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Dr. Emma Motrico
Universidad Loyola Andalucía, Spain

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0 Anxiety
0 Depression
0 Mental Health
0 Prevention
0 promotion health

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Journal article
Published: 07 August 2021 in Nutrients
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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.

ACS Style

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 Style

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 (8):2724.

Chicago/Turabian Style

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. 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.

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.

Editorial
Published: 09 April 2021 in International Journal of Environmental Research and Public Health
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Mental disorders are one of the greatest public health concerns of our time, and they are affected by social factors. To reduce the considerable burden of mental disorders, more global and systematic knowledge of the social determinants of mental health is necessary. This paper presents the results of the 27 studies included in the International Journal of Environmental Research and Public Health Special Issue, “Social Determinants of Mental Health”. The studies are grouped into four broad categories: social inclusion and mental health, young people’s mental health, mental health at work, and mental health service users. The results cover different countries, age populations, settings, and methodologies. Finally, the main findings on the relationship between social determinants and mental health are presented and summarized.

ACS Style

Emma Motrico; Jose Salinas-Perez; Maria Rodero-Cosano; Sonia Conejo-Cerón. Editors’ Comments on the Special Issue “Social Determinants of Mental Health”. International Journal of Environmental Research and Public Health 2021, 18, 3957 .

AMA Style

Emma Motrico, Jose Salinas-Perez, Maria Rodero-Cosano, Sonia Conejo-Cerón. Editors’ Comments on the Special Issue “Social Determinants of Mental Health”. International Journal of Environmental Research and Public Health. 2021; 18 (8):3957.

Chicago/Turabian Style

Emma Motrico; Jose Salinas-Perez; Maria Rodero-Cosano; Sonia Conejo-Cerón. 2021. "Editors’ Comments on the Special Issue “Social Determinants of Mental Health”." International Journal of Environmental Research and Public Health 18, no. 8: 3957.

Study protocol
Published: 17 February 2021 in BMC Public Health
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Background Corona Virus Disease 19 (COVID-19) is a new pandemic, declared a public health emergency by the World Health Organization, which could have negative consequences for pregnant and postpartum women. The scarce evidence published to date suggests that perinatal mental health has deteriorated since the COVID-19 outbreak. However, the few studies published so far have some limitations, such as a cross-sectional design and the omission of important factors for the understanding of perinatal mental health, including governmental restriction measures and healthcare practices implemented at the maternity hospitals. Within the Riseup-PPD COST Action, a study is underway to assess the impact of COVID-19 in perinatal mental health. The primary objectives are to (1) evaluate changes in perinatal mental health outcomes; and (2) determine the risk and protective factors for perinatal mental health during the COVID-19 pandemic. Additionally, we will compare the results between the countries participating in the study. Methods This is an international prospective cohort study, with a baseline and three follow-up assessments over a six-month period. It is being carried out in 11 European countries (Albania, Bulgaria, Cyprus, France, Greece, Israel, Malta, Portugal, Spain, Turkey, and the United Kingdom), Argentina, Brazil and Chile. The sample consists of adult pregnant and postpartum women (with infants up to 6 months of age). The assessment includes measures on COVID-19 epidemiology and public health measures (Oxford COVID-19 Government Response Tracker dataset), Coronavirus Perinatal Experiences (COPE questionnaires), psychological distress (BSI-18), depression (EPDS), anxiety (GAD-7) and post-traumatic stress symptoms (PTSD checklist for DSM-V). Discussion This study will provide important information for understanding the impact of the COVID-19 pandemic on perinatal mental health and well-being, including the identification of potential risk and protective factors by implementing predictive models using machine learning techniques. The findings will help policymakers develop suitable guidelines and prevention strategies for perinatal mental health and contribute to designing tailored mental health interventions. Trial registration ClinicalTrials.gov Identifier: NCT04595123.

ACS Style

Emma Motrico; Rena Bina; Sara Domínguez-Salas; Vera Mateus; Yolanda Contreras-García; Mercedes Carrasco-Portiño; Erilda Ajaz; Gisele Apter; Andri Christoforou; Pelin Dikmen-Yildiz; Ethel Felice; Camellia Hancheva; Eleni Vousoura; Claire A Wilson; Rachel Buhagiar; Carmen Cadarso-Suárez; Raquel Costa; Emmanuel Devouche; Ana Ganho-Ávila; Diego Gómez-Baya; Francisco Gude; Eleni Hadjigeorgiou; Drorit Levy; Ana Osorio; María Fe Rodriguez; Sandra Saldivia; María Fernanda González; Marina Mattioli; Ana Mesquita. Impact of the Covid-19 pandemic on perinatal mental health (Riseup-PPD-COVID-19): protocol for an international prospective cohort study. BMC Public Health 2021, 21, 1 -11.

