Evidence map›Paper›PMID 28116774›Full record

ArticleHealth expectations : an international journal of public participation in health care and health policy2017

Beyond the consultation room: Proposals to approach health promotion in primary care according to health-care users, key community informants and primary care centre workers.

Anna Berenguera, Mariona Pons-Vigués, Patricia Moreno-Peral, Sebastià March, Joana Ripoll, Maria Rubio-Valera, Haizea Pombo-Ramos, Angela Asensio-Martínez, Eva Bolaños-Gallardo, Catalina Martínez-Carazo and 3 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Health expectations : an international journal of public participation in health care and health policy, 2017. 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 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
5.4field-weighted citation impact, top 5% of its field
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 map

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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

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  12. Respect, trust and continuity: A qualitative study exploring service users' experience of involvement at a Healthy Life Centre in Norway.Health expectations : an international journal of public participation in health care and health policy · 2019
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  14. Moving between ideologies in self-management support-A qualitative study.Health expectations : an international journal of public participation in health care and health policy · 2019
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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

13 authors at 9 institutions in 1 country.

Anna BerengueraInstitut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), Barcelona, Spain.ORCID 0000-0002-0889-2002
Mariona Pons-ViguésInstitut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), Barcelona, Spain.
Patricia Moreno-PeralInstituto de Investigación Biomédica de Málaga (IBIMA), Distrito Sanitario Málaga-Guadalhorce, Málaga, Spain.
Sebastià MarchPrimary Care Research Unit of Mallorca, Baleares Health Services-IbSalut, Palma, Spain.
Joana RipollPrimary Care Research Unit of Mallorca, Baleares Health Services-IbSalut, Palma, Spain.
Maria Rubio-ValeraResearch and Development Unit, Fundació Sant Joan de Déu, Barcelona, Spain.
Haizea Pombo-RamosPrimary Care Research Unit of Bizkaia, Basque Health Service-Osakidetza, Palma de Mallorca, Spain.
Angela Asensio-MartínezAragon Institute for Health Research (IIS Aragon), Aragón, Spain.
Eva Bolaños-GallardoConsultora, especialista en investigación cualitativa y salud, Madrid, Spain.
Catalina Martínez-CarazoPrimary Care Research Unit of Bizkaia, Basque Health Service-Osakidetza, Palma de Mallorca, Spain.
José Ángel Maderuelo-FernándezPrimary Care Research Unit, The Alamedilla Health Center, Castilla and León Health Service, SACYL, REDIAPP, IBSAL, Salamanca, Spain.
Maria Martínez-AndrésSocial and Health Care Research Center, University of Castilla-La Mancha, Castilla-la-Mancha, Spain.
Enriqueta Pujol-RiberaInstitut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), Barcelona, Spain.
Universitat Autònoma de Barcelona · ESEuskadiko Parke Teknologikoa · ESServei de Salut de les Illes Balears · ESInstituto de Investigación Biomédica de Málaga · ESInstituto de Investigación Biomédica de Salamanca · ESSant Joan de Déu Research Foundation · ESServicio de Salud de Castilla La Mancha · ESUnidad de Investigación en cuidados y servicios de salud (Investén-isciii) · ESUniversidad de Zaragoza · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrimary health care (PHC) is the ideal setting to provide integrated services centred on the person and to implement health promotion (HP) activities.

objectiveTo identify proposals to approach HP in the context of primary care according to health-care users aged 45-75 years, key community informants and primary care centre (PCC) workers.

methodsDescriptive-interpretive qualitative research with 276 participants from 14 PCC of seven Spanish regions. A theoretical sampling was used for selection. A total of 25 discussion groups, two triangular groups and 30 semi-structured interviews were carried out. A thematic interpretive contents analysis was carried out.

resultsParticipants consider that HP is not solely a matter for the health sector and they emphasize intersectoral collaboration. They believe that it is important to strengthen community initiatives and to create a healthy social environment that encourages greater responsibility and participation of health-care users in decisions regarding their own health and better management of public services and resources. HP, care in the community and demedicalization should be priorities for PHC. Participants propose organizational changes in the PCC to improve HP. PCC workers are aware that HP falls within the scope of their responsibilities and propose to increase their training, motivation, competences and knowledge of the social environment. Informants emphasize that HP should be person-centred approach and empathic communication. HP activities should be appealing, ludic and of proven effectiveness.

conclusionsAccording to a socio-ecological and intersectoral model, PHC services must get actively involved in HP together with community and through outreach interventions.

Indexed as

AgedCommunity Health ServicesCommunity-Institutional RelationsFemaleHealth PersonnelHealth PolicyHealth PromotionHumansMaleMiddle AgedPatient-Centered CarePrimary Health CareQualitative ResearchSocial EnvironmentSpainhealth promotionlifestyleprimary health careprimary preventionqualitative research

Identifiers

PMID28116774
PMCPMC5600227
OpenAlexW2582456447

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.