Evidence map›Paper›PMID 24586867›Full record

ArticlePloS one2014

Barriers and facilitators for the implementation of primary prevention and health promotion activities in primary care: a synthesis through meta-ethnography.

Maria Rubio-Valera, Mariona Pons-Vigués, María Martínez-Andrés, Patricia Moreno-Peral, Anna Berenguera, Ana Fernández

Registry-linked trialAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03136211 (A Hybrid Effectiveness-Implementation Trial of a Complex Multiple Risk Intervention to Promote Healthy Behaviors in People Between 45 to 75 Years Attended in Primary Health Care), which is not on this map. Cited by 114 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
114citing papers in PubMed, 6 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03136211 nacompletednot on this mapstarted 2017, after this paper: background citation

A Hybrid Effectiveness-Implementation Trial of a Complex Multiple Risk Intervention to Promote Healthy Behaviors in People Between 45 to 75 Years Attended in Primary Health Care

TypeinterventionalSponsorFundacio d'Investigacio en Atencio Primaria Jordi Gol i GurinaRan2017 to 2018Enrolled3,062ConditionsHealth Behavior, Health Promotion, Primary Health Care, Implementation ResearchArmsEIRA intervention
3 · Its place in the literature

Who cites it

114 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Supported decision-making interventions in mental healthcare: A systematic review of current evidence and implementation barriers.Health expectations : an international journal of public participation in health care and health policy · 2024
    Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Trial
  8. Trial
  9. Trial
  10. Trial
  11. Trial
  12. Trial
  13. Trial
  14. Trial
  15. Trial
  16. Trial
  17. Trial
  18. Review
  19. Article
  20. Article

54 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Maria Rubio-ValeraResearch and Development Unit, Fundació Sant Joan de Déu, Esplugues de Llobregat, Barcelona, Spain ; Spanish Research Network on Preventative Activities and Health Promotion in Primary Care (RedIAPP), Spain.
Mariona Pons-ViguésSpanish Research Network on Preventative Activities and Health Promotion in Primary Care (RedIAPP), Spain ; Research Department, Institut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), Barcelona, Spain ; Departamento de Psicología clínica y de la Salud, Universitat Autònoma de Barcelona, Bellaterra, Spain.
María Martínez-AndrésSpanish Research Network on Preventative Activities and Health Promotion in Primary Care (RedIAPP), Spain ; Social and Health Care Research Center, University of Castilla-La Mancha, Cuenca, Spain.
Patricia Moreno-PeralSpanish Research Network on Preventative Activities and Health Promotion in Primary Care (RedIAPP), Spain ; Research Unit, Distrito Sanitario Malaga, Fundación Pública Andaluza para la Investigación de Málaga en Biomedicina y Salud (IMABIS Foundation), Málaga, Spain.
Anna BerengueraSpanish Research Network on Preventative Activities and Health Promotion in Primary Care (RedIAPP), Spain ; Research Department, Institut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), Barcelona, Spain ; Departamento de Psicología clínica y de la Salud, Universitat Autònoma de Barcelona, Bellaterra, Spain.
Ana FernándezResearch and Development Unit, Fundació Sant Joan de Déu, Esplugues de Llobregat, Barcelona, Spain ; Spanish Research Network on Preventative Activities and Health Promotion in Primary Care (RedIAPP), Spain ; Centre for Disability Research and Policy, Faculty of Health Sciences, The University of Sydney, Sydney, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEvidence supports the implementation of primary prevention and health promotion (PP&HP) activities but primary care (PC) professionals show resistance to implementing these activities. The aim was to synthesize the available qualitative research on barriers and facilitators identified by PC physicians and nurses in the implementation of PP&HP in adults. METHODS AND

findingsA systematic search of three databases was conducted and supported by manual searches. The 35 articles included were translated into each other and a new interpretation of the concepts extracted was generated. The factors affecting the implementation of PP&HP activities in PC according to professionals were fitted into a five-level ecological model: intrapersonal factors, interpersonal processes, institutional factors, community factors and public policy. At the intrapersonal level we find professionals' beliefs about PP&HP, experiences, skills and knowledge, and selfconcept. The attitudes and behavior towards PP&HP of patients, specialists, practice managers and colleagues (interpersonal factors) affect the feasibility of implementing PP&HP. Institutional level: PC is perceived as well-placed to implement PP&HP but workload, lack of time and referral resources, and the predominance of the biomedical model (which prioritizes disease treatment) hamper the implementation of PP&HP. The effectiveness of financial incentives and tools such as guidelines and alarms/reminders is conditioned by professionals' attitudes to them. Community factors include patients' social and cultural characteristics (religion, financial resources, etc.), local referral resources, mass-media messages and pharmaceutical industry campaigns, and the importance given to PP&HP in the curriculum in university. Finally, policies affect the distribution of resources, thus affecting the implementation of PP&HP.

conclusionsResearch on barriers and facilitators in the implementation of PP&HP activities in multirisk management is scarce. The conceptual overview provided by this synthesis resulted in the development of practical recommendations for the design of PP&HP in PC. However, the effectiveness of these recommendations needs to be demonstrated.

Indexed as

Health PromotionAnthropology, CulturalHumansPrimary Health CarePrimary Prevention

Identifiers

PMID24586867
PMCPMC3938494

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.