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Background: The relationship between the quality of the diet and the adherence to the Mediterranean diet with the presence of persistent or recurrent depressive symptoms have been described. The objective of this study is to analyze the relationship between adherence to the Mediterranean diet and the intake of specific foods in primary care patients aged 45 to 75, having subclinical or major depression. The study also specifically analyzes this relationship in individuals suffering from chronic diseases. Methods: A cross-sectional descriptive study was conducted. 3062 subjects met the inclusion criteria from the EIRA study. Sociodemographic variables, clinical morbidity, depression symptomatology (PHQ-9) and adherence to Mediterranean diet (MEDAS) were collected. Results: Being female, younger, with a higher BMI, consuming more than 1 serving of red meat a day and drinking more than one carbonated or sugary drink daily, not consuming 3 servings of nuts a week and not eating 2 vegetables cooked in olive oil a week are predictors of having higher depressive symptomatology. Conclusions: Assessing the type of diet of patients presenting depressive symptoms and promoting adherence to a healthy diet is important, especially in patients with chronic diseases. However, depression is a very complex issue and the relationship between nutrition and depression must be further examined.
Bárbara Oliván-Blázquez; Alejandra Aguilar-Latorre; Emma Motrico; Irene Gómez-Gómez; Edurne Zabaleta-Del-Olmo; Sabela Couso-Viana; Ana Clavería; José Maderuelo-Fernandez; José Recio-Rodríguez; Patricia Moreno-Peral; Marc Casajuana-Closas; Tomàs López-Jiménez; Bonaventura Bolíbar; Joan Llobera; Concepción Sarasa-Bosque; Álvaro Sanchez-Perez; Juan Bellón; Rosa Magallón-Botaya. The Relationship between Adherence to the Mediterranean Diet, Intake of Specific Foods and Depression in an Adult Population (45–75 Years) in Primary Health Care. A Cross-Sectional Descriptive Study. Nutrients 2021, 13, 2724 .
AMA StyleBárbara Oliván-Blázquez, Alejandra Aguilar-Latorre, Emma Motrico, Irene Gómez-Gómez, Edurne Zabaleta-Del-Olmo, Sabela Couso-Viana, Ana Clavería, José Maderuelo-Fernandez, José Recio-Rodríguez, Patricia Moreno-Peral, Marc Casajuana-Closas, Tomàs López-Jiménez, Bonaventura Bolíbar, Joan Llobera, Concepción Sarasa-Bosque, Álvaro Sanchez-Perez, Juan Bellón, Rosa Magallón-Botaya. The Relationship between Adherence to the Mediterranean Diet, Intake of Specific Foods and Depression in an Adult Population (45–75 Years) in Primary Health Care. A Cross-Sectional Descriptive Study. Nutrients. 2021; 13 (8):2724.
Chicago/Turabian StyleBárbara Oliván-Blázquez; Alejandra Aguilar-Latorre; Emma Motrico; Irene Gómez-Gómez; Edurne Zabaleta-Del-Olmo; Sabela Couso-Viana; Ana Clavería; José Maderuelo-Fernandez; José Recio-Rodríguez; Patricia Moreno-Peral; Marc Casajuana-Closas; Tomàs López-Jiménez; Bonaventura Bolíbar; Joan Llobera; Concepción Sarasa-Bosque; Álvaro Sanchez-Perez; Juan Bellón; Rosa Magallón-Botaya. 2021. "The Relationship between Adherence to the Mediterranean Diet, Intake of Specific Foods and Depression in an Adult Population (45–75 Years) in Primary Health Care. A Cross-Sectional Descriptive Study." Nutrients 13, no. 8: 2724.
Background With the onset of COVID-19, general practitioners (GPs) and patients worldwide swiftly transitioned from face-to-face to digital remote consultations. There is a need to evaluate how this global shift has impacted patient care, healthcare providers, patient and carer experience, and health systems. Objective We explored GPs’ perspectives on the main benefits and challenges of using digital remote care. Methods GPs across 20 countries completed an online questionnaire between June – September 2020. GPs’ perceptions on main barriers and challenges were explored using free-text questions. Thematic analysis was used to analyse the data. Results 1,605 respondents participated in our survey. The benefits identified included reducing COVID-19 transmission risks, guaranteeing access and continuity of care, improved efficiency, faster access to care, improved convenience and communication with patients, greater work flexibility for providers, and hastening the digital transformation of primary care and the accompanying legal frameworks. Main challenges included patient’s preference for face-to-face consultations, digital exclusion, lack of physical examinations, clinical uncertainty, delays in diagnosis and treatment, overuse and misuse of digital remote care, and unsuitability for certain types of consultations. Other challenges include the lack of formal guidance, higher workloads, remuneration issues, organisational culture, technical difficulties, implementation and financial issues, and regulatory weaknesses. Conclusion At the frontline of care delivery, GPs can provide important insights on what worked well, why, and how. Lessons learned during the emergency phase can be used to inform the stable adoption of virtual care solutions, and co-design processes and platforms that are technologically robust, secure, and supported by a strategic long-term plan.
Edmond Li; Rosy Tsopra; Geronimo Larrain Gimenez; Alice Serafini; Gustavo Gusso; Heidrun Lingner; Maria Jose Fernandez; Greg Irving; Davorina Petek; Robert Hoffman; Vanja Lazic; Memarian Ensieh; Tuomas Koskela; Claire Collins; Sandra Milena Espitia; Ana Clavería; Katarzyna Nessler; Braden Gregory O’Neill; Kyle Hoedebecke; Mehmet Ungan; Liliana Laranjo; Saira Ghafur; Gianluca Fontana; Azeem Majeed; Josip Car; Ara Darzi; Ana Luisa Neves. Benefits and Challenges of Using Virtual Primary Care During the COVID-19 Pandemic: From Key Lessons to a Framework for Implementation. 2021, 1 .
AMA StyleEdmond Li, Rosy Tsopra, Geronimo Larrain Gimenez, Alice Serafini, Gustavo Gusso, Heidrun Lingner, Maria Jose Fernandez, Greg Irving, Davorina Petek, Robert Hoffman, Vanja Lazic, Memarian Ensieh, Tuomas Koskela, Claire Collins, Sandra Milena Espitia, Ana Clavería, Katarzyna Nessler, Braden Gregory O’Neill, Kyle Hoedebecke, Mehmet Ungan, Liliana Laranjo, Saira Ghafur, Gianluca Fontana, Azeem Majeed, Josip Car, Ara Darzi, Ana Luisa Neves. Benefits and Challenges of Using Virtual Primary Care During the COVID-19 Pandemic: From Key Lessons to a Framework for Implementation. . 2021; ():1.