AMA Style

Emma Motrico, Rena Bina, Sara Domínguez-Salas, Vera Mateus, Yolanda Contreras-García, Mercedes Carrasco-Portiño, Erilda Ajaz, Gisele Apter, Andri Christoforou, Pelin Dikmen-Yildiz, Ethel Felice, Camellia Hancheva, Eleni Vousoura, Claire A Wilson, Rachel Buhagiar, Carmen Cadarso-Suárez, Raquel Costa, Emmanuel Devouche, Ana Ganho-Ávila, Diego Gómez-Baya, Francisco Gude, Eleni Hadjigeorgiou, Drorit Levy, Ana Osorio, María Fe Rodriguez, Sandra Saldivia, María Fernanda González, Marina Mattioli, Ana Mesquita. Impact of the Covid-19 pandemic on perinatal mental health (Riseup-PPD-COVID-19): protocol for an international prospective cohort study. BMC Public Health. 2021; 21 (1):1-11.

Chicago/Turabian Style

Emma Motrico; Rena Bina; Sara Domínguez-Salas; Vera Mateus; Yolanda Contreras-García; Mercedes Carrasco-Portiño; Erilda Ajaz; Gisele Apter; Andri Christoforou; Pelin Dikmen-Yildiz; Ethel Felice; Camellia Hancheva; Eleni Vousoura; Claire A Wilson; Rachel Buhagiar; Carmen Cadarso-Suárez; Raquel Costa; Emmanuel Devouche; Ana Ganho-Ávila; Diego Gómez-Baya; Francisco Gude; Eleni Hadjigeorgiou; Drorit Levy; Ana Osorio; María Fe Rodriguez; Sandra Saldivia; María Fernanda González; Marina Mattioli; Ana Mesquita. 2021. "Impact of the Covid-19 pandemic on perinatal mental health (Riseup-PPD-COVID-19): protocol for an international prospective cohort study." BMC Public Health 21, no. 1: 1-11.

Journal article
Published: 23 January 2021
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ACS Style

Emma Motrico. Parent's socialization strategies and conflicts between parents and children during adolescence | Estrategias de socialización de los padres y conflictos entre padres e hijos en la adolescencia. 2021, 1 .

AMA Style

Emma Motrico. Parent's socialization strategies and conflicts between parents and children during adolescence | Estrategias de socialización de los padres y conflictos entre padres e hijos en la adolescencia. . 2021; ():1.

Chicago/Turabian Style

Emma Motrico. 2021. "Parent's socialization strategies and conflicts between parents and children during adolescence | Estrategias de socialización de los padres y conflictos entre padres e hijos en la adolescencia." , no. : 1.

Review
Published: 24 October 2020 in Clinical Psychology Review
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Although evidence exists for the efficacy of interventions to prevent depression, little is known about its prevention through online interventions. We aim to assess the effectiveness of online psychological and psychoeducational interventions to prevent depression in heterogeneous populations. A systematic review and meta-analysis of randomized controlled trials (RCTs) was conducted based on literature searches in eight electronic data bases and other sources from inception to 22 July 2019. Of the 4181 abstracts reviewed, 501 were selected for full-text review, and 21 RCTs met the inclusion criteria, representing 10,134 participants from 11 countries and four continents. The pooled SMD was −0·26 (95%CI: −0·36 to −0·16; p < 0.001) and sensitivity analyses confirmed the robustness of this result. We did not find publication bias but there was substantial heterogeneity (I2 = 72%; 95%CI, 57% to 82%). A meta-regression including three variables explained 81% of the heterogeneity. Indicated prevention and interactive website delivery were statistically associated with higher effectiveness, and no association was observed with risk of bias. Online psychological and psychoeducational interventions have a small effect in reducing depressive symptoms in non-depressed and varied populations, and the quality of evidence is moderate. Given that these types of interventions are very accessible and can be applied on a wide scale, they should be further developed and implemented. Registration details: Registration number (PROSPERO): CRD42014014804.

ACS Style

Alina Rigabert; Emma Motrico; Patricia Moreno-Peral; Davinia María Resurrección; Sonia Conejo-Cerón; Pim Cuijpers; Carmen Martín-Gómez; Yolanda López-Del-Hoyo; Juan Ángel Bellón. Effectiveness of online psychological and psychoeducational interventions to prevent depression: Systematic review and meta-analysis of randomized controlled trials. Clinical Psychology Review 2020, 82, 101931 .

AMA Style

Alina Rigabert, Emma Motrico, Patricia Moreno-Peral, Davinia María Resurrección, Sonia Conejo-Cerón, Pim Cuijpers, Carmen Martín-Gómez, Yolanda López-Del-Hoyo, Juan Ángel Bellón. Effectiveness of online psychological and psychoeducational interventions to prevent depression: Systematic review and meta-analysis of randomized controlled trials. Clinical Psychology Review. 2020; 82 ():101931.

Chicago/Turabian Style

Alina Rigabert; Emma Motrico; Patricia Moreno-Peral; Davinia María Resurrección; Sonia Conejo-Cerón; Pim Cuijpers; Carmen Martín-Gómez; Yolanda López-Del-Hoyo; Juan Ángel Bellón. 2020. "Effectiveness of online psychological and psychoeducational interventions to prevent depression: Systematic review and meta-analysis of randomized controlled trials." Clinical Psychology Review 82, no. : 101931.

