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  1. Article ; Online: Efficacy of a strategy for implementing a guideline for the control of cardiovascular risk in a primary healthcare setting

    López-Gónzález Javier / Loeches Pilar / Ruiz-López Marta / Mayayo Soledad / Sierra-García Belén / Sánchez-Alcalde Rosa / Ruiz-Díaz Lourdes / Sánchez-Gómez Luis / Fernández Luque María / Novella Blanca / Rodríguez-Salvanés Francisco / González-Gamarra Amelia

    BMC Family Practice, Vol 12, Iss 1, p

    the SIRVA2 study a controlled, blinded community intervention trial randomised by clusters

    2011  Volume 21

    Abstract: Abstract This work describes the methodology used to assess a strategy for implementing clinical practice guidelines (CPG) for cardiovascular risk control in a health area of Madrid. Background The results on clinical practice of introducing CPGs have ... ...

    Abstract Abstract This work describes the methodology used to assess a strategy for implementing clinical practice guidelines (CPG) for cardiovascular risk control in a health area of Madrid. Background The results on clinical practice of introducing CPGs have been little studied in Spain. The strategy used to implement a CPG is known to influence its final use. Strategies based on the involvement of opinion leaders and that are easily executed appear to be among the most successful. Aim The main aim of the present work was to compare the effectiveness of two strategies for implementing a CPG designed to reduce cardiovascular risk in the primary healthcare setting, measured in terms of improvements in the recording of calculated cardiovascular risk or specific risk factors in patients' medical records, the control of cardiovascular risk factors, and the incidence of cardiovascular events. Methods This study involved a controlled, blinded community intervention in which the 21 health centres of the Number 2 Health Area of Madrid were randomly assigned by clusters to be involved in either a proposed CPG implementation strategy to reduce cardiovascular risk, or the normal dissemination strategy. The study subjects were patients ≥ 45 years of age whose health cards showed them to belong to the studied health area. The main variable examined was the proportion of patients whose medical histories included the calculation of their cardiovascular risk or that explicitly mentioned the presence of variables necessary for its calculation. The sample size was calculated for a comparison of proportions with alpha = 0.05 and beta = 0.20, and assuming that the intervention would lead to a 15% increase in the measured variables. Corrections were made for the design effect, assigning a sample size to each cluster proportional to the size of the population served by the corresponding health centre, and assuming losses of 20%. This demanded a final sample size of 620 patients. Data were analysed using summary measures for each cluster, ...
    Keywords Primary healthcare ; Randomised clinical trial ; Cluster analysis ; Clinical practice guidelines ; Cardiovascular disease ; Medicine (General) ; R5-920
    Subject code 610
    Language English
    Publishing date 2011-04-01T00:00:00Z
    Publisher BMC
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  2. Article ; Online: Efficacy of a strategy for implementing a guideline for the control of cardiovascular risk in a primary healthcare setting: the SIRVA2 study a controlled, blinded community intervention trial randomised by clusters.

    Rodríguez-Salvanés, Francisco / Novella, Blanca / Fernández Luque, María Jesús / Sánchez-Gómez, Luis María / Ruiz-Díaz, Lourdes / Sánchez-Alcalde, Rosa / Sierra-García, Belén / Mayayo, Soledad / Ruiz-López, Marta / Loeches, Pilar / López-Gónzález, Javier / González-Gamarra, Amelia

    BMC family practice

    2011  Volume 12, Page(s) 21

    Abstract: Unlabelled: This work describes the methodology used to assess a strategy for implementing clinical practice guidelines (CPG) for cardiovascular risk control in a health area of Madrid.: Background: The results on clinical practice of introducing ... ...

    Abstract Unlabelled: This work describes the methodology used to assess a strategy for implementing clinical practice guidelines (CPG) for cardiovascular risk control in a health area of Madrid.
    Background: The results on clinical practice of introducing CPGs have been little studied in Spain. The strategy used to implement a CPG is known to influence its final use. Strategies based on the involvement of opinion leaders and that are easily executed appear to be among the most successful.
    Aim: The main aim of the present work was to compare the effectiveness of two strategies for implementing a CPG designed to reduce cardiovascular risk in the primary healthcare setting, measured in terms of improvements in the recording of calculated cardiovascular risk or specific risk factors in patients' medical records, the control of cardiovascular risk factors, and the incidence of cardiovascular events.
    Methods: This study involved a controlled, blinded community intervention in which the 21 health centres of the Number 2 Health Area of Madrid were randomly assigned by clusters to be involved in either a proposed CPG implementation strategy to reduce cardiovascular risk, or the normal dissemination strategy. The study subjects were patients ≥ 45 years of age whose health cards showed them to belong to the studied health area. The main variable examined was the proportion of patients whose medical histories included the calculation of their cardiovascular risk or that explicitly mentioned the presence of variables necessary for its calculation. The sample size was calculated for a comparison of proportions with alpha = 0.05 and beta = 0.20, and assuming that the intervention would lead to a 15% increase in the measured variables. Corrections were made for the design effect, assigning a sample size to each cluster proportional to the size of the population served by the corresponding health centre, and assuming losses of 20%. This demanded a final sample size of 620 patients. Data were analysed using summary measures for each cluster, both in making estimates and for hypothesis testing. Analysis of the variables was made on an intention-to-treat basis.
    Trial registration: ClinicalTrials.gov: NCT01270022.
    MeSH term(s) Cardiovascular Diseases/prevention & control ; Cluster Analysis ; Cross-Sectional Studies ; Double-Blind Method ; Education, Medical, Continuing ; Female ; Follow-Up Studies ; Humans ; Information Dissemination/methods ; Male ; Medical Records ; Middle Aged ; Practice Guidelines as Topic ; Primary Health Care/methods ; Research Design ; Risk Factors ; Spain
    Language English
    Publishing date 2011-04-19
    Publishing country England
    Document type Journal Article ; Randomized Controlled Trial ; Research Support, Non-U.S. Gov't
    ISSN 1471-2296
    ISSN (online) 1471-2296
    DOI 10.1186/1471-2296-12-21
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: A cluster-randomised clinical trial comparing two cardiovascular health education strategies in a child population