Chicago/Turabian StyleEdmond Li; Rosy Tsopra; Geronimo Larrain Gimenez; Alice Serafini; Gustavo Gusso; Heidrun Lingner; Maria Jose Fernandez; Greg Irving; Davorina Petek; Robert Hoffman; Vanja Lazic; Memarian Ensieh; Tuomas Koskela; Claire Collins; Sandra Milena Espitia; Ana Clavería; Katarzyna Nessler; Braden Gregory O’Neill; Kyle Hoedebecke; Mehmet Ungan; Liliana Laranjo; Saira Ghafur; Gianluca Fontana; Azeem Majeed; Josip Car; Ara Darzi; Ana Luisa Neves. 2021. "Benefits and Challenges of Using Virtual Primary Care During the COVID-19 Pandemic: From Key Lessons to a Framework for Implementation." , no. : 1.
Depression constitutes a major public health problem due to its high prevalence and difficulty in diagnosis. The Hopkins Symptom Checklist-25 (HSCL-25) scale has been identified as valid, reproducible, effective, and easy to use in primary care (PC). The purpose of the study was to assess the psychometric properties of the HSCL-25 and validate its Spanish version. A multicenter cross-sectional study was carried out at six PC centers in Spain. Validity and reliability were assessed against the structured Composite International Diagnostic Interview (CIDI). Out of the 790 patients, 769 completed the HSCL-25; 738 answered all the items. Global Cronbach’s alpha was 0.92 (0.88 as calculated for the depression dimension and 0.83 for the anxiety one). Confirmatory factor analysis (CFA) showed one global factor and two correlated factors with a correlation of 0.84. Area under the curve (AUC) was 0.89 (CI 95%, 0.86–0.93%). For a 1.75 cutoff point, sensibility was 88.1% (CI 95%, 77.1–95.1%) and specificity was 76.7% (CI 95%, 73.3–79.8%). The Spanish version of the HSCL-25 has a high response percentage, validity, and reliability and is well-accepted by PC patients.
María Rodríguez-Barragán; María Fernández-San-Martín; Ana Clavería-Fontán; Susana Aldecoa-Landesa; Marc Casajuana-Closas; Joan Llobera; Bárbara Oliván-Blázquez; Eva Peguero-Rodríguez. Validation and Psychometric Properties of the Spanish Version of the Hopkins Symptom Checklist-25 Scale for Depression Detection in Primary Care. International Journal of Environmental Research and Public Health 2021, 18, 7843 .
AMA StyleMaría Rodríguez-Barragán, María Fernández-San-Martín, Ana Clavería-Fontán, Susana Aldecoa-Landesa, Marc Casajuana-Closas, Joan Llobera, Bárbara Oliván-Blázquez, Eva Peguero-Rodríguez. Validation and Psychometric Properties of the Spanish Version of the Hopkins Symptom Checklist-25 Scale for Depression Detection in Primary Care. International Journal of Environmental Research and Public Health. 2021; 18 (15):7843.
Chicago/Turabian StyleMaría Rodríguez-Barragán; María Fernández-San-Martín; Ana Clavería-Fontán; Susana Aldecoa-Landesa; Marc Casajuana-Closas; Joan Llobera; Bárbara Oliván-Blázquez; Eva Peguero-Rodríguez. 2021. "Validation and Psychometric Properties of the Spanish Version of the Hopkins Symptom Checklist-25 Scale for Depression Detection in Primary Care." International Journal of Environmental Research and Public Health 18, no. 15: 7843.
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.
Francisco Represas-Carrera; Sabela Couso-Viana; Fátima Méndez-López; Bárbara Masluk; Rosa Magallón-Botaya; Jose Recio-Rodríguez; Haizea Pombo; Alfonso Leiva-Rus; Montserrat Gil-Girbau; Emma Motrico; Ruth Martí-Lluch; Francisco Gude; Ana Clavería. 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 .
AMA StyleFrancisco Represas-Carrera, Sabela Couso-Viana, Fátima Méndez-López, Bárbara Masluk, Rosa Magallón-Botaya, Jose Recio-Rodríguez, Haizea Pombo, Alfonso Leiva-Rus, Montserrat Gil-Girbau, Emma Motrico, Ruth Martí-Lluch, Francisco Gude, Ana Clavería. 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 (11):5788.
Chicago/Turabian StyleFrancisco Represas-Carrera; Sabela Couso-Viana; Fátima Méndez-López; Bárbara Masluk; Rosa Magallón-Botaya; Jose Recio-Rodríguez; Haizea Pombo; Alfonso Leiva-Rus; Montserrat Gil-Girbau; Emma Motrico; Ruth Martí-Lluch; Francisco Gude; Ana Clavería. 2021. "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 18, no. 11: 5788.
BACKGROUND In recent decades, virtual care has emerged as a promising option to support primary care delivery. However, despite the potential, adoption rates remained low. With the outbreak of COVID-19, it has suddenly been pushed to the forefront of care delivery. As we progress into the second year of the COVID-19 pandemic, there is a need and opportunity to review the impact remote care had in primary care settings and reassess its potential future role. OBJECTIVE This study aims to explore the perspectives of General Practitioners / Family Doctors (GPs/FDs) on a.) use of virtual care during the COVID-19 pandemic; b.) perceived impact on quality and safety of care; c.) essential factors for high-quality and sustainable use of virtual care in the future. METHODS Online cross-sectional questionnaire of GPs/FDs, distributed across 20 countries. The survey was hosted in Qualtrics and distributed using email, social media, and the researchers’ personal contact networks. General Practitioners were eligible for the survey if they were working mainly in primary care during the period of the COVID-19 pandemic. Descriptive statistical analysis will be performed for quantitative variables, and subgroup analyses will be conducted to explore the relationships between the use of virtual care and perceptions on impact on quality and safety of care, and participants’ characteristics. Qualitative data (free-text responses) will be analysed using framework analysis. RESULTS N/A CONCLUSIONS The study will provide a comprehensive overview of the availability of virtual care technologies, perceived impact on quality and safety of care and essential factors for high-quality future use. In addition, a description of the underlying factors that influence this adoption and perceptions, in both individual GP/FD characteristics, and the context in which they work, will be provided. While the COVID-19 pandemic may prove the first great stress test of the capabilities, capacity, and robustness of digital systems currently in use, remote care will likely remain an increasingly common approach in the future. There is an imperative to identify the main lessons from this unexpected transformation and use them to inform policy decisions and health service design.
Ana Luísa Neves; Edmond Li; Alice Serafini; Geronimo Larrain Gimenez; Heidrun Lingner; Tuomas Koskela; Robert D Hoffman; Claire Collins; Davorina Petek; Ana Claveria; Rosy Tsopra; Greg Irving; Gustavo Gusso; Braden Gregory O’Neill; Kyle Hoedebecke; Sandra Milena Espitia; Mehmet Ungan; Katarzyna Nessler; Vanja Lazic; Liliana Laranjo; Memarian Ensieh; Maria Jose Fernandez; Saira Ghafur; Gianluca Fontana; Azeem Majeed; Josip Car; Ara Darzi. Evaluating the impact of COVID-19 on the adoption of virtual care in general practice in 20 countries (inSIGHT): rationale and study protocol (Preprint). 2021, 1 .
