000121164 001__ 121164 000121164 005__ 20240319081015.0 000121164 0247_ $$2doi$$a10.1371/journal.pone.0273290 000121164 0248_ $$2sideral$$a131771 000121164 037__ $$aART-2022-131771 000121164 041__ $$aeng 000121164 100__ $$aEscrivá-Martínez, Tamara 000121164 245__ $$amHealth intervention to improve quality of life in patients with chronic diseases during the COVID-19 crisis in Paraguay: A study protocol for a randomized controlled trial 000121164 260__ $$c2022 000121164 5060_ $$aAccess copy available to the general public$$fUnrestricted 000121164 5203_ $$aBackground Patients with chronic disease represent an at-risk group in the face of the COVID-19 crisis as they need to regularly monitor their lifestyle and emotional management. Coping with the illness becomes a challenge due to supply problems and lack of access to health care facilities. It is expected these limitations, along with lockdown and social distancing measures, have affected the routine disease management of these patients, being more pronounced in low- and middle-income countries with a flawed health care system. Objectives The purpose of this study is to describe a protocol for a randomized controlled trial to test the efficacy of the Adhera® MejoraCare Digital Program, an mHealth intervention aimed at improving the quality of life of patients with chronic diseases during the COVID-19 outbreak in Paraguay. Method A two-arm randomized controlled trial will be carried out, with repeated measures (baseline, 1-month, 3-month, 6-month, and 12-month) under two conditions: Adhera® MejoraCare Digital Program or waiting list. The primary outcome is a change in the quality of life on the EuroQol 5-Dimensions 3-Levels Questionnaire (EQ-5D-3L). Other secondary outcomes, as the effect on anxiety and health empowerment, will be considered. All participants must be 18 years of age or older and meet the criteria for chronic disease. A total of 96 participants will be recruited (48 per arm). Conclusions It is expected that the Adhera® MejoraCare Digital Program will show significant improvements in quality of life and emotional distress compared to the waiting list condition. Additionally, it is hypothesized that this intervention will be positively evaluated by the participants in terms of usability and satisfaction. The findings will provide new insights into the viability and efficacy of mHealth solutions for chronic disease management in developing countries and in times of pandemic. 000121164 536__ $$9info:eu-repo/grantAgreement/ES/MICINN/FPU16-01875$$9info:eu-repo/grantAgreement/ES/MICINN/PRE2019-089021 000121164 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/ 000121164 590__ $$a3.7$$b2022 000121164 592__ $$a0.885$$b2022 000121164 591__ $$aMULTIDISCIPLINARY SCIENCES$$b26 / 73 = 0.356$$c2022$$dQ2$$eT2 000121164 593__ $$aMultidisciplinary$$c2022$$dQ1 000121164 594__ $$a6.0$$b2022 000121164 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion 000121164 700__ $$aVara, Mª Dolores 000121164 700__ $$aCzeraniuk, Nadia 000121164 700__ $$aDenis, Matías 000121164 700__ $$aNúñez-Benjumea, Francisco J. 000121164 700__ $$aFernández-Luque, Luis 000121164 700__ $$aJiménez-Díaz, Alba 000121164 700__ $$aTraver, Vicente 000121164 700__ $$aLlull, Juan José 000121164 700__ $$aMartínez-Millana, Antonio 000121164 700__ $$aGarcés-Ferrer, Jorge 000121164 700__ $$aMiragall, Marta 000121164 700__ $$0(orcid)0000-0001-6987-6607$$aHerrero, Rocío$$uUniversidad de Zaragoza 000121164 700__ $$aEnríquez, Analía 000121164 700__ $$aSchaefer, Verena 000121164 700__ $$aCervera-Torres, Sergio 000121164 700__ $$aVillasanti, Cecilia 000121164 700__ $$aCabral, Carmen V. 000121164 700__ $$aFernández, Irene 000121164 700__ $$aBaños, Rosa Mª 000121164 7102_ $$14009$$2680$$aUniversidad de Zaragoza$$bDpto. Psicología y Sociología$$cÁrea Person.Eval.Trat.Psicoló. 000121164 773__ $$g17, 11 (2022), e0273290 [15 pp.]$$pPLoS One$$tPLoS ONE$$x1932-6203 000121164 8564_ $$s1014704$$uhttps://zaguan.unizar.es/record/121164/files/texto_completo.pdf$$yVersión publicada 000121164 8564_ $$s2315626$$uhttps://zaguan.unizar.es/record/121164/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada 000121164 909CO $$ooai:zaguan.unizar.es:121164$$particulos$$pdriver 000121164 951__ $$a2024-03-18-15:33:57 000121164 980__ $$aARTICLE