000074977 001__ 74977 000074977 005__ 20200117221643.0 000074977 0247_ $$2doi$$a10.1186/s12889-018-5805-y 000074977 0248_ $$2sideral$$a107484 000074977 037__ $$aART-2018-107484 000074977 041__ $$aeng 000074977 100__ $$aZabaleta-del-Olmo, E. 000074977 245__ $$aComplex 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 000074977 260__ $$c2018 000074977 5060_ $$aAccess copy available to the general public$$fUnrestricted 000074977 5203_ $$aCDATA[CDATA[Background: 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 01 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. CDATA[CDATA[Methods: 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 Spam 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 gamed measured by the tanffs of the EuioQo! 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. CDATA[CDATA[Discussion: 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. 000074977 536__ $$9info:eu-repo/grantAgreement/ES/ISCIII/FIS/PI15-00114$$9info:eu-repo/grantAgreement/ES/ISCIII/RD12-0005-0001$$9info:eu-repo/grantAgreement/ES/ISCIII/RD16-0007-0001 000074977 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/ 000074977 590__ $$a2.567$$b2018 000074977 591__ $$aPUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH$$b59 / 185 = 0.319$$c2018$$dQ2$$eT1 000074977 592__ $$a1.382$$b2018 000074977 593__ $$aPublic Health, Environmental and Occupational Health$$c2018$$dQ1 000074977 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion 000074977 700__ $$aPombo, H. 000074977 700__ $$aPons-Vigues, M. 000074977 700__ $$aCasajuana-Closas, M. 000074977 700__ $$aPujol-Ribera, E. 000074977 700__ $$aLopez-Jimenez, T. 000074977 700__ $$aCabezas-Pena, C. 000074977 700__ $$aMartin-Borras, C. 000074977 700__ $$aSerrano-Blanco, A. 000074977 700__ $$aRubio-Valera, M. 000074977 700__ $$aLlobera, J. 000074977 700__ $$aLeiva, A. 000074977 700__ $$aVidal, C. 000074977 700__ $$aCampinez, M. 000074977 700__ $$aMartin-Alvarez, R. 000074977 700__ $$aMaderuelo, J.A. 000074977 700__ $$aRecio, J.I. 000074977 700__ $$aGarcia-Ortiz, L. 000074977 700__ $$aMotrico, E. 000074977 700__ $$aBellon, J.A. 000074977 700__ $$aMoreno-Peral, P. 000074977 700__ $$aMartin-Cantera, C. 000074977 700__ $$aClaveria, A. 000074977 700__ $$aAldecoa-Landesa, S. 000074977 700__ $$0(orcid)0000-0002-5494-6550$$aMagallon-Botaya, R.$$uUniversidad de Zaragoza 000074977 700__ $$aBolibar, B. 000074977 7102_ $$11007$$2610$$aUniversidad de Zaragoza$$bDpto. Medicina, Psiqu. y Derm.$$cArea Medicina 000074977 773__ $$g18 (2018), 874 [15 pp]$$pBMC Public Health$$tBMC PUBLIC HEALTH$$x1471-2458 000074977 8564_ $$s706722$$uhttps://zaguan.unizar.es/record/74977/files/texto_completo.pdf$$yVersión publicada 000074977 8564_ $$s89639$$uhttps://zaguan.unizar.es/record/74977/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada 000074977 909CO $$ooai:zaguan.unizar.es:74977$$particulos$$pdriver 000074977 951__ $$a2020-01-17-22:05:26 000074977 980__ $$aARTICLE