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Bárbara Masluk
Aragonese Research Group in Primary Care (GAIAP), Institute of Health Research, Avenue San Juan Bosco, 13, 50009 Zaragoza, Spain

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Journal article
Published: 28 May 2021 in International Journal of Environmental Research and Public Health
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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.

ACS Style

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 Style

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 (11):5788.

Chicago/Turabian Style

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. 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.

Journal article
Published: 27 July 2020 in Healthcare
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A health system’s responsiveness is the result of patient expectations for the non-medical care they receive. The objective of this study was to assess mental patients’ responsiveness to the health system in primary care, as related to the domains of dignity, autonomy, confidentiality, and communication. Data were collected from 215 people over the age of 18 with mental disorders, using the Multi-Country Survey Study (MCSS) developed by the World Health Organization. Of them, 95% reported a good experience regarding the dignity, confidentiality, communication, and autonomy domains. Regarding responsiveness, patients valued the dignity domain as the most important one (25.1%). Among the patients who experienced poor confidentiality, five out of seven earned less than 900 euros per month (Χ2 = 10.8, p = 0.004). Among those who experienced good autonomy, 85 out of 156 belonged to the working social class (90.4%), and among those who valued it as poor (16.1%), the highest proportion was for middle class people (Χ2 = 13.1, p = 0.028). The two students and 87.5% of retirees experienced this dimension as good, and most patients who valued it as poor were unemployed (43.5%) (Χ2 = 13.0, p = 0.011). Patients with a household income higher than 900 euros more frequently valued responsiveness as good, regarding those domains related to communication, with OR = 3.84, 95% CI = 1.05–14.09, and confidentiality, with OR = 10.48, 95% CI = 1.94–56.59. To conclude, as regards responsiveness in primary care, the dignity domain always obtained the best scores by people with mental disorders. Low economic income is related to a poor assessment of confidentiality. Working class patients, students, and retirees value autonomy as good.

ACS Style

Valle Coronado-Vázquez; Dolores Museros-Sos; Bárbara Oliván-Blázquez; María Rosa Magallón Botaya; Juan Gómez-Salgado; María Sánchez-Calavera; Bárbara Masluk; María Gil-De-Gómez; Eva Rodríguez-Eguizábal. Mental Health Patients’ Expectations about the Non-Medical Care They Receive in Primary Care: A Cross-Sectional Descriptive Study. Healthcare 2020, 8, 235 .

AMA Style

Valle Coronado-Vázquez, Dolores Museros-Sos, Bárbara Oliván-Blázquez, María Rosa Magallón Botaya, Juan Gómez-Salgado, María Sánchez-Calavera, Bárbara Masluk, María Gil-De-Gómez, Eva Rodríguez-Eguizábal. Mental Health Patients’ Expectations about the Non-Medical Care They Receive in Primary Care: A Cross-Sectional Descriptive Study. Healthcare. 2020; 8 (3):235.

Chicago/Turabian Style

Valle Coronado-Vázquez; Dolores Museros-Sos; Bárbara Oliván-Blázquez; María Rosa Magallón Botaya; Juan Gómez-Salgado; María Sánchez-Calavera; Bárbara Masluk; María Gil-De-Gómez; Eva Rodríguez-Eguizábal. 2020. "Mental Health Patients’ Expectations about the Non-Medical Care They Receive in Primary Care: A Cross-Sectional Descriptive Study." Healthcare 8, no. 3: 235.

Original research
Published: 01 December 2019 in Psychology Research and Behavior Management
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Purpose: Health factors that enhance an individual’s ability to perceive and maintain health and well-being are referred to as “health assets”. Of these assets, resilience, mindfulness and self-compassion are considered to be of special importance. The objective of this study was to analyze the association between these psychological constructs on the perception of physical and mental health in a general population. Patients and methods: A descriptive and analytical cross-sectional study was conducted with 845 participating subjects. The outcome variable was the individual´s perception of physical and mental health, measured using the SF-36 questionnaire. The independent variables were: sociodemographic variables, medical information, physical activity performance (using the International Physical Activity Questionnaire), tobacco and alcohol consumption, anxiety and/or depression (using the Goldberg Anxiety and Depression Scale), resilience (using the Connor-Davidson Resilience Scale), mindfulness (with the Five Facets of Mindfulness Questionnaire Short Form) and self-compassion (using the Self-compassion scale-short form). A correlation analysis, simple linear regression and multiple linear regression were carried out, controlling for the influence of the distinct independent variables. Results: The constructs of resilience, mindfulness and self-compassion are significant, in the perception of both physical and mental health. Other factors appearing in the multiple regression are gender, age, educational level, physical activity and tobacco consumption, in a positive or negative sense. Conclusion: The study of these associations is fundamental for the understanding of underlying regulation processes of healthy lifestyles in the general population.