AMA StyleAna Luísa Neves, Edmond Li, Alice Serafini, Geronimo Larrain Gimenez, Heidrun Lingner, Tuomas Koskela, Robert D Hoffman, Claire Collins, Davorina Petek, Ana Claveria, Rosy Tsopra, Greg Irving, Gustavo Gusso, Braden Gregory O’Neill, Kyle Hoedebecke, Sandra Milena Espitia, Mehmet Ungan, Katarzyna Nessler, Vanja Lazic, Liliana Laranjo, Memarian Ensieh, Maria Jose Fernandez, Saira Ghafur, Gianluca Fontana, Azeem Majeed, Josip Car, Ara Darzi. Evaluating the impact of COVID-19 on the adoption of virtual care in general practice in 20 countries (inSIGHT): rationale and study protocol (Preprint). . 2021; ():1.
Chicago/Turabian StyleAna Luísa Neves; Edmond Li; Alice Serafini; Geronimo Larrain Gimenez; Heidrun Lingner; Tuomas Koskela; Robert D Hoffman; Claire Collins; Davorina Petek; Ana Claveria; Rosy Tsopra; Greg Irving; Gustavo Gusso; Braden Gregory O’Neill; Kyle Hoedebecke; Sandra Milena Espitia; Mehmet Ungan; Katarzyna Nessler; Vanja Lazic; Liliana Laranjo; Memarian Ensieh; Maria Jose Fernandez; Saira Ghafur; Gianluca Fontana; Azeem Majeed; Josip Car; Ara Darzi. 2021. "Evaluating the impact of COVID-19 on the adoption of virtual care in general practice in 20 countries (inSIGHT): rationale and study protocol (Preprint)." , no. : 1.
Ana Luísa Neves; Edmond Li; Alice Serafini; Geronimo Larrain Gimenez; Heidrun Lingner; Tuomas Koskela; Robert D Hoffman; Claire Collins; Davorina Petek; Ana Claveria; Rosy Tsopra; Greg Irving; Gustavo Gusso; Braden Gregory O’Neill; Kyle Hoedebecke; Sandra Milena Espitia; Mehmet Ungan; Katarzyna Nessler; Vanja Lazic; Liliana Laranjo; Memarian Ensieh; Maria Jose Fernandez; Saira Ghafur; Gianluca Fontana; Azeem Majeed; Josip Car; Ara Darzi. Evaluating the impact of COVID-19 on the adoption of virtual care in general practice in 20 countries (inSIGHT): rationale and study protocol (Preprint). JMIR Research Protocols 2021, 1 .
AMA StyleAna Luísa Neves, Edmond Li, Alice Serafini, Geronimo Larrain Gimenez, Heidrun Lingner, Tuomas Koskela, Robert D Hoffman, Claire Collins, Davorina Petek, Ana Claveria, Rosy Tsopra, Greg Irving, Gustavo Gusso, Braden Gregory O’Neill, Kyle Hoedebecke, Sandra Milena Espitia, Mehmet Ungan, Katarzyna Nessler, Vanja Lazic, Liliana Laranjo, Memarian Ensieh, Maria Jose Fernandez, Saira Ghafur, Gianluca Fontana, Azeem Majeed, Josip Car, Ara Darzi. Evaluating the impact of COVID-19 on the adoption of virtual care in general practice in 20 countries (inSIGHT): rationale and study protocol (Preprint). JMIR Research Protocols. 2021; ():1.
Chicago/Turabian StyleAna Luísa Neves; Edmond Li; Alice Serafini; Geronimo Larrain Gimenez; Heidrun Lingner; Tuomas Koskela; Robert D Hoffman; Claire Collins; Davorina Petek; Ana Claveria; Rosy Tsopra; Greg Irving; Gustavo Gusso; Braden Gregory O’Neill; Kyle Hoedebecke; Sandra Milena Espitia; Mehmet Ungan; Katarzyna Nessler; Vanja Lazic; Liliana Laranjo; Memarian Ensieh; Maria Jose Fernandez; Saira Ghafur; Gianluca Fontana; Azeem Majeed; Josip Car; Ara Darzi. 2021. "Evaluating the impact of COVID-19 on the adoption of virtual care in general practice in 20 countries (inSIGHT): rationale and study protocol (Preprint)." JMIR Research Protocols , no. : 1.
Background: Diabetes mellitus (DM) is currently a major public health problem worldwide. It is traditionally approached by a clinical inpatient relationship between patients and healthcare professionals. However, the rise in of the use of new technologies, particularly mobile applications, is revolutionizing the traditional healthcare model with the introduction of telehealthcare.Objective: (1) Examine the mobile applications that address lifestyles to improve the metabolic control of adult patients with Diabetes Mellitus. (2) Describe the characteristics of the used mobile applications, identify the healthy lifestyles they target, and describe any of their adverse effects.Methods: Review of systematic reviews following Cochrane Collaboration and Joanna Briggs Institute guidelines. We included studies that used any mobile application to help patients improve DM self-management by focusing on healthy lifestyles. Studies needed to include a control group receiving regular care without using mobile devices. In May 2018, Medline, Embase, Cochrane, LILACS, PsychINFO, Cinahl and Science Direct were searched, updated in May 2019. The methodological quality of the studies was assessed by the Amstar-2 tool.Results: Seven systematic reviews of 798 articles were initially selected for the analysis. Interventions lasted 1-12 months. Twenty-three different mobile applications were identified. They were all related to eating and physical activity. Significant changes were found in HbA1c values, body weight and BMI, but no clear improvement was observed in others like lipid profile, quality of life or blood pressure. No significant adverse effects were identified.Conclusions: Clearly evidence appeared for using mobile applications to improve glycemic control in diabetic patients in the short term, but not for long-term benefits. Thus carrying out further studies is necessary to learn about the long-term effectiveness of mobile applications to promote DM patients’ healthy lifestyles. PROSPERO Register: CRD42019133685
Francisco Jesús Represas Carrera; Ángel Alfredo Martínez Ques; Ana Clavería Fontán. Effectiveness of mobile applications in diabetic patients’ healthy lifestyles: review of systematic reviews. 2020, 1 .
AMA StyleFrancisco Jesús Represas Carrera, Ángel Alfredo Martínez Ques, Ana Clavería Fontán. Effectiveness of mobile applications in diabetic patients’ healthy lifestyles: review of systematic reviews. . 2020; ():1.
Chicago/Turabian StyleFrancisco Jesús Represas Carrera; Ángel Alfredo Martínez Ques; Ana Clavería Fontán. 2020. "Effectiveness of mobile applications in diabetic patients’ healthy lifestyles: review of systematic reviews." , no. : 1.