Journal article
Published: 07 October 2020 in Clínica y Salud
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ACS Style

Emma Motrico; Vera Mateus; Rena Bina; Ethel Felice; Alessandra Bramante; Goce Kalcev; Mauro Mauri; Sara Martins; Ana Mesquita. Good Practices in Perinatal Mental Health during the COVID-19 Pandemic: A Report from Task-Force RISEUP-PPD COVID-19. Clínica y Salud 2020, 31, 000 -000.

AMA Style

Emma Motrico, Vera Mateus, Rena Bina, Ethel Felice, Alessandra Bramante, Goce Kalcev, Mauro Mauri, Sara Martins, Ana Mesquita. Good Practices in Perinatal Mental Health during the COVID-19 Pandemic: A Report from Task-Force RISEUP-PPD COVID-19. Clínica y Salud. 2020; 31 (3):000-000.

Chicago/Turabian Style

Emma Motrico; Vera Mateus; Rena Bina; Ethel Felice; Alessandra Bramante; Goce Kalcev; Mauro Mauri; Sara Martins; Ana Mesquita. 2020. "Good Practices in Perinatal Mental Health during the COVID-19 Pandemic: A Report from Task-Force RISEUP-PPD COVID-19." Clínica y Salud 31, no. 3: 000-000.

Review
Published: 28 September 2020 in Journal of Anxiety Disorders
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The aim of this study was to assess the available evidence on potential moderators of psychological and psychoeducational interventions for the prevention of anxiety. A systematic review using PubMed, PsycINFO, Web of Science, Embase, OpenGrey, and CENTRAL was performed up to October 2019. Two independent researchers assessed the fulfillment of eligibility criteria, extracted the data and performed a quality assessment of the included studies. Outcomes were moderators of the reduction of anxious symptoms or the incidence of anxiety disorders. Fourteen studies reporting results on moderator analyses performed in 13 randomized controlled trials were included. Twenty-seven potential moderators were organized into six categories: sociodemographic, clinical characteristics, cognitive variables, life events, interpersonal functioning and intervention characteristics. The most frequently examined variables were gender, age and baseline anxiety. We found insufficient evidence for all moderator categories studied. In children and adolescents, we found some studies with significant results for the low family support variable and higher levels of anxiety symptoms at baseline, which were both associated with higher effectiveness. Limited conclusions can be drawn about for whom and under what conditions interventions work in the prevention of anxiety. A strong need to improve the methodological quality and the number of moderator studies was identified.

ACS Style

Patricia Moreno-Peral; Juan Ángel Bellón; Emma Motrico; Henar Campos-Paíno; Carmen Martín-Gómez; David D. Ebert; Claudia Buntrock; Miquel Roca; Sonia Conejo-Cerón. Moderators of psychological and psychoeducational interventions for the prevention of anxiety: A systematic review. Journal of Anxiety Disorders 2020, 76, 102317 .

AMA Style

Patricia Moreno-Peral, Juan Ángel Bellón, Emma Motrico, Henar Campos-Paíno, Carmen Martín-Gómez, David D. Ebert, Claudia Buntrock, Miquel Roca, Sonia Conejo-Cerón. Moderators of psychological and psychoeducational interventions for the prevention of anxiety: A systematic review. Journal of Anxiety Disorders. 2020; 76 ():102317.

Chicago/Turabian Style

Patricia Moreno-Peral; Juan Ángel Bellón; Emma Motrico; Henar Campos-Paíno; Carmen Martín-Gómez; David D. Ebert; Claudia Buntrock; Miquel Roca; Sonia Conejo-Cerón. 2020. "Moderators of psychological and psychoeducational interventions for the prevention of anxiety: A systematic review." Journal of Anxiety Disorders 76, no. : 102317.

Preprint content
Published: 04 August 2020
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Background This aim of this study was to evaluate the effectiveness of: a) a Multiple Health Behaviour Change (MHBC) intervention on reducing smoking, increasing physical activity and adherence to a Mediterranean dietary pattern in people aged 45-75 years compared to usual care; and b) an implementation strategy. Methods A cluster randomised effectiveness-implementation hybrid trial type 2 with two parallel groups was conducted in 25 Primary Health Care centres (3062 participants): 12 centres (1481 participants) were randomised to the intervention and 13 (1581 participants) to the control group (usual care). The intervention focused on all target behaviours and used individual, group and community approaches. The implementation strategy was based on the Consolidated Framework for Implementation Research (CFIR) and a set of discrete implementation strategies which included planning, educating, financing, restructuring and managing quality. Data were analysed using generalised linear mixed models, accounting for clustering. A mixed methods data analysis was used to evaluate implementation outcomes (adoption, acceptability, appropriateness, feasibility and fidelity) and determinants of implementation success. Results MHBC was greater in the intervention (14.5%) than in the usual care group (8.9%). The overall adoption rate by professionals was 48.7. Early and final appropriateness were perceived by professionals as moderate. Early acceptability was high, whereas final acceptability was only moderate. Initial and final acceptability as perceived by the participants was high, and appropriateness moderate, with a lower initial than final appropriateness perception. Consent and recruitment rates were 82.0% and 65.5%, respectively, intervention uptake was 89.5% and completion rate 74.7%. The global value of percentage of approaches with fidelity ≥ 50% was 16.7%. Eight CFIR constructs distinguished between high and low implementation, five of them corresponding to the Inner Setting domain. Conclusions Compared to usual care, the EIRA intervention was more effective in promoting MHBC. Implementation outcomes were satisfactory except for the fidelity to the planned intervention which was low. The organisational and structural contexts of the centres proved to be significant determinants of implementation effectiveness. Trial registration ClinicalTrials.gov, NCT03136211. Registered 2 May 2017, “retrospectively registered”: https://clinicaltrials.gov/ct2/show/NCT03136211