ACS Style

Angela Asensio-Martínez; Bárbara Oliván-Blázquez; Jesús Montero-Marin; Bárbara Masluk; Ricardo Fueyo-Diaz; Santiago Gascón-Santos; Francisco Gudé; Arturo Gónzalez-Quintela; Javier García-Campayo; Rosa Magallón-Botaya. Relation of the Psychological Constructs of Resilience, Mindfulness, and Self-Compassion on the Perception of Physical and Mental Health. Psychology Research and Behavior Management 2019, ume 12, 1155 -1166.

AMA Style

Angela Asensio-Martínez, Bárbara Oliván-Blázquez, Jesús Montero-Marin, Bárbara Masluk, Ricardo Fueyo-Diaz, Santiago Gascón-Santos, Francisco Gudé, Arturo Gónzalez-Quintela, Javier García-Campayo, Rosa Magallón-Botaya. Relation of the Psychological Constructs of Resilience, Mindfulness, and Self-Compassion on the Perception of Physical and Mental Health. Psychology Research and Behavior Management. 2019; ume 12 ():1155-1166.

Chicago/Turabian Style

Angela Asensio-Martínez; Bárbara Oliván-Blázquez; Jesús Montero-Marin; Bárbara Masluk; Ricardo Fueyo-Diaz; Santiago Gascón-Santos; Francisco Gudé; Arturo Gónzalez-Quintela; Javier García-Campayo; Rosa Magallón-Botaya. 2019. "Relation of the Psychological Constructs of Resilience, Mindfulness, and Self-Compassion on the Perception of Physical and Mental Health." Psychology Research and Behavior Management ume 12, no. : 1155-1166.

Journal article
Published: 16 August 2019 in BMC Health Services Research
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Celiac disease (CD) is an autoimmune chronic enteropathy of the small intestine caused by exposure to gluten in genetically predisposed individuals. CD is not easy to diagnose due to its unspecific symptomatology, especially in adults, a diagnosed/undiagnosed ratio of 1:7 is estimated. CD does not have its own code in the International Classification of Primary Care (ICPC) but it is coded under code D99 “Disease digestive system, other”, which hinders diagnosis, intervention and research. The aim of this study is to investigate the prevalence of CD in Aragón, Spain, using the information available from Primary Care, as well as to discuss the difficulties involved in determining prevalence of CD from data collected at this level of medical intervention. We designed an epidemiological cross-sectional study and analysed 26,964 electronic clinical records from the Aragonese Health Service under code ICPC D99 collected up to December 31st, 2016. The clinical records were classified by their editable field “descriptor” according to their probability of being related to CD. Analyses of gender, age, age at diagnosis, province and health sector were carried out. We found 4534 clinical records under 293 different descriptors with a high probability of referring to CD. Prevalence in Aragón was estimated to be 0.35% ranging from 0.24 to 0.81% with important differences among health sectors. The prevalence of 0.35% is a long way from the generally accepted 1% but within the usually considered ratio 1:7 of diagnosed:undiagnosed cases. Differences among sectors should be carefully analysed. Lacking its own ICPC code, diagnosis of CD in Primary Care Services is not included in a single category, but it is distributed under several descriptors, which makes it difficult to offer any firm diagnosis for treatment and hinders research. Finally, the high prevalence of CD justifies its own ICPC code and the need to withdraw CD from the generic D99 code “Disease digestive system other”.

ACS Style

Ricardo Fueyo-Díaz; Rosa Magallón-Botaya; Barbara Masluk; Guillermo Palacios-Navarro; Angela Asensio-Martínez; Santiago Gascón-Santos; Bárbara Oliván Blazquez; Juan José Sebastián-Domingo. Prevalence of celiac disease in primary care: the need for its own code. BMC Health Services Research 2019, 19, 1 -9.