The Manageable Geriatric Assessment (MAGIC) questionnaire, recently developed by a group of European family doctors for multidimensional geriatric assessment in primary care, has not yet been evaluated in clinical practice. The objectives of this study were to translate and adapt it to Spanish and to check the association between the limitations of older adults identified by this questionnaire and their perceived health status assessed by the five-level version of the EuroQol-5D (EQ-5D-5L). First, questionnaire translation, back translation and cognitive test were applied. Then, a cross-sectional observational study was performed in two Spanish health centers Galicia, Spain. Participants were 170 people aged over 75, recruited opportunistically by consecutive case sampling. Anonymous surveys were used to collect data. The MAGIC questionnaire, the EQ-5D-5L scale, age and sex were employed. The visual analog scale of EQ-5D-5L (EQ VAS) was used as the outcome variable. Descriptive and bivariate analyses by sex and outcome variable are presented. The linear regression analysis showed an association with quality of life for daily activities, recognizing people and stress incontinence. As this is associated with quality of life, the MAGIC questionnaire may be useful in primary care and a study to investigate the impact on health with a clinical trial would be worth considering.
Fátima Dios-Quiroga; Susana Soliño-Lourido; Carmen Pallas-Queijo; Clara González-Formoso; Aurelia Constenla-Castro; Soledad Conde-Freire; Ana Clavería. Multidimensional Geriatric Assessment with MAGIC Questionnaire and Quality of Life in Elderly Primary Care Patients. International Journal of Environmental Research and Public Health 2020, 17, 7089 .
AMA StyleFátima Dios-Quiroga, Susana Soliño-Lourido, Carmen Pallas-Queijo, Clara González-Formoso, Aurelia Constenla-Castro, Soledad Conde-Freire, Ana Clavería. Multidimensional Geriatric Assessment with MAGIC Questionnaire and Quality of Life in Elderly Primary Care Patients. International Journal of Environmental Research and Public Health. 2020; 17 (19):7089.
Chicago/Turabian StyleFátima Dios-Quiroga; Susana Soliño-Lourido; Carmen Pallas-Queijo; Clara González-Formoso; Aurelia Constenla-Castro; Soledad Conde-Freire; Ana Clavería. 2020. "Multidimensional Geriatric Assessment with MAGIC Questionnaire and Quality of Life in Elderly Primary Care Patients." International Journal of Environmental Research and Public Health 17, no. 19: 7089.
Describir el proceso de traducción y adaptación transcultural de la escala Hopkins Symptom Checklist-25 (HSCL-25) al español, catalán y gallego. Traducción, adaptación transcultural y análisis de la comprensibilidad mediante entrevistas cognitivas. Unidades de Investigación de Atención Primaria de Barcelona y Vigo. Médicos de familia y pacientes de Atención Primaria. Siguiendo las guías de la International Society for Pharmacoeconomics and Outcomes Research (ISPOR), se realizaron: 1) traducción directa; 2) estudio piloto basado en metodología Delphi con médicos de familia; 3) retrotraducción; 4) análisis de equivalencias; 5) análisis de comprensibilidad de las versiones obtenidas en español, catalán y gallego mediante entrevista cognitiva en una muestra de pacientes, y 6) armonización transcultural. En el estudio Delphi participaron 73 médicos de familia. El consenso se estableció en la primera ronda para la traducción española y catalana, y en la segunda ronda para la gallega. Las retrotraducciones fueron similares en los 3 idiomas. Todas las versiones fueron equivalentes entre ellas y respecto a la versión original inglesa. En la entrevista cognitiva participaron 10 pacientes por cada idioma, sin que se modificara la redacción de los ítems. Las traducciones de la escala HSCL-25 en español, catalán y gallego son equivalentes semántica y conceptualmente a la versión original. Las traducciones son comprensibles y bien aceptadas por los pacientes. To describe the translation and cross-cultural adaptation process of the Hopkins Symptom Checklist-25 (HSCL-25) scale into Spanish, Catalan and Galician. Translation, cross-cultural adaption and comprehensibility analysis through cognitive debriefing. Research Units of Primary Care in Barcelona and Vigo. Family doctors and Primary Care patients. Following the guidelines of the International Society for Pharmacoeconomics and Outcomes Research (ISPOR): 1) Direct translation. 2) Pilot study based on Delphi methodology with family doctors. 3) Back-translation. 4) Equivalence analysis. 5) Comprehension analysis of versions obtained in Spanish, Catalan and Galician through cognitive debriefing in a sample of patients. 6) Transcultural harmonization. 73 family doctors participated in the Delphi study. The consensus was established in the first round for the Spanish and Catalan translations, and in the second round for the Galician. The back-translations were similar in all 3 languages. All versions were equivalent between them and compared to the original English version. In the cognitive interview, 10 patients participated for each language, without modifying the writing of the items. The translations of the HSCL-25 scale in Spanish, Catalan and Galician are semantically and conceptually equivalent to the original version. Translations are understandable and well accepted by patients.
Ana Clavería; María Rodríguez-Barragán; Maria Isabel Fernández-San-Martín; Patrice Nabbe; Jean Yves Le Reste; Iria Miguéns-Blanco; Yolima Cossio-Gil. Traducción y adaptación transcultural al español, catalán y gallego de la escala Hopkins Symptom Checklist-25 para la detección de depresión en Atención Primaria. Atención Primaria 2020, 52, 539 -547.
AMA StyleAna Clavería, María Rodríguez-Barragán, Maria Isabel Fernández-San-Martín, Patrice Nabbe, Jean Yves Le Reste, Iria Miguéns-Blanco, Yolima Cossio-Gil. Traducción y adaptación transcultural al español, catalán y gallego de la escala Hopkins Symptom Checklist-25 para la detección de depresión en Atención Primaria. Atención Primaria. 2020; 52 (8):539-547.
Chicago/Turabian StyleAna Clavería; María Rodríguez-Barragán; Maria Isabel Fernández-San-Martín; Patrice Nabbe; Jean Yves Le Reste; Iria Miguéns-Blanco; Yolima Cossio-Gil. 2020. "Traducción y adaptación transcultural al español, catalán y gallego de la escala Hopkins Symptom Checklist-25 para la detección de depresión en Atención Primaria." Atención Primaria 52, no. 8: 539-547.
BackgroundPrimary care is the ideal setting for promotion and prevention intervention. Multiple risk behaviour interventions present several advantages over single-risk lifestyle interventions. Multiple risk behaviour interventions could be easily implemented in primary care to prevent non-communicable disease and depression.AimTo test the effectiveness of a multiple risk behaviour intervention to promote Mediterranean diet, physical activity, and/or smoking cessation in people attending Spanish primary health care with incidence of depression and symptoms of depression.MethodThis was a secondary analysis of the EIRA study that aims to test the effectiveness of a multiple risk behaviour intervention to promote healthy lifestyles. Twenty-six primary care centres were randomised to receive multiple risk behaviour intervention or usual care. The multiple risk behaviour intervention included individual sessions, group sessions, communitarian activities, and SMS reception. Participants were followed for 10–14 months. The primary outcomes of this study were incidence of depression and reductions of depressive symptoms.ResultsThree thousand and sixty-seven participants were included. Females accounted for 45.13% and 93.88% were Spanish. Age varied between 45 and 75 years old. The effectiveness of the intervention will be calculated using the Patient Health Questionnaire (PHQ-9) and the Composite International Diagnostic Interview (CIDI) depression section. Linear and logistic regression will be used to create predictive models.ConclusionPrimary care is the most accessible service in the health system for patients. Hence primary care is the ideal setting for health education, promotion, and prevention interventions. This study will provide high-quality evidence about the effectiveness of multiple risk behaviour interventions over depression prevention.