ACS Style

Edurne Zabaleta-Del-Olmo; Marc Casajuana-Closas; Tomàs López-Jiménez; Haizea Pombo; Mariona Pons-Vigués; Enriqueta Pujol-Ribera; Carmen Cabezas-Peña; Joan Llobera; Ruth Martí-Lluch; Caterina Vicens; Emma Motrico; Irene Gómez-Gómez; José-Ángel Maderuelo-Fernández; José I Recio-Rodriguez; Barbara Masluk; Sara Contreras-Martos; Constanza Jacques-Aviñó; Ignacio Aznar-Lou; Montserrat Gil-Girbau; Ana Clavería; Rosa Magallón-Botaya; Juan-Ángel Bellón; Rafel Ramos; Alvaro Sanchez-Perez; Patricia Moreno-Peral; Alfonso Leiva; Clara González-Formoso; Bonaventura Bolíbar. Multiple health behaviour change primary care intervention for smoking cessation, physical activity and healthy diet in adults 45 to 75 years old (EIRA study): a hybrid effectiveness-implementation cluster randomised trial. 2020, 1 .

AMA Style

Edurne Zabaleta-Del-Olmo, Marc Casajuana-Closas, Tomàs López-Jiménez, Haizea Pombo, Mariona Pons-Vigués, Enriqueta Pujol-Ribera, Carmen Cabezas-Peña, Joan Llobera, Ruth Martí-Lluch, Caterina Vicens, Emma Motrico, Irene Gómez-Gómez, José-Ángel Maderuelo-Fernández, José I Recio-Rodriguez, Barbara Masluk, Sara Contreras-Martos, Constanza Jacques-Aviñó, Ignacio Aznar-Lou, Montserrat Gil-Girbau, Ana Clavería, Rosa Magallón-Botaya, Juan-Ángel Bellón, Rafel Ramos, Alvaro Sanchez-Perez, Patricia Moreno-Peral, Alfonso Leiva, Clara González-Formoso, Bonaventura Bolíbar. Multiple health behaviour change primary care intervention for smoking cessation, physical activity and healthy diet in adults 45 to 75 years old (EIRA study): a hybrid effectiveness-implementation cluster randomised trial. . 2020; ():1.

Chicago/Turabian Style

Edurne Zabaleta-Del-Olmo; Marc Casajuana-Closas; Tomàs López-Jiménez; Haizea Pombo; Mariona Pons-Vigués; Enriqueta Pujol-Ribera; Carmen Cabezas-Peña; Joan Llobera; Ruth Martí-Lluch; Caterina Vicens; Emma Motrico; Irene Gómez-Gómez; José-Ángel Maderuelo-Fernández; José I Recio-Rodriguez; Barbara Masluk; Sara Contreras-Martos; Constanza Jacques-Aviñó; Ignacio Aznar-Lou; Montserrat Gil-Girbau; Ana Clavería; Rosa Magallón-Botaya; Juan-Ángel Bellón; Rafel Ramos; Alvaro Sanchez-Perez; Patricia Moreno-Peral; Alfonso Leiva; Clara González-Formoso; Bonaventura Bolíbar. 2020. "Multiple health behaviour change primary care intervention for smoking cessation, physical activity and healthy diet in adults 45 to 75 years old (EIRA study): a hybrid effectiveness-implementation cluster randomised trial." , no. : 1.

Journal article
Published: 18 June 2020 in British Journal of General Practice
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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.

ACS Style

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 Style

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 (suppl 1):1.

Chicago/Turabian Style

Irene 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.

Review
Published: 17 May 2020 in BMJ Open
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IntroductionThe prevalence of postpartum depression (PPD) is 17%, and the incidence is 12% worldwide. Adverse consequences for mothers and babies have been associated with this disease. To assess the effectiveness of psychological, psychoeducational and psychosocial interventions in preventing PPD, a systematic review and meta-analysis (SR/MA) will be conducted.Methods and analysisA SR/MA will be performed following the indications of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Studies will be identified through MEDLINE (Ovid and PubMed), PsycINFO, Web of Science, Scopus, CINAHL, Cochrane Central Register of Controlled Trials, OpenGrey, Australian New Zealand Clinical Trial Registry, ClinicalTrials.gov and evidencebasedtherapy.org from inception until 31 January 2020. Bridging searches will be also conducted until the review is completed. The selection criteria will be as follows: (1) subjects will be pregnant females or females who have given birth in the last 12 months and who were non-depressive at baseline; (2) psychological, psychoeducational and psychosocial interventions; (3) comparator will be usual care, attention control, waiting list or no intervention; (4) outcomes will be specific results on PPD; and (5) the design of the studies will be randomised controlled trials. No restrictions regarding the year of publication, the setting of the intervention or the language of publication will be considered. Pooled standardised mean differences and 95% CIs will be calculated. The risk of bias of the studies will be assessed through the Cochrane Collaboration risk of bias tool. Heterogeneity between the studies will be determined by the I2 and Cochran’s Q statistics. Sensitivity and subgroup analyses will also be performed. Publication bias will be checked with funnel plots and Egger’s test. Heterogeneity will be explored by random-effects meta-regression analysis.Ethics and disseminationThe ethical assessment was not required. The results will be presented at conferences and disseminated through publications.PROSPERO registration numberCRD42018109981.

