Evidence map›Paper›PMID 28993380›Full record

ArticleBMJ open2017

Factors related to the development of health-promoting community activities in Spanish primary healthcare: two case

Sebastià March, Joana Ripoll, Matilde Jordan Martin, Edurne Zabaleta-Del-Olmo, Carmen Belén Benedé Azagra, Lázaro Elizalde Soto, Mª Clara Vidal, María de Lluc Bauzà Amengual, Trinidad Planas Juan, Damiana Maria Pérez Mariano and 21 more

Abstract read
In one paragraph

Article in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Observational
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Community Activities in Primary Care: A Literature Review.Journal of primary care & community health
    Review
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

31 authors.

Sebastià MarchPrimary Care Research Unit of Mallorca, Baleares Health Services-IB-Salut, Palma, Spain.
Joana RipollPrimary Care Research Unit of Mallorca, Baleares Health Services-IB-Salut, Palma, Spain.
Matilde Jordan MartinEstrecho de Correa Primary Health Center, Madrid Health Services, Madrid, Spain.
Edurne Zabaleta-Del-Olmo
Carmen Belén Benedé AzagraOliver Primary Health Center, Aragon Health Services, Zaragoza, Spain.
Lázaro Elizalde SotoNavarra Public Health Institute, Public Health and Epidemiology CIBER, Pamplona, Spain.
Mª Clara VidalPrimary Care Research Unit of Mallorca, Baleares Health Services-IB-Salut, Palma, Spain.
María de Lluc Bauzà AmengualBalearic Islands University, Palma de Mallorca, Spain.
Trinidad Planas JuanSon Gotleu Primary Health Center, Baleares Health Services-IB-Salut, Palma de Mallorca, Spain.
Damiana Maria Pérez MarianoSon Gotleu Primary Health Center, Baleares Health Services-IB-Salut, Palma de Mallorca, Spain.
Micaela Llull SarraldeSan Agustí Primary Health Center, Baleares Health Services-IB-Salut, Palma de Mallorca, Spain.
Juan Luís Ruiz-GiménezVicente Soldevilla Primary Health Center, Madrid Health Services, Madrid, Spain.
Rosa Bajo ViñasLoeches Primary Health Center, Madrid Health Services, Madrid, Spain.
Carmen Solano VillarubiaDA Sureste Primary Health Center, Madrid Health Services, Madrid, Spain.
Maria Rodriguez BajoFreelance, Madrid, Spain.
Manuela Cordoba VictoriaSOMAMFYC, Madrid, Spain.
Marta Badia CapdevilaInstitut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), Barcelona, Spain.
Elena Serrano FerrandezInstitut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), Barcelona, Spain.
Maria Bosom DiumenjoSant Rafael Primary Health Center, Àmbit d'Atenció Primària Barcelona-Ciutat, Institut Català de la Salut, Barcelona, Spain.
Isabel Montaner-GomisEl Carmel Primary Health Center, Àmbit d'Atenció Primària Barcelona-Ciutat, Institut Català de la Salut, Barcelona, Spain.
Buenaventura Bolibar-RibasInstitut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), Barcelona, Spain.
Angel Antoñanzas LombarteDelicias del Sur Primary Health Center, Aragon Health Services, Zaragoza, Spain.
Samantha Bregel CotainaPrimary Care Research Unit, Aragon, Spain.
Ana Calvo TocadoZaragoza Public Health Department, Institut Catala De La Salut, Zaragoza, Spain.
Barbara Olivan BlázquezPrimary Care Research Unit, Aragon, Spain.
Rosa Magallon BotayaArrabal Primary Health Center, Aragon Health Services, Zaragoza, Spain.
Pilar Marín PalaciosNavarra Public Health Institute, Public Health and Epidemiology CIBER, Pamplona, Spain.
Margarita Echauri OzcoidiNavarra Public Health Institute, Public Health and Epidemiology CIBER, Pamplona, Spain.
María Jose Perez-ArautaNavarra Public Health Institute, Public Health and Epidemiology CIBER, Pamplona, Spain.
Joan LloberaPrimary Care Research Unit of Mallorca, Baleares Health Services-IB-Salut, Palma, Spain.
Maria RamosBalearic Islands Health Research Institute (IdISBA), Palma, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveSpanish primary healthcare teams have the responsibility of performing health-promoting community activities (CAs), although such activities are not widespread. Our aim was to identify the factors related to participation in those activities.

designTwo case

settingPerformed in primary care of five Spanish regions. SUBJECTS: In the first study, cases were teams that performed health-promoting CAs and controls were those that did not. In the second study (on case teams from the first study), cases were professionals who developed these activities and controls were those who did not.

main outcome measuresTeam, professional and community characteristics collected through questionnaires (team managers/professionals) and from secondary sources.

resultsThe first study examined 203 teams (103 cases, 100 controls). Adjusted factors associated with performing CAs were percentage of nurses (OR 1.07, 95% CI 1.01 to 1.14), community socioeconomic status (higher vs lower OR 2.16, 95% CI 1.18 to 3.95) and performing undergraduate training (OR 0.44, 95% CI 0.21 to 0.93). In the second study, 597 professionals responded (254 cases, 343 controls). Adjusted factors were professional classification (physicians do fewer activities than nurses and social workers do more), training in CAs (OR 1.9, 95% CI 1.2 to 3.1), team support (OR 2.9, 95% CI 1.5 to 5.7), seniority (OR 1.06, 95% CI 1.03 to 1.09), nursing tutor (OR 2.0, 95% CI 1.1 to 3.5), motivation (OR 3.7, 95% CI 1.8 to 7.5), collaboration with non-governmental organisations (OR 1.9, 95% CI 1.2 to 3.1) and participation in neighbourhood activities (OR 3.1, 95% CI 1.9 to 5.1).

conclusionsProfessional personal characteristics, such as social sensitivity, profession, to feel team support or motivation, have influence in performing health-promoting CAs. In contrast to the opinion expressed by many professionals, workload is not related to performance of health-promoting CAs.

Indexed as

Case-Control StudiesCommunity Health ServicesCooperative BehaviorFemaleHealth PersonnelHealth PromotionHumansMaleNational Health ProgramsPatient Care TeamPrimary Health CareProfessional RoleSocial ClassSpainSurveys and Questionnairescommunity healthhealth professionalshealth promotionhealth services researchhealth teamprimary health care

Identifiers

PMID28993380
PMCPMC5640008

What OpenQuestion holds

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Registered trials

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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.