Irene Gómez Gómez; Patricia Moreno-Peral; Tomás López; Ana Clavería; Barbara Oliván; Ruth Marti; Joan Llobera; Jose-Angel Maderuelo-Fernández; Emma Motrico. Multiple risk behaviour intervention to prevent depression in primary care. British Journal of General Practice 2020, 70, 1 .
AMA StyleIrene Gómez Gómez, Patricia Moreno-Peral, Tomás López, Ana Clavería, Barbara Oliván, Ruth Marti, Joan Llobera, Jose-Angel Maderuelo-Fernández, Emma Motrico. Multiple risk behaviour intervention to prevent depression in primary care. British Journal of General Practice. 2020; 70 (suppl 1):1.
Chicago/Turabian StyleIrene Gómez Gómez; Patricia Moreno-Peral; Tomás López; Ana Clavería; Barbara Oliván; Ruth Marti; Joan Llobera; Jose-Angel Maderuelo-Fernández; Emma Motrico. 2020. "Multiple risk behaviour intervention to prevent depression in primary care." British Journal of General Practice 70, no. suppl 1: 1.
Marta Baz-Rodríguez; Clara González-Formoso; Ana Goicoechea-Castaño; Elena Álvarez-Vázquez; Clara García-Cendón; Antonio Rial-Boubeta; Ana Clavería. [Early detection of the problematic Internet use in adolescents, in pediatrics of primary care.]. Rev. Esp. Salud Publica 2020, 94, 1 .
AMA StyleMarta Baz-Rodríguez, Clara González-Formoso, Ana Goicoechea-Castaño, Elena Álvarez-Vázquez, Clara García-Cendón, Antonio Rial-Boubeta, Ana Clavería. [Early detection of the problematic Internet use in adolescents, in pediatrics of primary care.]. Rev. Esp. Salud Publica. 2020; 94 ():1.
Chicago/Turabian StyleMarta Baz-Rodríguez; Clara González-Formoso; Ana Goicoechea-Castaño; Elena Álvarez-Vázquez; Clara García-Cendón; Antonio Rial-Boubeta; Ana Clavería. 2020. "[Early detection of the problematic Internet use in adolescents, in pediatrics of primary care.]." Rev. Esp. Salud Publica 94, no. : 1.
Fostering a culture of safety is an essential step in ensuring patient safety and quality in primary care. We aimed to evaluate the effectiveness of an educational intervention to improve the safety culture in the family and community medicine teaching units in an Atlantic European Region. Randomized study conducted in family and community medicine teaching units in Galicia (Spain). Participants were all fourth-year residents and their tutors (N = 138). Those who agreed to participate were randomized into one of two groups (27 tutors/26 residents in the intervention group, 23 tutors/ 23 residents in the control one).All were sent the Survey on Patient Safety Culture. After that, the intervention group received specific training in safety; they also recorded incidents over 15 days, documented them following a structured approach, and had feedback on their performance. The control group did not receive any action. All participants completed the same survey four months later. Outcome measures were the changes in safety culture as quantified by the results variables of the Survey: Patient Safety Grade and Number of events reported. We conducted bivariate and adjusted analyses for the outcome measures. To explore the influence of participants' demographic characteristics and their evaluation of the 12 dimensions of the safety culture, we fitted a multivariate model for each outcome. Trial followed published protocol. There were 19 drop outs. The groups were comparable in outcome and independent variables at start. The experiment did not have any effect on Patient safety grade (- 0.040) in bivariate analysis. The odds of reporting one to two events increased by 1.14 (0.39-3.35), and by 13.75 (2.41-354.37) the odds of reporting 3 or more events. Different dimensions had significant independent effects on each outcome variable. A educational intervention in family and community medicine teaching units may improve the incidents reported. The associations observed among organizational dimensions and outcomes evidence the complexity of patient safety culture measurement and, also, show the paths for improvement. In the future, it would be worthwhile to replicate this study in teaching units from different settings and with different health professionals engaged. It was retrospectively registered with ( ISRCTN41911128 , 31/12/2010).
Clara González-Formoso; Ana Clavería; M.J. Fernández-Domínguez; F.L. Lago-Deibe; Luis Hermida-Rial; Antonio Rial; Francisco Gude-Sampedro; Salvador Pita-Fernández; Victoria Martín-Miguel. Effectiveness of an educational intervention to improve the safety culture in primary care: a randomized trial. BMC Family Practice 2019, 20, 15 .
AMA StyleClara González-Formoso, Ana Clavería, M.J. Fernández-Domínguez, F.L. Lago-Deibe, Luis Hermida-Rial, Antonio Rial, Francisco Gude-Sampedro, Salvador Pita-Fernández, Victoria Martín-Miguel. Effectiveness of an educational intervention to improve the safety culture in primary care: a randomized trial. BMC Family Practice. 2019; 20 (1):15.
Chicago/Turabian StyleClara González-Formoso; Ana Clavería; M.J. Fernández-Domínguez; F.L. Lago-Deibe; Luis Hermida-Rial; Antonio Rial; Francisco Gude-Sampedro; Salvador Pita-Fernández; Victoria Martín-Miguel. 2019. "Effectiveness of an educational intervention to improve the safety culture in primary care: a randomized trial." BMC Family Practice 20, no. 1: 15.
It has been highlighted the original article (1) contained a typesetting mistake in the authorship, and that author Caterine Vicens was omitted.
Edurne Zabaleta-Del-Olmo; Haizea Pombo; Mariona Pons-Vigués; Marc Casajuana-Closas; Enriqueta Pujol-Ribera; Tomás López-Jiménez; Carmen Cabezas; Carme Martín-Borràs; Antoni Serrano-Blanco; Maria Rubio-Valera; Joan Llobera; Alfonso Leiva; Caterina Vicens; Clara Vidal; Manuel Campiñez; Remedios Martín-Álvarez; José-Ángel Maderuelo; José-Ignacio Recio; Luis García-Ortiz; Emma Motrico; Juan-Ángel Bellón; Patricia Moreno-Peral; Carlos Martin-Cantera; Ana Clavería; Susana Aldecoa-Landesa; Rosa Magallon; Bonaventura Bolíbar. Correction to: Complex multiple risk intervention to promote healthy behaviours in people between 45 to 75 years attended in primary health care (EIRA study): study protocol for a hybrid trial. BMC Public Health 2018, 18, 1004 .
