en Educación para la Salud (SARES), Dirección General de Salud Pública, Gobierno de Aragón, Zaragoza, España
| | - José Ramón Ipiéns Sarrate
- Sistema de Asesoramiento y Recursos en Educación para la Salud (SARES), Dirección General de Salud Pública, Gobierno de Aragón, Zaragoza, España
| | - Pilar Muñoz Nadal
- Sistema de Asesoramiento y Recursos en Educación para la Salud (SARES), Dirección General de Salud Pública, Gobierno de Aragón, Zaragoza, España
| | - Manuela Plumed Parrilla
- Sistema de Asesoramiento y Recursos en Educación para la Salud (SARES), Dirección General de Salud Pública, Gobierno de Aragón, Zaragoza, España
| | - Begoña Vilches Urrutia
- Sistema de Asesoramiento y Recursos en Educación para la Salud (SARES), Dirección General de Salud Pública, Gobierno de Aragón, Zaragoza, España
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Cofiño R, Aviñó D, Benedé CB, Botello B, Cubillo J, Morgan A, Paredes-Carbonell JJ, Hernán M. [Health promotion based on assets: how to work with this perspective in local interventions?]. GACETA SANITARIA 2018; 30 Suppl 1:93-98. [PMID: 27481068 DOI: 10.1016/j.gaceta.2016.06.004] [Citation(s) in RCA: 44] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/07/2016] [Revised: 06/01/2016] [Accepted: 06/14/2016] [Indexed: 11/15/2022]
Abstract
An asset-based approach could be useful to revitalise health promotion or community health interventions combining work with multiple partnerships, positive health, community engagement, equity and orientation of health determinants. We set some recommendations about how to incorporate the assets model in programmes, projects and interventions in health promotion. Some techniques are described for assets mapping and some experiences with this methodology being developed in different regions are systematised. We propose the term "Asset-based Health Promotion/Community Health" as an operational definition to work at the local level with a community engagement and participatory approach, building alliances between different institutions at the state-regional level and trying to create a framework for action with the generation of evaluations and evidence to work on population interventions from the perspective of positive health.
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Affiliation(s)
- Rafael Cofiño
- Observatorio de Salud en Asturias, Dirección General de Salud Pública, Oviedo (Asturias), España; Escuela Andaluza de Salud Pública, Granada, España.
| | - Dory Aviñó
- Fundación para la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO), Valencia, España
| | - Carmen Belén Benedé
- Unidad de Investigación Atención Primaria Aragón, Grupo PACAP Aragón, Zaragoza, España
| | - Blanca Botello
- Distrito de Atención Primaria Condado-Campiña, Servicio Andaluz de Salud, La Palma del Condado (Huelva), España
| | - Jara Cubillo
- Centro de Salud Leganés Norte, Leganés (Madrid), España
| | - Antony Morgan
- Glasgow Caledonian University, Glasgow, United Kingdom
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Pons-Vigués M, Berenguera A, Coma-Auli N, Pombo-Ramos H, March S, Asensio-Martínez A, Moreno-Peral P, Mora-Simón S, Martínez-Andrés M, Pujol-Ribera E. 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. Int J Equity Health 2017; 16:99. [PMID: 28610633 PMCID: PMC5470288 DOI: 10.1186/s12939-017-0590-2] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2016] [Accepted: 05/26/2017] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Although some articles have analysed the definitions of health and health promotion from the perspective of health-care users and health care professionals, no published studies include the simultaneous participation of health-care users, primary health care professionals and key community informants. Understanding the perception of health and health promotion amongst these different stakeholders is crucial for the design and implementation of successful, equitable and sustainable measures that improve the health and wellbeing of populations. Furthermore, the identification of different health assets and deficits by the different informants will generate new evidence to promote healthy behaviours, improve community health and wellbeing and reduce preventable inequalities. The objective of this study is to explore the concept of health and health promotion and to compare health assets and deficits as identified by health-care users, key community informants and primary health care workers with the ultimate purpose to collect the necessary data for the design and implementation of a successful health promotion intervention. METHODS A descriptive-interpretive qualitative research was conducted with 276 participants from 14 primary care centres of 7 Spanish regions. Theoretical sampling was used for selection. We organized 11 discussion groups and 2 triangular groups with health-care users; 30 semi-structured interviews with key community informants; and 14 discussion groups with primary health care workers. A thematic content analysis was carried out. RESULTS Health-care users and key community informants agree that health is a complex, broad, multifactorial concept that encompasses several interrelated dimensions (physical, psychological-emotional, social, occupational, intellectual, spiritual and environmental). The three participants' profiles consider health promotion indispensable despite defining it as complex and vague. In fact, most health-care users admit to having implemented some change to promote their health. The most powerful motivators to change lifestyles are having a disease, fear of becoming ill and taking care of oneself to maintain health. Health-care users believe that the main difficulties are associated with the physical, social, working and family environment, as well as lack of determination and motivation. They also highlight the need for more information. In relation to the assets and deficits of the neighbourhood, each group identifies those closer to their role. CONCLUSIONS Generally, participants showed a holistic and positive concept of health and a more traditional, individual approach to health promotion. We consider therefore 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.
