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dc.contributor.author | Fernandez-Alvira, Juan Miguel | |
dc.contributor.author | Fernandez-Jimenez, Rodrigo | |
dc.contributor.author | de Miguel, Mercedes | |
dc.contributor.author | Santos-Beneit, Gloria | |
dc.contributor.author | Bodega, Patricia | |
dc.contributor.author | Hill, Christopher A | |
dc.contributor.author | Carral, Vanesa | |
dc.contributor.author | Rodríguez, Carla | |
dc.contributor.author | Carvajal, Isabel | |
dc.contributor.author | Orrit, Xavier | |
dc.contributor.author | de Cos-Gandoy, Amaya | |
dc.contributor.author | Dal Re, Marian | |
dc.contributor.author | Robledo, Teresa | |
dc.contributor.author | Fuster, Valentin | |
dc.date.accessioned | 2022-04-04T10:32:05Z | |
dc.date.available | 2022-04-04T10:32:05Z | |
dc.date.issued | 2021-10 | |
dc.identifier.citation | Am Heart J. 2021 Oct;240:81-88. | es_ES |
dc.identifier.issn | 0002-8703 | es_ES |
dc.identifier.uri | http://hdl.handle.net/20.500.12105/13915 | |
dc.description.abstract | The Fifty-Fifty trial demonstrated that a peer-group-based intervention was able to improve healthy behaviors in individuals with cardiovascular (CV) risk factors immediately post-intervention. To determine the long-term sustainability of a one-year peer-group-based intervention focused on CV health and behavior. A total of 543 adults aged 25 to 50 years with at least 1 CV risk factor were screened and recruited, received initial training through workshops, and were then randomized 1:1 to a peer-group-based intervention group (IG) or a self-management control group (CG) for 12 months. At a median of 52 months from baseline, 321 participants were re-assessed (~60% retention). The primary outcome was the mean change in a composite health score related to blood pressure, exercise, weight, alimentation, and tobacco use (Fuster-BEWAT score [FBS], range 0-15). Intervention effects were assessed using linear-mixed effects models. The mean age of retained participants was 48.0 years (SD: 5.4), and 73% were female. Consistent with previous results, the change of overall FBS was significantly greater in the IG than in the CG at 12-month follow-up (between-group difference, 0.60 points; 95% CI, 0.08-1.12; P = .025). Assessment of long-term sustainability (52-month follow-up) showed that there were no between-group differences in the mean overall FBS (IG mean score, 8.52; 95% CI, 7.97-9.07 vs CG mean score, 8.51; 95% CI, 7.93-9.10; P = .972) or in the change of overall FBS from screening (IG mean change, 0.64; 95% CI, 0.00-1.28; CG mean change, 0.46; 95% CI, -0.20-1.12; P = .497). A one-year peer-group-based intervention showed favorable results at immediate post-intervention but did not demonstrate significant differences between the IG and CG at 52 months. Combination of an initial training period (workshops) with the maintenance of peer-support groups or other re-intervention strategies may be required to achieve sustained effects on healthy behaviors. ClinicalTrials.gov identifier NCT02367963. Registered (https://clinicaltrials.gov/show/NCT02367963). | es_ES |
dc.description.sponsorship | This study was co-funded by the SHE Foundation -“la Caixa” Foundation (LCF/PR/CE16/10700001 and LCF/PR/MS19/12220001) and the Ministry of Health, Social Services and Equality. R.F-J is recipient of funding from the Instituto de Salud Carlos III-Fondo de Investigacion Sanitaria (PI19/01704) co-funded by the European Regional Development Fund/European Social Fund (“A way to make Europe”/“Investing in your future”). The CNIC is supported by the Instituto de Salud Carlos III (ISCIII), the Ministry of Science and Innovation, and the Pro CNIC Foundation and is a Severo Ochoa Center of Excellence (SEV-2015-0505). | es_ES |
dc.language.iso | eng | es_ES |
dc.type.hasVersion | VoR | es_ES |
dc.rights.uri | http://creativecommons.org/licenses/by-sa/4.0/ | * |
dc.subject.mesh | Health Behavior | es_ES |
dc.subject.mesh | Heart Disease Risk Factors | es_ES |
dc.subject.mesh | Peer Influence | es_ES |
dc.subject.mesh | Social Support | es_ES |
dc.subject.mesh | Adult | es_ES |
dc.subject.mesh | Cardiovascular Diseases | es_ES |
dc.subject.mesh | Female | es_ES |
dc.subject.mesh | Follow-Up Studies | es_ES |
dc.subject.mesh | Humans | es_ES |
dc.subject.mesh | Male | es_ES |
dc.subject.mesh | Middle Aged | es_ES |
dc.subject.mesh | Self-Management | es_ES |
dc.title | The challenge of sustainability: Long-term results from the Fifty-Fifty peer group-based intervention in cardiovascular risk factors. | es_ES |
dc.type | journal article | es_ES |
dc.rights.license | Atribución-CompartirIgual 4.0 Internacional | * |
dc.identifier.pubmedID | 34147462 | es_ES |
dc.format.volume | 240 | es_ES |
dc.format.page | 81-88 | es_ES |
dc.identifier.doi | 10.1016/j.ahj.2021.06.006 | es_ES |
dc.description.peerreviewed | Sí | es_ES |
dc.identifier.e-issn | 1097-6744 | es_ES |
dc.relation.publisherversion | https://www.sciencedirect.com/science/article/pii/S0002870321001629?via%3Dihub#sec0012 | es_ES |
dc.identifier.journal | American Heart Journal | es_ES |
dc.repisalud.orgCNIC | Cardiovascular Health and Imaging Laboratory | es_ES |
dc.repisalud.institucion | CNIC | es_ES |
dc.rights.accessRights | open access | es_ES |
dc.relation.projectFIS | info:fis/Instituto de Salud Carlos III/Programa Estatal de Generación de Conocimiento y Fortalecimiento del Sistema Español de I+D+I/Subprograma Estatal de Generación de Conocimiento/PI19 - Proyectos de investigacion en salud (AES 2019). Modalidad proyectos en salud. (2019)/PI19/01704 | es_ES |