AMA Style

Ricardo Fueyo-Díaz, Rosa Magallón-Botaya, Barbara Masluk, Guillermo Palacios-Navarro, Angela Asensio-Martínez, Santiago Gascón-Santos, Bárbara Oliván Blazquez, Juan José Sebastián-Domingo. Prevalence of celiac disease in primary care: the need for its own code. BMC Health Services Research. 2019; 19 (1):1-9.

Chicago/Turabian Style

Ricardo Fueyo-Díaz; Rosa Magallón-Botaya; Barbara Masluk; Guillermo Palacios-Navarro; Angela Asensio-Martínez; Santiago Gascón-Santos; Bárbara Oliván Blazquez; Juan José Sebastián-Domingo. 2019. "Prevalence of celiac disease in primary care: the need for its own code." BMC Health Services Research 19, no. 1: 1-9.

Validation study
Published: 30 July 2019 in Health and Quality of Life Outcomes
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Researchers have studied for decades workplace stress and burnout to identify their relationship to health and wellness. This research has focused on stress levels in people, as well as on environmental and personal factors that contribute to experiencing stress or burnout. In addition to the burnout measurement questionnaires (MBI-GS), Leiter and Maslach designed a model to evaluate the areas of work environment that relate to this construct (Areas of Worklife Scale-AWLS). The goal of the present research was to analyze the psychometric properties of a Spanish translation of the MBI (GS) and the AWLS with a Spanish-speaking population. This work makes a substantial contribution by addressing the need to use validated measures and methods when exploring the positive and negative aspects of organizations. These conditions provide a means to accurately evaluate the impact of interventions aimed to address stress and burnout. Cross-sectional study with self-report measures. The sample was comprised of 452 managers and employees (hotels, restaurants, catering) of Aragón (Spain). There were approximately equal numbers of women and men (45,4% vs. 54,6%). The average age of participants was 36.6 years (SD = 10.03). A battery of questionnaires was used: Socio-demographic and work characteristics, Scale of stress and health symptoms, Maslach Burnout Inventory-General Survey (MBI-GS), Areas of Worklife Scale (AWLS). The results showed optimal psychometric properties in both questionnaires, especially in terms of the predictive capacity of the AWLS in each of the MBI-GS dimensions. The best explained dimension is that of emotional exhaustion. The manageable load variable is the one that most contributes to predicting burnout levels. For future interventions, the results confirm the need to verify the levels of each area of work, in order to focus on the most deteriorated ones.

ACS Style

Santiago Gascón; Bárbara Masluk; Jesús Montero-Marin; Michael P. Leiter; Paola Herrera; Agustín Albesa. Areas of work-life in Spanish hostelry professionals: explanatory power on burnout dimensions. Health and Quality of Life Outcomes 2019, 17, 1 -11.

AMA Style

Santiago Gascón, Bárbara Masluk, Jesús Montero-Marin, Michael P. Leiter, Paola Herrera, Agustín Albesa. Areas of work-life in Spanish hostelry professionals: explanatory power on burnout dimensions. Health and Quality of Life Outcomes. 2019; 17 (1):1-11.

Chicago/Turabian Style

Santiago Gascón; Bárbara Masluk; Jesús Montero-Marin; Michael P. Leiter; Paola Herrera; Agustín Albesa. 2019. "Areas of work-life in Spanish hostelry professionals: explanatory power on burnout dimensions." Health and Quality of Life Outcomes 17, no. 1: 1-11.