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Affiliation(s)
- Mariona Pons-Vigués
- Institut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), Av. Gran Via de les Corts Catalanes 587, àtic, 08007, Barcelona, Spain. .,Universitat Autònoma de Barcelona, Bellaterra (Cerdanyola del Vallès), Spain. .,Universitat de Girona, Girona, Spain.
| | - Anna Berenguera
- Institut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), Av. Gran Via de les Corts Catalanes 587, àtic, 08007, Barcelona, Spain.,Universitat Autònoma de Barcelona, Bellaterra (Cerdanyola del Vallès), Spain
| | - Núria Coma-Auli
- Institut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), Av. Gran Via de les Corts Catalanes 587, àtic, 08007, Barcelona, Spain
| | - Haizea Pombo-Ramos
- Primary Care Research Unit of Bizkaia, Basque Health Service-Osakidetza, Bilbao, Spain
| | - Sebastià March
- Primary Care Research Unit of Mallorca, Balearic Health Services-IbSalut, Palma, Spain.,Instituto de Investigación Sanitaria de Palma, Palma, Spain
| | - Angela Asensio-Martínez
- Aragon Institute for Health Research (IIS Aragon), Zaragoza, Spain.,Department of Psychology and Sociology, University of Zaragoza, Zaragoza, Spain
| | - Patricia Moreno-Peral
- Instituto de Investigación Biomédica de Málaga (IBIMA), Distrito Sanitario Málaga-Guadalhorce, Málaga, Spain
| | - Sara Mora-Simón
- Primary Care Research Unit, The Alamedilla Health Centre, Castilla and León Health Service (SACyL), Biomedical Research Institute of Salamanca (IBSAL), Salamanca, Spain
| | - Maria Martínez-Andrés
- Social and Health Care Research Centre, University of Castilla- La Mancha, Cuenca, Spain
| | - Enriqueta Pujol-Ribera
- Institut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), Av. Gran Via de les Corts Catalanes 587, àtic, 08007, Barcelona, Spain.,Universitat Autònoma de Barcelona, Bellaterra (Cerdanyola del Vallès), Spain.,Universitat de Girona, Girona, Spain
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Riera-Sampol A, Tauler P, Bennasar-Veny M, Leiva A, Artigues-Vives G, De Pedro-Gómez J, Pericàs J, Moreno C, Arbos M, Aguilo A. Physical activity prescription by primary care nurses using health assets: Study design of a randomized controlled trial in patients with cardiovascular risk factors. J Adv Nurs 2017; 73:2191-2200. [DOI: 10.1111/jan.13318] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/20/2017] [Indexed: 11/28/2022]
Affiliation(s)
- Aina Riera-Sampol
- Research Group on Evidence, Lifestyles & Health; University of the Balearic Islands; Palma de Mallorca Spain
| | - Pedro Tauler
- Department of Fundamental Biology and Health Sciences; Research Group on Evidence, Lifestyles & Health; University of the Balearic Islands; Palma de Mallorca Spain
| | - Miquel Bennasar-Veny
- Department of Nursing and Physiotherapy; Research Group on Evidence, Lifestyles & Health; University of the Balearic Islands; Palma de Mallorca Spain
| | - Alfonso Leiva
- Primary Care Research Unit of Mallorca; Balearic Islands Health Service; Palma de Mallorca Spain
| | | | - Joan De Pedro-Gómez
- Department of Nursing and Physiotherapy; Research Group on Evidence, Lifestyles & Health; University of the Balearic Islands; Palma de Mallorca Spain
| | - Jordi Pericàs
