2026-05-20T04:15:55Zhttps://repisalud.isciii.es/rest/oai/request

oai:repisalud.isciii.es:20.500.12105/176112024-09-22T01:00:15Zcom_20.500.12105_15322com_20.500.12105_2051col_20.500.12105_16927col_20.500.12105_16960col_20.500.12105_16967col_20.500.12105_16973col_20.500.12105_16979

00925njm 22002777a 4500 dc Zabaleta-Del-Olmo, Edurne author Pombo, Haizea author Pons-Vigués, Mariona author Casajuana-Closas, Marc author Pujol-Ribera, Enriqueta author López-Jiménez, Tomás author Cabezas-Peña, Carmen author Martín-Borràs, Carme author Serrano-Blanco, Antoni author Rubio-Valera, Maria author Llobera, Joan author Leiva, Alfonso author Vicens, Caterina author Vidal, Clara author Campiñez, Manuel author Martín-Álvarez, Remedios author Maderuelo, José-Ángel author Recio, José-Ignacio author García-Ortiz, Luis author Motrico, Emma author Bellón, Juan-Ángel author Moreno-Peral, Patricia author Martín-Cantera, Carlos author Clavería, Ana author Aldecoa-Landesa, Susana author Magallón-Botaya, Rosa author Bolíbar, Bonaventura author 2018-07-13 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. 10.1186/s12889-018-5805-y 1471-2458 BMC public health http://hdl.handle.net/10668/12707 http://hdl.handle.net/20.500.13003/9212 30005705 L628437340 2-s2.0-85049928098 http://hdl.handle.net/20.500.12105/17611 463579100001 Complex interventions Cost-effectiveness analysis Health behaviour Health promotion Hybrid trial Implementation research Mediterranean diet Physical activity Primary health care Smoking 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.