ACS Style

Carmen Martín-Gómez; Patricia Moreno-Peral; Juan A Bellón; Sonia Conejo Cerón; Henar Campos-Paino; Irene Gómez-Gómez; Alina Rigabert; Isabel Benítez; Emma Motrico. Effectiveness of psychological, psychoeducational and psychosocial interventions to prevent postpartum depression in adolescent and adult mothers: study protocol for a systematic review and meta-analysis of randomised controlled trials. BMJ Open 2020, 10, e034424 .

AMA Style

Carmen Martín-Gómez, Patricia Moreno-Peral, Juan A Bellón, Sonia Conejo Cerón, Henar Campos-Paino, Irene Gómez-Gómez, Alina Rigabert, Isabel Benítez, Emma Motrico. Effectiveness of psychological, psychoeducational and psychosocial interventions to prevent postpartum depression in adolescent and adult mothers: study protocol for a systematic review and meta-analysis of randomised controlled trials. BMJ Open. 2020; 10 (5):e034424.

Chicago/Turabian Style

Carmen Martín-Gómez; Patricia Moreno-Peral; Juan A Bellón; Sonia Conejo Cerón; Henar Campos-Paino; Irene Gómez-Gómez; Alina Rigabert; Isabel Benítez; Emma Motrico. 2020. "Effectiveness of psychological, psychoeducational and psychosocial interventions to prevent postpartum depression in adolescent and adult mothers: study protocol for a systematic review and meta-analysis of randomised controlled trials." BMJ Open 10, no. 5: e034424.

Review
Published: 11 May 2020 in Clinical Psychology Review
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Psychological and psychoeducational interventions have proven to be effective in preventing depression. However, the identification of the patients that benefit the most from each type of intervention has not yet been established. A systematic review was performed of the literature on moderators of preventive psychological and psychoeducational interventions for depression in all types of population. A search was performed on PubMed, PsycINFO, Web of Science, Embase, Cochrane Central Register of Controlled Trials and OpenGrey up to July 2019. Fulfillment of eligibility criteria, data collection, and study quality assessment were assessed by two independent researchers. Outcomes were moderators of the reduction of depressive symptoms or the incidence of depression. Twenty-seven moderator effect studies performed in 19 randomized controlled trials were included. Thirty-four potential sociodemographic, clinical, interpersonal, personality and life-event moderators were evaluated. Baseline depressive symptoms, gender, age, baseline parental depression and social support were the most frequently studied potential moderators. In interventions for children and adolescents, the moderator for which evidence was strongest was having parents free of depression at baseline. Psychological and psychoeducational interventions seem to be more effective in children and adolescents who exhibit a lower use of substances and whose parents do not have symptoms of depression at baseline. In adults, a lower age was associated with greater effects of preventive interventions. As this systematic review is based on published data, approval from the local ethics committee was not required.

ACS Style

Sonia Conejo-Cerón; Juan Ángel Bellón; Emma Motrico; Henar Campos-Paíno; Carmen Martín Gómez; David D. Ebert; Claudia Buntrock; Margalida Gili; Patricia Moreno-Peral. Moderators of psychological and psychoeducational interventions for the prevention of depression: A systematic review. Clinical Psychology Review 2020, 79, 101859 .

AMA Style

Sonia Conejo-Cerón, Juan Ángel Bellón, Emma Motrico, Henar Campos-Paíno, Carmen Martín Gómez, David D. Ebert, Claudia Buntrock, Margalida Gili, Patricia Moreno-Peral. Moderators of psychological and psychoeducational interventions for the prevention of depression: A systematic review. Clinical Psychology Review. 2020; 79 ():101859.

Chicago/Turabian Style

Sonia Conejo-Cerón; Juan Ángel Bellón; Emma Motrico; Henar Campos-Paíno; Carmen Martín Gómez; David D. Ebert; Claudia Buntrock; Margalida Gili; Patricia Moreno-Peral. 2020. "Moderators of psychological and psychoeducational interventions for the prevention of depression: A systematic review." Clinical Psychology Review 79, no. : 101859.