- Department of Nursing and Physiotherapy; Research Group on Evidence, Lifestyles & Health; University of the Balearic Islands; Palma de Mallorca Spain
| | - Carlos Moreno
- Department of Nursing and Physiotherapy; Research Group on Evidence, Lifestyles & Health; University of the Balearic Islands; Palma de Mallorca Spain
| | - Maite Arbos
- Department of Nursing and Physiotherapy; Research Group on Evidence, Lifestyles & Health; University of the Balearic Islands; Palma de Mallorca Spain
| | - Antoni Aguilo
- Department of Nursing and Physiotherapy; Research Group on Evidence, Lifestyles & Health; University of the Balearic Islands; Palma de Mallorca Spain
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López-Dicastillo O, Canga-Armayor N, Mujika A, Pardavila-Belio MI, Belintxon M, Serrano-Monzó I, Pumar-Méndez MJ. Cinco paradojas de la promoción de la salud. GACETA SANITARIA 2017; 31:269-272. [DOI: 10.1016/j.gaceta.2016.10.011] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/14/2016] [Revised: 10/18/2016] [Accepted: 10/19/2016] [Indexed: 10/20/2022]
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Bernaldo de Quiros FG, Dawidowski AR, Figar S. Representation of People's Decisions in Health Information Systems.* A Complementary Approach for Understanding Health Care Systems and Population Health. Methods Inf Med 2017; 56:e13-e19. [PMID: 28144682 PMCID: PMC5388923 DOI: 10.3414/me16-05-0001] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2016] [Accepted: 05/30/2016] [Indexed: 11/09/2022]
Abstract
OBJECTIVES In this study, we aimed: 1) to conceptualize the theoretical challenges facing health information systems (HIS) to represent patients' decisions about health and medical treatments in everyday life; 2) to suggest approaches for modeling these processes. METHODS The conceptualization of the theoretical and methodological challenges was discussed in 2015 during a series of interdisciplinary meetings attended by health informatics staff, epidemiologists and health professionals working in quality management and primary and secondary prevention of chronic diseases of the Hospital Italiano de Buenos Aires, together with sociologists, anthropologists and e-health stakeholders. RESULTS HIS are facing the need and challenge to represent social human processes based on constructivist and complexity theories, which are the current frameworks of human sciences for understanding human learning and socio-cultural changes. Computer systems based on these theories can model processes of social construction of concrete and subjective entities and the interrelationships between them. These theories could be implemented, among other ways, through the mapping of health assets, analysis of social impact through community trials and modeling of complexity with system simulation tools. CONCLUSIONS This analysis suggested the need to complement the traditional linear causal explanations of disease onset (and treatments) that are the bases for models of analysis of HIS with constructivist and complexity frameworks. Both may enlighten the complex interrelationships among patients, health services and the health system. The aim of this strategy is to clarify people's decision making processes to improve the efficiency, quality and equity of the health services and the health system.
