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Protocol for regional implementation of collaborative self-management services to promote physical activity
BACKGROUND: Chronic diseases are generating a major health and societal burden worldwide. Healthy lifestyles, including physical activity (PA), have proven efficacy in the prevention and treatment of many chronic conditions. But, so far, national PA surveillance systems, as well as strategies for pr...
Autores principales: | , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6050723/ https://www.ncbi.nlm.nih.gov/pubmed/30016944 http://dx.doi.org/10.1186/s12913-018-3363-8 |
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author | Barberan-Garcia, Anael Gimeno-Santos, Elena Blanco, Isabel Cano, Isaac Martínez-Pallí, Graciela Burgos, Felip Miralles, Felip Coca, Miquel Murillo, Serafín Sanz, María Steblin, Alexander Ubré, Marta Benavent, Jaume Vidal, Josep Sitges, Marta Roca, Josep |
author_facet | Barberan-Garcia, Anael Gimeno-Santos, Elena Blanco, Isabel Cano, Isaac Martínez-Pallí, Graciela Burgos, Felip Miralles, Felip Coca, Miquel Murillo, Serafín Sanz, María Steblin, Alexander Ubré, Marta Benavent, Jaume Vidal, Josep Sitges, Marta Roca, Josep |
author_sort | Barberan-Garcia, Anael |
collection | PubMed |
description | BACKGROUND: Chronic diseases are generating a major health and societal burden worldwide. Healthy lifestyles, including physical activity (PA), have proven efficacy in the prevention and treatment of many chronic conditions. But, so far, national PA surveillance systems, as well as strategies for promotion of PA, have shown low impact. We hypothesize that personalized modular PA services, aligned with healthcare, addressing the needs of a broad spectrum of individual profiles may show cost-effectiveness and sustainability. METHODS: The current manuscript describes the protocol for regional implementation of collaborative self-management services to promote PA in Catalonia (7.5 M habitants) during the period 2017–2019. The protocols of three implementation studies encompassing a broad spectrum of individual needs are reported. They have a quasi-experimental design. That is, a non-randomized intervention group is compared to a control group (usual care) using propensity score methods wherein age, gender and population-based health risk assessment are main matching variables. The principal innovations of the PA program are: i) Implementation of well-structured modular interventions promoting PA; ii) Information and communication technologies (ICT) to facilitate patient accessibility, support collaborative management of individual care plans and reduce costs; and iii) Assessment strategies based on the Triple Aim approach during and beyond the program deployment. DISCUSSION: The manuscript reports a precise roadmap for large scale deployment of community-based ICT-supported integrated care services to promote healthy lifestyles with high potential for comparability and transferability to other sites. TRIAL REGISTRATION: This study protocol has been registered at ClinicalTrials.org (NCT02976064). Registered November 24th, 2016. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12913-018-3363-8) contains supplementary material, which is available to authorized users. |
format | Online Article Text |
id | pubmed-6050723 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-60507232018-07-19 Protocol for regional implementation of collaborative self-management services to promote physical activity Barberan-Garcia, Anael Gimeno-Santos, Elena Blanco, Isabel Cano, Isaac Martínez-Pallí, Graciela Burgos, Felip Miralles, Felip Coca, Miquel Murillo, Serafín Sanz, María Steblin, Alexander Ubré, Marta Benavent, Jaume Vidal, Josep Sitges, Marta Roca, Josep BMC Health Serv Res Study Protocol BACKGROUND: Chronic diseases are generating a major health and societal burden worldwide. Healthy lifestyles, including physical activity (PA), have proven efficacy in the prevention and treatment of many chronic conditions. But, so far, national PA surveillance systems, as well as strategies for promotion of PA, have shown low impact. We hypothesize that personalized modular PA services, aligned with healthcare, addressing the needs of a broad spectrum of individual profiles may show cost-effectiveness and sustainability. METHODS: The current manuscript describes the protocol for regional implementation of collaborative self-management services to promote PA in Catalonia (7.5 M habitants) during the period 2017–2019. The protocols of three implementation studies encompassing a broad spectrum of individual needs are reported. They have a quasi-experimental design. That is, a non-randomized intervention group is compared to a control group (usual care) using propensity score methods wherein age, gender and population-based health risk assessment are main matching variables. The principal innovations of the PA program are: i) Implementation of well-structured modular interventions promoting PA; ii) Information and communication technologies (ICT) to facilitate patient accessibility, support collaborative management of individual care plans and reduce costs; and iii) Assessment strategies based on the Triple Aim approach during and beyond the program deployment. DISCUSSION: The manuscript reports a precise roadmap for large scale deployment of community-based ICT-supported integrated care services to promote healthy lifestyles with high potential for comparability and transferability to other sites. TRIAL REGISTRATION: This study protocol has been registered at ClinicalTrials.org (NCT02976064). Registered November 24th, 2016. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12913-018-3363-8) contains supplementary material, which is available to authorized users. BioMed Central 2018-07-17 /pmc/articles/PMC6050723/ /pubmed/30016944 http://dx.doi.org/10.1186/s12913-018-3363-8 Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Study Protocol Barberan-Garcia, Anael Gimeno-Santos, Elena Blanco, Isabel Cano, Isaac Martínez-Pallí, Graciela Burgos, Felip Miralles, Felip Coca, Miquel Murillo, Serafín Sanz, María Steblin, Alexander Ubré, Marta Benavent, Jaume Vidal, Josep Sitges, Marta Roca, Josep Protocol for regional implementation of collaborative self-management services to promote physical activity |
title | Protocol for regional implementation of collaborative self-management services to promote physical activity |
title_full | Protocol for regional implementation of collaborative self-management services to promote physical activity |
title_fullStr | Protocol for regional implementation of collaborative self-management services to promote physical activity |
title_full_unstemmed | Protocol for regional implementation of collaborative self-management services to promote physical activity |
title_short | Protocol for regional implementation of collaborative self-management services to promote physical activity |
title_sort | protocol for regional implementation of collaborative self-management services to promote physical activity |
topic | Study Protocol |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6050723/ https://www.ncbi.nlm.nih.gov/pubmed/30016944 http://dx.doi.org/10.1186/s12913-018-3363-8 |
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