Review
Published: 16 March 2020 in Preventive Medicine
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Though many studies have explored the association between single-risk lifestyle interventions and depression, unhealthy lifestyle factors often co-occur, with adults engaging in two or more risk behaviours. To date, little is known about the effectiveness of universal multiple-risk lifestyle interventions to reduce depressive symptoms. We conducted a SR/MA to assess the effectiveness of universal multiple-risk lifestyle interventions (by promoting a healthy diet, physical activity and/or smoking cessation) to reduce depressive symptoms in adults. We searched MEDLINE, Scopus, CENTRAL, PsycINFO, WOS, OpenGrey, the ICTRP and other sources from inception to 16 September 2019. We selected only randomized controlled trials, with no restrictions on language or setting. Our outcome was the reduction of depressive symptoms. We calculated the standardized mean difference using random-effect models. Sensitivity, sub-group and meta-regression analyses were performed. Of the 9386 abstracts reviewed, 311 were selected for full-text review. Of these, 23 RCTs met the inclusion criteria, including 7558 patients from four continents. Twenty RCTs provided valid data for inclusion in the meta-analysis. The pooled SMD was −0.184 (95% CI, −0.311 to −0.057; p = 0.005). We found no publication bias, but heterogeneity was substantial (I2 = 72%; 95% CI: 56% to 82%). The effectiveness disappeared when only studies with a low risk of bias were included. The quality of evidence according GRADE was low. Although a small preventive effect was found, the substantial heterogeneity and RCTs with lower risk of bias suggested no effectiveness of universal multiple-risk lifestyle interventions in reducing depressive symptoms in a varied adult population. Further evidence is required.

ACS Style

Irene Gómez-Gómez; Juan Á. Bellón; Davinia María Resurrección; Pim Cuijpers; Patricia Moreno-Peral; Alina Rigabert; José Ángel Maderuelo-Fernández; Emma Motrico. Effectiveness of universal multiple-risk lifestyle interventions in reducing depressive symptoms: Systematic review and meta-analysis. Preventive Medicine 2020, 134, 106067 .

AMA Style

Irene Gómez-Gómez, Juan Á. Bellón, Davinia María Resurrección, Pim Cuijpers, Patricia Moreno-Peral, Alina Rigabert, José Ángel Maderuelo-Fernández, Emma Motrico. Effectiveness of universal multiple-risk lifestyle interventions in reducing depressive symptoms: Systematic review and meta-analysis. Preventive Medicine. 2020; 134 ():106067.

Chicago/Turabian Style

Irene Gómez-Gómez; Juan Á. Bellón; Davinia María Resurrección; Pim Cuijpers; Patricia Moreno-Peral; Alina Rigabert; José Ángel Maderuelo-Fernández; Emma Motrico. 2020. "Effectiveness of universal multiple-risk lifestyle interventions in reducing depressive symptoms: Systematic review and meta-analysis." Preventive Medicine 134, no. : 106067.

Journal article
Published: 22 May 2019 in International Journal of Educational Research
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The aim of this study was to carry out a scoping review of the available research literature examining how supervision, mentorships and tutorial activities can foster the doctoral study success. This scoping review was conducted in light of the PRISMA and the Joanna Briggs Institute guidelines. The search strategy produced 458 potentially relevant studies. We identified 14 studies that precisely met the inclusion criteria, isolating 10 factors, 19 actions and 38 techniques related to doctoral study success. They were classified according to four broad contexts: institutional, program, support and personal. These findings provide supervisors and institutions with the best available research evidence for improving the completion process in PhD studies.

ACS Style

Jose A. Salinas-Perez; Maria Luisa Rodero-Cosano; Alina Rigabert; Emma Motrico. Actions and techniques in supervision, mentorships and tutorial activities to foster doctoral study success: A scoping literature review. International Journal of Educational Research 2019, 96, 21 -31.

AMA Style

Jose A. Salinas-Perez, Maria Luisa Rodero-Cosano, Alina Rigabert, Emma Motrico. Actions and techniques in supervision, mentorships and tutorial activities to foster doctoral study success: A scoping literature review. International Journal of Educational Research. 2019; 96 ():21-31.

Chicago/Turabian Style

Jose A. Salinas-Perez; Maria Luisa Rodero-Cosano; Alina Rigabert; Emma Motrico. 2019. "Actions and techniques in supervision, mentorships and tutorial activities to foster doctoral study success: A scoping literature review." International Journal of Educational Research 96, no. : 21-31.

Review
Published: 15 March 2019 in BMJ Open
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IntroductionMany studies have explored the impact of lifestyle interventions on depression. However, little is known about the effectiveness of complex multiple-risk lifestyle interventions in reducing symptoms of depression. Our objective is to assess the effectiveness of complex multiple-risk lifestyle interventions in reducing depressive symptoms in the adult population by the acquisition of at least two healthy habits—healthy diet, physical activity and/or smoking cessation. For such purpose, a systematic review and meta-analysis of randomised controlled trials will be conducted.Method and analysisMEDLINE (through Ovid and PubMed), Scopus, Cochrane Central Register of Controlled Trials, Web of Science, PsycINFO, OpenGrey Register (System for Information on Grey Literature in Europe) and the International Clinical Trials Registry Platform will be searched for relevant articles. Additionally, a supplementary manual search will be performed using lists of references, references to expert authors and other systematic reviews and/or meta-analyses. Study selection, data extraction (target habits, country, target populations, conditions and statistical data to name a few) and assessment of the risk of bias will be performed separately by two independent researchers. The primary outcome measure will be the reduction of depression symptoms, as measured by validated instruments. We will calculate pooled standardised mean differences and 95% CIs using random-effect models. Heterogeneity, sensitivity and publication bias will be assessed, and sub-group analysis will be performed. Heterogeneity will be explored by random-effects meta-regression analysis.Ethics and disseminationEthical approval is not required for this study. The results of this systematic review and meta-analysis will be presented in relevant conferences and published in a peer-review journal. The findings of this study could have important clinical and scientific implications for the improvement of symptoms of depression.PROSPERO registration numberCRD42018100253; Pre-results.