AMA StyleEdurne Zabaleta-Del-Olmo, Haizea Pombo, Mariona Pons-Vigués, Marc Casajuana-Closas, Enriqueta Pujol-Ribera, Tomás López-Jiménez, Carmen Cabezas, Carme Martín-Borràs, Antoni Serrano-Blanco, Maria Rubio-Valera, Joan Llobera, Alfonso Leiva, Caterina Vicens, Clara Vidal, Manuel Campiñez, Remedios Martín-Álvarez, José-Ángel Maderuelo, José-Ignacio Recio, Luis García-Ortiz, Emma Motrico, Juan-Ángel Bellón, Patricia Moreno-Peral, Carlos Martin-Cantera, Ana Clavería, Susana Aldecoa-Landesa, Rosa Magallon, Bonaventura Bolíbar. Correction to: Complex multiple risk intervention to promote healthy behaviours in people between 45 to 75 years attended in primary health care (EIRA study): study protocol for a hybrid trial. BMC Public Health. 2018; 18 (1):1004.
Chicago/Turabian StyleEdurne Zabaleta-Del-Olmo; Haizea Pombo; Mariona Pons-Vigués; Marc Casajuana-Closas; Enriqueta Pujol-Ribera; Tomás López-Jiménez; Carmen Cabezas; Carme Martín-Borràs; Antoni Serrano-Blanco; Maria Rubio-Valera; Joan Llobera; Alfonso Leiva; Caterina Vicens; Clara Vidal; Manuel Campiñez; Remedios Martín-Álvarez; José-Ángel Maderuelo; José-Ignacio Recio; Luis García-Ortiz; Emma Motrico; Juan-Ángel Bellón; Patricia Moreno-Peral; Carlos Martin-Cantera; Ana Clavería; Susana Aldecoa-Landesa; Rosa Magallon; Bonaventura Bolíbar. 2018. "Correction to: Complex multiple risk intervention to promote healthy behaviours in people between 45 to 75 years attended in primary health care (EIRA study): study protocol for a hybrid trial." BMC Public Health 18, no. 1: 1004.
Validar el cuestionario STOP-Bang para la apnea moderada frente al método de referencia (polisomnografía de tipo I) en atención primaria. Estudio de utilidad diagnóstica en atención primaria con una muestra estimada de 85 casos y 85 controles sanos. Con muestreo por conveniencia, 203 pacientes fueron reclutados por sus médicos en seis centros de salud. Se excluyeron 25 y se analizaron 57 mujeres y 121 hombres, de los cuales 74 tenían un índice de hipopnea-apnea (IHA) ≥15. Se evaluaron el STOP-Bang y el IHA observado en la polisomnografía en cada paciente. El tamaño de la muestra, el análisis de la curva ROC y los puntos de corte óptimos se identificaron con los paquetes easyROC, pROC y OptimalCutpoints del software libre R. El área bajo la curva en la apnea moderada (IHA ≥15) del STOP-Bang fue 0,737 (0,667-0,808), con puntos de corte óptimos diferentes por sexo (4 en mujeres y 6 en hombres). En la validación cruzada con k = 10, el área bajo la curva para el STOP-Bang fue 0,678. El STOP-Bang tiene una utilidad diagnóstica moderada para un IHA ≥15, pero superior a la de otras escalas, en una población comunitaria. Su desempeño es más adecuado en las mujeres. We aimed to compare the diagnostic utility of the STOP-Bang questionnaire for moderate apnoea against the gold standard (type I polysomnography) in a primary care setting. Study of diagnostic utility in primary care. Estimated sample: 85 cases and 85 healthy controls. In convenience sampling, 203 patients were recruited by their physicians at six health centres. Twenty-five were excluded, and 57 women and 121 men, of whom 74 had apnoea-hypopnoea index (AHI) ≥15, were analyzed. STOP-Bang was validated by comparing scores in the same patient with the apnoea-hypopnoea index observed in polysomnography, as a gold standard. Sample size, ROC curve analysis and optimal cut-off points were identified with the easyROC, pROC, and OptimalCutpoints packages. The area under the curve in moderate apnoea (AHI ≥15) of the STOP-Bang was 0.777 (0.667-0.808), with optimal cut-off points different by sex (4 in women and 6 in men). In the cross-validation with k = 10, the area under the curve for the STOP-Bang was 0.678. The STOP-Bang presents a diagnostic moderate utility for AHI≥15, but superior to other scales, in a community population. Its performance is more appropriate in women.
Concepción Cruces-Artero; Cristina Hervés-Beloso; Victoria Martín-Miguel; Susana Hernáiz-Valero; Fernando Isidro Lago-Deibe; Martín Montero-Gumucio; Mar Orge-Amoedo; Javier Roca-Pardiñas; Ana Clavería. Utilidad diagnóstica del cuestionario STOP-Bang en la apnea del sueño moderada en atención primaria. Gaceta Sanitaria 2018, 33, 421 -426.
AMA StyleConcepción Cruces-Artero, Cristina Hervés-Beloso, Victoria Martín-Miguel, Susana Hernáiz-Valero, Fernando Isidro Lago-Deibe, Martín Montero-Gumucio, Mar Orge-Amoedo, Javier Roca-Pardiñas, Ana Clavería. Utilidad diagnóstica del cuestionario STOP-Bang en la apnea del sueño moderada en atención primaria. Gaceta Sanitaria. 2018; 33 (5):421-426.
Chicago/Turabian StyleConcepción Cruces-Artero; Cristina Hervés-Beloso; Victoria Martín-Miguel; Susana Hernáiz-Valero; Fernando Isidro Lago-Deibe; Martín Montero-Gumucio; Mar Orge-Amoedo; Javier Roca-Pardiñas; Ana Clavería. 2018. "Utilidad diagnóstica del cuestionario STOP-Bang en la apnea del sueño moderada en atención primaria." Gaceta Sanitaria 33, no. 5: 421-426.
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. 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. 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. ClinicalTrials.gov, NCT03136211.Retrospectively registered on May 2, 2017.
Edurne Zabaleta-Del-Olmo; Haizea Pombo; Mariona Pons-Vigués; Marc Casajuana-Closas; Enriqueta Pujol-Ribera; Tomás López-Jiménez; Carmen Cabezas-Peña; Carme Martín-Borràs; Antoni Serrano-Blanco; Maria Rubio-Valera; Joan Llobera; Alfonso Leiva; Caterina Vicens; Clara Vidal; Manuel Campiñez; Remedios Martín-Álvarez; José-Ángel Maderuelo; José-Ignacio Recio; Luis García-Ortiz; Emma Motrico; Juan-Ángel Bellón; Patricia Moreno-Peral; Carlos Martín-Cantera; Ana Clavería; Susana Aldecoa-Landesa; Rosa Magallón-Botaya; Bonaventura Bolíbar. 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 .