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Affiliation(s)
- Fernan Gonzalez Bernaldo de Quiros
- Hospital Italiano de Buenos Aires, Strategic Planning, Buenos Aires, Argentina
- Fernan Gonzalez Bernaldo de Quiros, MD, MSc, FACMI, Hospital Italiano de Buenos Aires, Juan D. Perón 4190 (C1199ABB), Buenos Aires, Argentina,
| | | | - Silvana Figar
- Hospital Italiano de Buenos Aires, Research Department, Buenos Aires, Argentina
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Nebot Adell C, Pasarin Rua M, Canela Soler J, Sala Alvarez C, Escosa Farga A. [Community health in primary health care teams: a management objective]. Aten Primaria 2016; 48:642-648. [PMID: 27231130 PMCID: PMC6876003 DOI: 10.1016/j.aprim.2015.10.009] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2014] [Revised: 10/03/2015] [Accepted: 10/24/2015] [Indexed: 01/08/2023] Open
Abstract
Objetivo Describir el proceso de desarrollo de la salud comunitaria (SC) en un territorio en que la dirección territorial de Atención Primaria decidió incluirla como línea estratégica en su hoja de ruta. Diseño Investigación evaluativa mediante técnicas cualitativas, incluyendo análisis DAFO en SC, en 2 etapas (estudio bietápico). Emplazamiento Equipos de Atención Primaria del Instituto Catalán de la Salud en Barcelona. Participantes y contexto El ámbito de estudio son los 24 EAP del Servicio de Atención Primaria Muntanya-Dreta de la ciudad de Barcelona, referentes de un total de 557.430 habitantes, con un total de 904 profesionales. Método 1.a fase: constitución de un grupo de trabajo en SC; identificación de los proyectos comunitarios en el territorio con cuestionario ad hoc; análisis DAFO. 2.a fase: a partir de las necesidades detectadas en la fase anterior se elaboró un plan de actividades formativas en SC: taller básico, taller avanzado y jornada de intercambio de experiencias en salud comunitaria. Resultados Ochenta profesionales de los equipos recibieron formación específica en los 4 talleres realizados, uno de ellos de nivel avanzado; se realizaron 2 jornadas de intercambio de experiencias en las que participaron 165 profesionales de los equipos del territorio y en las que se presentaron 22 experiencias locales. De los 24 EAP, 6 han efectuado diagnóstico comunitario en 2013. Conclusiones Aunque la SC está ciertamente desarrollada en determinadas áreas, dista todavía de tener un papel relevante en el modelo de atención. Su expansión va a depender del soporte directivo, la impronta comunitaria local y el propio EAP.
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Affiliation(s)
- Carme Nebot Adell
- SAP Muntanya-Dreta, Àmbit Atenció Primària Barcelona ciutat, ICS, Barcelona, España.
| | | | | | - Clara Sala Alvarez
- SAP Muntanya-Dreta, Àmbit Atenció Primària Barcelona ciutat, ICS, Barcelona, España
| | - Alex Escosa Farga
- SAP Muntanya-Dreta, Àmbit Atenció Primària Barcelona ciutat, ICS, Barcelona, España
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Sáenz Mendía R, Gabari Gambarte MI, García García JM. [Positive health resources: Exploratory study with groups from the Pamplona school area]. Aten Primaria 2015; 48:140-1. [PMID: 26276059 PMCID: PMC6877800 DOI: 10.1016/j.aprim.2015.06.003] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2015] [Revised: 06/05/2015] [Accepted: 06/15/2015] [Indexed: 11/25/2022] Open
Affiliation(s)
- Raquel Sáenz Mendía
- Área de Enfermería, Facultad de Ciencias de la Salud, Universidad Pública de Navarra, Grupo de Investigación Educación y Salud, Pamplona, Navarra, España.
| | - M Inés Gabari Gambarte
- Didáctica y Organización Escolar, Departamento de Psicología y Pedagogía, Universidad Pública de Navarra, Grupo de Investigación Educación y Salud, Pamplona, Navarra, España
| | - José M García García
- Área de Enfermería, Facultad de Ciencias de la Salud, Universidad Pública de Navarra, Grupo de Investigación Educación y Salud, Pamplona, Navarra, España
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Cofiño Fernández R. [Your post code is more important for your health than your genetic code (1)]. Aten Primaria 2014; 45:127-8. [PMID: 23499154 PMCID: PMC6985478 DOI: 10.1016/j.aprim.2013.02.001] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2013] [Accepted: 02/12/2013] [Indexed: 11/27/2022] Open
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