ACS Style

Irene Gómez-Gómez; Emma Motrico; Patricia Moreno-Peral; Alina Rigabert; Sonia Conejo-Cerón; Manuel Ortega-Calvo; José-Ignacio Recio; Juan A Bellón. Effectiveness of complex multiple-risk lifestyle interventions in reducing symptoms of depression: a study protocol for a systematic review and meta-analysis of randomised controlled trials. BMJ Open 2019, 9, e026842 .

AMA Style

Irene Gómez-Gómez, Emma Motrico, Patricia Moreno-Peral, Alina Rigabert, Sonia Conejo-Cerón, Manuel Ortega-Calvo, José-Ignacio Recio, Juan A Bellón. Effectiveness of complex multiple-risk lifestyle interventions in reducing symptoms of depression: a study protocol for a systematic review and meta-analysis of randomised controlled trials. BMJ Open. 2019; 9 (3):e026842.

Chicago/Turabian Style

Irene Gómez-Gómez; Emma Motrico; Patricia Moreno-Peral; Alina Rigabert; Sonia Conejo-Cerón; Manuel Ortega-Calvo; José-Ignacio Recio; Juan A Bellón. 2019. "Effectiveness of complex multiple-risk lifestyle interventions in reducing symptoms of depression: a study protocol for a systematic review and meta-analysis of randomised controlled trials." BMJ Open 9, no. 3: e026842.

Review
Published: 25 November 2018 in BMJ Open
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IntroductionAlthough evidence exists for the efficacy of psychosocial interventions in preventing depression, little is known about its prevention through online interventions. The objective of this study is to conduct a systematic review and meta-analysis of randomised controlled trials assessing the effectiveness of online interventions in preventing depression in heterogeneous populations.Methods and analysisWe will conduct a systematic review and meta-analysis of randomised controlled trials that will be identified through searches of PubMed, PsycINFO, WOS, Scopus, OpenGrey, Cochrane Central Register of Controlled Trials, ClinicalTrials.gov and Australia New Zealand Clinical Trials Register . We will also search the reference lists provided in relevant studies and reviews. Experts in the field will be contacted to obtain more references. Two independent reviewers will assess the eligibility criteria of all articles, extract data and determine their risk of bias (Cochrane Collaboration Tool). Baseline depression will be required to have been discarded through standardised interviews or validated self-reports with standard cut-off points. The outcomes will be the incidence of new cases of depression and/or the reduction of depressive symptoms as measured by validated instruments. Pooled standardised mean differences will be calculated using random-effect models. Heterogeneity and publication bias will be estimated. Predefined sensitivity and subgroup analyses will be performed. If heterogeneity is relevant, random-effect meta-regression will be performed.Ethics and disseminationThe results will be disseminated through peer-reviewed publication and will be presented at a professional conference. Ethical assessment is not required as we will search and assess existing sources of literature.Trial registration numberCRD42014014804; Results.

ACS Style

Alina Rigabert; Emma Motrico; Patricia Moreno-Peral; Davinia Resurreccion; Sonia Conejo Cerón; Desirée Navas Campaña; Juan Á Bellón. Effectiveness of online interventions in preventing depression: a protocol for systematic review and meta-analysis of randomised controlled trials. BMJ Open 2018, 8, e022012 .

AMA Style

Alina Rigabert, Emma Motrico, Patricia Moreno-Peral, Davinia Resurreccion, Sonia Conejo Cerón, Desirée Navas Campaña, Juan Á Bellón. Effectiveness of online interventions in preventing depression: a protocol for systematic review and meta-analysis of randomised controlled trials. BMJ Open. 2018; 8 (11):e022012.

Chicago/Turabian Style

Alina Rigabert; Emma Motrico; Patricia Moreno-Peral; Davinia Resurreccion; Sonia Conejo Cerón; Desirée Navas Campaña; Juan Á Bellón. 2018. "Effectiveness of online interventions in preventing depression: a protocol for systematic review and meta-analysis of randomised controlled trials." BMJ Open 8, no. 11: e022012.

Correction
Published: 13 August 2018 in BMC Public Health
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It has been highlighted the original article (1) contained a typesetting mistake in the authorship, and that author Caterine Vicens was omitted.

ACS Style

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 Style

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 (1):1004.

Chicago/Turabian Style

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. 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.