AMA StyleEdurne Zabaleta-Del-Olmo, Haizea Pombo, Mariona Pons-Vigués, Marc Casajuana-Closas, Enriqueta Pujol-Ribera, Tomás López-Jiménez, Carmen Cabezas-Peña, Carme Martín-Borràs, Antoni Serrano-Blanco, Maria Rubio-Valera, Joan Llobera, Alfonso Leiva, Caterina Vicens, Clara Vidal, Manuel Campiñez, Remedios Martín-Álvarez, José-Ángel Maderuelo, José-Ignacio Recio, Luis García-Ortiz, Emma Motrico, Juan-Ángel Bellón, Patricia Moreno-Peral, Carlos Martín-Cantera, Ana Clavería, Susana Aldecoa-Landesa, Rosa Magallón-Botaya, Bonaventura Bolíbar. 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 (1):874.
Chicago/Turabian StyleEdurne Zabaleta-Del-Olmo; Haizea Pombo; Mariona Pons-Vigués; Marc Casajuana-Closas; Enriqueta Pujol-Ribera; Tomás López-Jiménez; Carmen Cabezas-Peña; Carme Martín-Borràs; Antoni Serrano-Blanco; Maria Rubio-Valera; Joan Llobera; Alfonso Leiva; Caterina Vicens; Clara Vidal; Manuel Campiñez; Remedios Martín-Álvarez; José-Ángel Maderuelo; José-Ignacio Recio; Luis García-Ortiz; Emma Motrico; Juan-Ángel Bellón; Patricia Moreno-Peral; Carlos Martín-Cantera; Ana Clavería; Susana Aldecoa-Landesa; Rosa Magallón-Botaya; Bonaventura Bolíbar. 2018. "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 18, no. 1: 874.
From a systematic literature review (SLR), it became clear that a consensually validated tool was needed by European General Practitioner (GP) researchers in order to allow multi-centred collaborative research, in daily practice, throughout Europe. Which diagnostic tool for depression, validated against psychiatric examination according to the DSM, would GPs select as the best for use in clinical research, taking into account the combination of effectiveness, reliability and ergonomics? A RAND/UCLA, which combines the qualities of the Delphi process and of the nominal group, was used. GP researchers from different European countries were selected. The SLR extracted tools were validated against the DSM. The Youden index was used as an effectiveness criterion and Cronbach’s alpha as a reliability criterion. Ergonomics data were extracted from the literature. Ergonomics were tested face-to-face. The SLR extracted 7 tools. Two instruments were considered sufficiently effective and reliable for use: the Hospital Anxiety and Depression Scale and the Hopkins Symptoms Checklist-25 (HSCL-25). After testing face-to-face, HSCL-25 was selected. A multicultural consensus on one diagnostic tool for depression was obtained for the HSCL-25. This tool will provide the opportunity to select homogeneous populations for European collaborative research in daily practice.
P. Nabbe; J. Y. Le Reste; M. Guillou-Landreat; E. Beck-Robert; R. Assenova; D. Lazic; S. Czachowski; S. Stojanović-Špehar; M. Hasanagic; H. Lingner; A. Clavería; M. I. Fernandez San Martin; A. Sowinska; S. Argyriadou; C. Lygidakis; B. Le Floch; C. Doerr; T. Montier; H. Van Marwijk; P. Van Royen. One consensual depression diagnosis tool to serve many countries: a challenge! A RAND/UCLA methodology. BMC Research Notes 2018, 11, 1 -8.
AMA StyleP. Nabbe, J. Y. Le Reste, M. Guillou-Landreat, E. Beck-Robert, R. Assenova, D. Lazic, S. Czachowski, S. Stojanović-Špehar, M. Hasanagic, H. Lingner, A. Clavería, M. I. Fernandez San Martin, A. Sowinska, S. Argyriadou, C. Lygidakis, B. Le Floch, C. Doerr, T. Montier, H. Van Marwijk, P. Van Royen. One consensual depression diagnosis tool to serve many countries: a challenge! A RAND/UCLA methodology. BMC Research Notes. 2018; 11 (1):1-8.
Chicago/Turabian StyleP. Nabbe; J. Y. Le Reste; M. Guillou-Landreat; E. Beck-Robert; R. Assenova; D. Lazic; S. Czachowski; S. Stojanović-Špehar; M. Hasanagic; H. Lingner; A. Clavería; M. I. Fernandez San Martin; A. Sowinska; S. Argyriadou; C. Lygidakis; B. Le Floch; C. Doerr; T. Montier; H. Van Marwijk; P. Van Royen. 2018. "One consensual depression diagnosis tool to serve many countries: a challenge! A RAND/UCLA methodology." BMC Research Notes 11, no. 1: 1-8.
Gabriela Romero Fresco; María Carnicero Iglesias; Ana Clavería; Pilar Gayoso-Diz. Reclasificación de función renal en varones entre 65-75 años, según el filtrado glomerular calculado por MDRD y CKD-EPI. Atención Primaria 2017, 49, 498 -499.
AMA StyleGabriela Romero Fresco, María Carnicero Iglesias, Ana Clavería, Pilar Gayoso-Diz. Reclasificación de función renal en varones entre 65-75 años, según el filtrado glomerular calculado por MDRD y CKD-EPI. Atención Primaria. 2017; 49 (8):498-499.
Chicago/Turabian StyleGabriela Romero Fresco; María Carnicero Iglesias; Ana Clavería; Pilar Gayoso-Diz. 2017. "Reclasificación de función renal en varones entre 65-75 años, según el filtrado glomerular calculado por MDRD y CKD-EPI." Atención Primaria 49, no. 8: 498-499.