Research article
Published: 04 April 2019 in PLOS ONE
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The flipped classroom (FC) is a pedagogical approach that means that the activities that have traditionally taken place within the classroom are carried out outside the classroom. Fundamentally it implies the way in which the student studies the subject. This change of perspective in teaching—learning has raised many questions regarding its effectiveness and student satisfaction in the university studies in the degree of Social Work. The main objective of this study was to evaluate the effectiveness of a Flipped Classroom methodology in the academic performance of students of the Social Work Degree. An educational study, with two parallel groups was developed. The randomization was carried out by class groups. Group 1 was assigned an active teaching methodology of Flip Teaching and it was implemented during theoretical teaching hours. The other group of students, Group 2, was assigned a traditional lecturer-based learning (LB) methodology. The participants were all the students of the morning shift who studied the subject Social Work with Groups of the Social Work Degree during the academic year 2017–2018. The sample was composed of 110 subjects, with 60 subjects who developed an active teaching methodology and 50 subjects who received a LB. In terms of the academic performance result variable, the FT group had a mean of 6.56 (SD: 1.58) and the LB group had a mean of 5.42 (SD: 1.97) (p-value: 0.002). The FT group also had a higher percentage of students receiving merit and outstanding scores (34.5% and 6.9% respectively) and a lower percentage of students who failed (19%) as compared to the LB group in which 20.9% and 2.3% of the students received merit or outstanding grades and 46.5% failed (p-value = 0.025). No significant differences were found with regards to satisfaction with the subject and the methodology used, long-term learning and time spent preparing for the exam. The FC teaching methodology in comparison with the LB methodology has shown to be a more effective tool regarding academic performance evaluated in a quantitative and qualitative way with regards to Social Work education at university level.

ACS Style

Bárbara Oliván Blazquez; Barbara Masluk; Santiago Gascon; Ricardo Fueyo Díaz; Alejandra Aguilar-Latorre; Isabel Artola Magallón; Rosa Magallón Botaya. The use of flipped classroom as an active learning approach improves academic performance in social work: A randomized trial in a university. PLOS ONE 2019, 14, e0214623 .

AMA Style

Bárbara Oliván Blazquez, Barbara Masluk, Santiago Gascon, Ricardo Fueyo Díaz, Alejandra Aguilar-Latorre, Isabel Artola Magallón, Rosa Magallón Botaya. The use of flipped classroom as an active learning approach improves academic performance in social work: A randomized trial in a university. PLOS ONE. 2019; 14 (4):e0214623.

Chicago/Turabian Style

Bárbara Oliván Blazquez; Barbara Masluk; Santiago Gascon; Ricardo Fueyo Díaz; Alejandra Aguilar-Latorre; Isabel Artola Magallón; Rosa Magallón Botaya. 2019. "The use of flipped classroom as an active learning approach improves academic performance in social work: A randomized trial in a university." PLOS ONE 14, no. 4: e0214623.

Methodology
Published: 26 June 2018 in Journal of Occupational Medicine and Toxicology
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This study examines the construct validity of the Areas of Worklife Short Scale, a practical instrument to measure employees' perceptions of their work environments in the sample of secondary obligatory education teachers in Spain. Conducted in 33 centers of secondary obligatory education in Spain (N = 677). Confirmatory Factor analysis for 3 different models for the 29-items version and 1 model for the 18-items version was tested. Results confirmed that the short AWS short version had the best fit to the data than any other model proposed (GFI-Satorra-Bentler scaled chi-squared = 320.19, × 2/df = 2.337) and good fit indices (CFI = 0.911; RMSEA = 0.046). This analysis ultimately supports the appropriateness of AWS short version to explore areas of worklife and therefore can indicate the factors that contribute to burnout in the sample of secondary obligatory education teachers in Spain. Therefore it has been confirmed that this tool is able to assess the 6 domains of work environment of secondary schools teachers.

ACS Style

B. Masluk; S. Gascón Santos; A. Albesa Cartagena; A. Asensio Martinez; E. Peck; M. P. Leiter. "Areas of Worklife scale" (AWS) short version (Spanish): a confirmatory factor analysis based on a secondary school teacher sample. Journal of Occupational Medicine and Toxicology 2018, 13, 20 .

AMA Style

B. Masluk, S. Gascón Santos, A. Albesa Cartagena, A. Asensio Martinez, E. Peck, M. P. Leiter. "Areas of Worklife scale" (AWS) short version (Spanish): a confirmatory factor analysis based on a secondary school teacher sample. Journal of Occupational Medicine and Toxicology. 2018; 13 (1):20.

Chicago/Turabian Style

B. Masluk; S. Gascón Santos; A. Albesa Cartagena; A. Asensio Martinez; E. Peck; M. P. Leiter. 2018. ""Areas of Worklife scale" (AWS) short version (Spanish): a confirmatory factor analysis based on a secondary school teacher sample." Journal of Occupational Medicine and Toxicology 13, no. 1: 20.