Research article
Published: 16 July 2018 in PLOS ONE
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Empirical evidence has shown that cardiac rehabilitation programs are effective in reducing morbidity and mortality, improving quality of life in patients with cardiovascular disease. Despite the benefits, women have a high cardiac rehabilitation dropout rate. Our aim was to explore women’s perceptions about the reasons they faced for dropout from these programs. Semi-structured interviews were conducted with women (n = 10) after dropping out from three different cardiac rehabilitation centers in Spain. In addition, a focus group and a semi-structured interview with cardiovascular professionals were conducted. From a grounded theory perspective, thematic analysis was used to derive themes from interview transcripts. The women were between 41 and 70 years. We identified five general themes that illustrated reasons for cardiac rehabilitation dropout: intrapersonal reasons (self-reported health, self-reported mental health, health beliefs); interpersonal reasons (family caregiver role, work conflicts); logistical reasons (transport, distance); cardiac rehabilitation program characteristics (perception of the objective of cardiac rehabilitation, exercise component, inconvenient timing, cardiac rehabilitation equipment); and health system reasons (financial assistance for transport, long waiting list). The cardiovascular professionals found barriers to cardiac rehabilitation completion similar to those found by the women. In order to prevent cardiac rehabilitation dropout in women, modular and flexible programs are needed. In addition, the inclusion of primary care centers or community resources could improve cardiac rehabilitation completion in women. Psychological assessment and counseling during cardiac rehabilitation should be included as an essential part of the programs and recommended for those women with depressive symptoms. Finally, improved financial assistance for transport from the health system is essential.

ACS Style

Davinia Resurreccion; Emma Motrico; Maria Rubio-Valera; José Antonio Mora-Pardo; Patricia Moreno-Peral. Reasons for dropout from cardiac rehabilitation programs in women: A qualitative study. PLOS ONE 2018, 13, e0200636 .

AMA Style

Davinia Resurreccion, Emma Motrico, Maria Rubio-Valera, José Antonio Mora-Pardo, Patricia Moreno-Peral. Reasons for dropout from cardiac rehabilitation programs in women: A qualitative study. PLOS ONE. 2018; 13 (7):e0200636.

Chicago/Turabian Style

Davinia Resurreccion; Emma Motrico; Maria Rubio-Valera; José Antonio Mora-Pardo; Patricia Moreno-Peral. 2018. "Reasons for dropout from cardiac rehabilitation programs in women: A qualitative study." PLOS ONE 13, no. 7: e0200636.

Randomized controlled trial
Published: 13 July 2018 in BMC Public Health
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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.

ACS Style

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 Style

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 (1):874.

Chicago/Turabian Style

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. 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.

Review
Published: 18 June 2018 in European Journal of Cardiovascular Nursing
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Background: Although evidence exists for the efficacy of cardiac rehabilitation programmes to reduce morbidity and mortality among patients with cardiovascular disease, cardiac rehabilitation programmes are underused. We aimed systematically to review the evidence from prospective cohort studies on factors associated with non-participation in and/or dropping out from cardiac rehabilitation programmes. Methods: MedLine, Embase, Scopus, Open Grey and Cochrane Database were searched for relevant publications from inception to February 2018. Search terms included (a) coronary heart disease and other cardiac conditions; (b) cardiac rehabilitation and secondary prevention; and (c) non-participation in and/or dropout. Databases were searched following the PRISMA statement. Study selection, data extraction and the assessment of study quality were performed in duplicate. Results: We selected 43 studies with a total of 63,425 patients from 10 different countries that met the inclusion criteria. Factors associated with non-participation in and dropout from cardiac rehabilitation were grouped into six broad categories: intrapersonal factors, clinical factors, interpersonal factors, logistical factors, cardiac rehabilitation programme factors and health system factors. We found that clinical factors, logistical factors and health system factors were the main factors assessed for non-participation in cardiac rehabilitation. We also found differences between the factors associated with non-participation and dropout. Conclusions: Several factors were determinant for non-participation in and dropout from cardiac rehabilitation. These findings could be useful to clinicians and policymakers for developing interventions aimed at improving participation and completion of cardiac rehabilitation, such as E-health or home-based delivery programmes. Trial Registration: International Prospective Register of Systematic Reviews (PROSPERO) identifier: CRD42016032973.

ACS Style

Davinia Resurreccion; Patricia Moreno-Peral; Marta Gómez-Herranz; Maria Rubio-Valera; Luis Pastor; Jose Miguel Caldas De Almeida; Emma Motrico. Factors associated with non-participation in and dropout from cardiac rehabilitation programmes: a systematic review of prospective cohort studies. European Journal of Cardiovascular Nursing 2018, 18, 38 -47.

AMA Style

Davinia Resurreccion, Patricia Moreno-Peral, Marta Gómez-Herranz, Maria Rubio-Valera, Luis Pastor, Jose Miguel Caldas De Almeida, Emma Motrico. Factors associated with non-participation in and dropout from cardiac rehabilitation programmes: a systematic review of prospective cohort studies. European Journal of Cardiovascular Nursing. 2018; 18 (1):38-47.

Chicago/Turabian Style

Davinia Resurreccion; Patricia Moreno-Peral; Marta Gómez-Herranz; Maria Rubio-Valera; Luis Pastor; Jose Miguel Caldas De Almeida; Emma Motrico. 2018. "Factors associated with non-participation in and dropout from cardiac rehabilitation programmes: a systematic review of prospective cohort studies." European Journal of Cardiovascular Nursing 18, no. 1: 38-47.