ResumenObjetivoDescribir la sobrecarga de las cuidadoras informales de personas dependientes e identificar las variables relacionadas.DiseñoEstudio transversal descriptivo observacional.EmplazamientoAtención Primaria del área sur de Pontevedra.ParticipantesUn total de 97 cuidadoras/es de dependientes.Mediciones principalesMediante una entrevista personal se recogen datos socioeconómicos y del estado de salud de la cuidadora y del dependiente, el tiempo dedicado al cuidado y la carga del cuidador (Zarit abreviada). Además de una descripción de la muestra —incluyendo su nivel de sobrecarga—, se ha utilizado un contraste de medias para identificar aquellas características que inciden en la puntuación de la escala Zarit y una regresión logística para analizar aquellas que inciden en la probabilidad de experimentar sobrecarga.ResultadosUn 61,9% de las cuidadoras están sometidas a sobrecarga intensa. El ítem de la escala que más contribuye a la sobrecarga es la falta de tiempo para uno mismo, seguida de los efectos negativos en las relaciones interpersonales. El contraste de medias muestra que el grado de parentesco, el número de horas de cuidado, la salud de la cuidadora y la agresividad del dependiente producen diferencias significativas en la escala Zarit. La salud física y psicológica de la cuidadora, y la agresividad del dependiente, se asocian a la probabilidad de padecer sobrecarga.ConclusionesLas cuidadoras informales de personas dependientes presentan un alto nivel de sobrecarga, que se relaciona tanto con sus características, como con las del dependiente. La sobrecarga replantea la necesidad de que las políticas públicas enfocadas en la dependencia adopten una visión integradora cuidadora-dependiente.AbstractObjectiveTo describe the burden of informal carers of dependent people and to identify related variables.DesignDescriptive observational cross-sectional study.LocationPrimary Health Care in the southern area of Pontevedra.Participants97 caregivers of dependent persons.Key measurementsWe collected socioeconomic data and health conditions from caregivers and dependent persons, time spent on the daily care and caregiver burden (Zarit abbreviate) through a personal interview. Besides the description of the sample–including their burden level–, a contrast mean was used to identify characteristics that influenced in punctuation of Zarit scale. A logistic regression was used to analyse characteristics that increase the likelihood to experiment burden.Results61.9% of caregivers are subject to intense burden. The item on the scale which contributes most to the caregiver burden is the lack of time for oneself, followed by the negative effects of interpersonal relationships. Contrast means shows that degree of relationship, number of care hours, caregiver health and aggressiveness of dependent persons produce significant differences in Zarit scale. Physic and psychological health of caregivers and aggressiveness of dependent persons is associated with the likelihood of developing caregiver burden.ConclusionsInformal caregivers of dependent persons show a high level of burden, both related to their characteristics and those of the dependent persons. Caregiver burden rethinks the need for public policies focused on dependence to adopt an integrative caregiver-dependent vision
Ana María Rodríguez-González; Eva Rodríguez-Míguez; Ana Duarte-Pérez; Eduardo Diaz-Sanisidro; Ángel Barbosa-Álvarez; Ana Clavería. Estudio observacional transversal de la sobrecarga en cuidadoras informales y los determinantes relacionados con la atención a las personas dependientes. Atención Primaria 2017, 49, 156 -165.
AMA StyleAna María Rodríguez-González, Eva Rodríguez-Míguez, Ana Duarte-Pérez, Eduardo Diaz-Sanisidro, Ángel Barbosa-Álvarez, Ana Clavería. Estudio observacional transversal de la sobrecarga en cuidadoras informales y los determinantes relacionados con la atención a las personas dependientes. Atención Primaria. 2017; 49 (3):156-165.
Chicago/Turabian StyleAna María Rodríguez-González; Eva Rodríguez-Míguez; Ana Duarte-Pérez; Eduardo Diaz-Sanisidro; Ángel Barbosa-Álvarez; Ana Clavería. 2017. "Estudio observacional transversal de la sobrecarga en cuidadoras informales y los determinantes relacionados con la atención a las personas dependientes." Atención Primaria 49, no. 3: 156-165.
Mª José Rodríguez-Pérez; Elena Álvarez-Vázquez; José Medina-Pomares; Carmen Velicia-Peñas Velicia-Peñas; Ana Cal-Conde; Ana Goicoechea-Castaño; Clara González-Formoso; Ana Clavería. [Prevalence of BreastFeeding in a Galician Health Area, Spain]. Rev. Esp. Salud Publica 2017, 91, 1 .
AMA StyleMª José Rodríguez-Pérez, Elena Álvarez-Vázquez, José Medina-Pomares, Carmen Velicia-Peñas Velicia-Peñas, Ana Cal-Conde, Ana Goicoechea-Castaño, Clara González-Formoso, Ana Clavería. [Prevalence of BreastFeeding in a Galician Health Area, Spain]. Rev. Esp. Salud Publica. 2017; 91 ():1.
Chicago/Turabian StyleMª José Rodríguez-Pérez; Elena Álvarez-Vázquez; José Medina-Pomares; Carmen Velicia-Peñas Velicia-Peñas; Ana Cal-Conde; Ana Goicoechea-Castaño; Clara González-Formoso; Ana Clavería. 2017. "[Prevalence of BreastFeeding in a Galician Health Area, Spain]." Rev. Esp. Salud Publica 91, no. : 1.
IntroductionDepression occurs frequently in primary care. Its broad clinical variability makes it difficult to diagnose. This makes it essential that family practitioner (FP) researchers have validated tools to minimize bias in studies of everyday practice. Which tools validated against psychiatric examination, according to the major depression criteria of DSM-IV or 5, can be used for research purposes?MethodAn international FP team conducted a systematic review using the following databases: Pubmed, Cochrane and Embase, from 2000/01/01 to 2015/10/01.ResultsThe three databases search identified 770 abstracts: 546 abstracts were analyzed after duplicates had been removed (224 duplicates); 50 of the validity studies were eligible and 4 studies were included. In 4 studies, the following tools were found: GDS-5, GDS-15, GDS-30, CESD-R, HADS, PSC-51 and HSCL-25. Sensitivity, Specificity, Positive Predictive Value, Negative Predictive Value were collected. The Youden index was calculated.DiscussionUsing efficiency data alone to compare these studies could be misleading. Additional reliability, reproducibility and ergonomic data will be essential for making comparisons.ConclusionThis study selected seven tools, usable in primary care research, for the diagnosis of depression. In order to define the best tools in terms of efficiency, reproducibility, reliability and ergonomics for research in primary care, and for care itself, further research will be essential.
P. Nabbe; J.Y. Le Reste; M. Guillou-Landreat; M.A. Munoz Perez; S. Argyriadou; Ana Clavería; Maria Isabel Fernandez-San-Martin; S. Czachowski; H. Lingner; Charilaos Lygidakis; Agnieszka Sowińska; B. Chiron; J. Derriennic; A. Le Prielec; B. Le Floch; T. Montier; Harm van Marwijk; P. Van Royen. Which DSM validated tools for diagnosing depression are usable in primary care research? A systematic literature review. European Psychiatry 2017, 39, 99 -105.
AMA StyleP. Nabbe, J.Y. Le Reste, M. Guillou-Landreat, M.A. Munoz Perez, S. Argyriadou, Ana Clavería, Maria Isabel Fernandez-San-Martin, S. Czachowski, H. Lingner, Charilaos Lygidakis, Agnieszka Sowińska, B. Chiron, J. Derriennic, A. Le Prielec, B. Le Floch, T. Montier, Harm van Marwijk, P. Van Royen. Which DSM validated tools for diagnosing depression are usable in primary care research? A systematic literature review. European Psychiatry. 2017; 39 ():99-105.
Chicago/Turabian StyleP. Nabbe; J.Y. Le Reste; M. Guillou-Landreat; M.A. Munoz Perez; S. Argyriadou; Ana Clavería; Maria Isabel Fernandez-San-Martin; S. Czachowski; H. Lingner; Charilaos Lygidakis; Agnieszka Sowińska; B. Chiron; J. Derriennic; A. Le Prielec; B. Le Floch; T. Montier; Harm van Marwijk; P. Van Royen. 2017. "Which DSM validated tools for diagnosing depression are usable in primary care research? A systematic literature review." European Psychiatry 39, no. : 99-105.