    Sánchez-Gómez Luis / Fernández-Luque María / Ruiz-Díaz Lourdes / Sánchez-Alcalde Rosa / Sierra-García Belén / Mayayo-Vicente Soledad / Ruiz-López Marta / Loeches-Belinchón Pilar / López-Gónzález Javier / González-Gamarra Amelia / Gallego-Arenas Angela / Cubillo-Serna Ana / Gil-Juberias Gema / Pérez-Cayuela Pilar / Cañedo-Arguelles Celina / García-Pascual Julia / Ruiz-Chércoles Esther / Suarez-Fernández Carmen / Garcia-Polo Iluminada /
    Abad-Perez Daniel / Ballesteros-Arribas Juan M / Izquierdo-Martínez Maravillas / Salvador-Alcaide Elena / Arribas-Vela Ana B / Alonso-Pérez Juan M / Veja-Piris Lorena / Rodríguez-Salvanés Francisco / Novella-Arribas Blanca

    BMC Public Health, Vol 12, Iss 1, p

    the Savinghearts project

    2012  Volume 1024

    Abstract: Abstract Background This paper describes a methodology for comparing the effects of an eduentertainment strategy involving a music concert, and a participatory class experience involving the description and making of a healthy breakfast, as educational ... ...

    Abstract Abstract Background This paper describes a methodology for comparing the effects of an eduentertainment strategy involving a music concert, and a participatory class experience involving the description and making of a healthy breakfast, as educational vehicles for delivering obesity-preventing/cardiovascular health messages to children aged 7–8 years. Methods/design This study will involve a cluster-randomised trial with blinded assessment. The study subjects will be children aged 7–8 years of both sexes attending public primary schools in the Madrid Region. The participating schools (n=30) will be randomly assigned to one of two groups: 1) Group MC, in which the children will attend a music concert that delivers obesity-preventing/cardiovascular health messages, or 2) Group HB, in which the children will attend a participatory class providing the same information but involving the description and making of a healthy breakfast. The main outcome measured will be the increase in the number of correct answers scored on a knowledge questionnaire and in an attitudes test administered before and after the above interventions . The secondary outcome recorded will be the reduction in BMI percentile among children deemed overweight/obese prior to the interventions. The required sample size (number of children) was calculated for a comparison of proportions with an α of 0.05 and a β of 0.20, assuming that the Group MC subjects would show values for the measured variables at least 10% higher than those recorded for the subjects of Group HB. Corrections were made for the design effect and assuming a loss to follow-up of 10%. The maximum sample size required will be 2107 children. Data will be analysed using summary measurements for each cluster, both for making estimates and for hypothesis testing. All analyses will be made on an intention-to-treat basis. Discussion The intervention providing the best results could be recommended as part of health education for young schoolchildren. Trial registration Clinicaltrials.gov: NCT01418872
    Keywords Cluster randomised clinical trial ; Cluster analysis ; Cardiovascular diseases ; Child obesity ; Educational concerts ; Healthy strategies ; NAOS strategy ; Public aspects of medicine ; RA1-1270
    Subject code 796
    Language English
    Publishing date 2012-11-01T00:00:00Z
    Publisher BMC
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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    Inter-library loan at ZB MED

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  4. Article ; Online: A cluster-randomised clinical trial comparing two cardiovascular health education strategies in a child population: the Savinghearts project.

    Sánchez-Gómez, Luis María / Fernández-Luque, María Jesús / Ruiz-Díaz, Lourdes / Sánchez-Alcalde, Rosa / Sierra-García, Belén / Mayayo-Vicente, Soledad / Ruiz-López, Marta / Loeches-Belinchón, Pilar / López-Gónzález, Javier / González-Gamarra, Amelia / Gallego-Arenas, Angela / Cubillo-Serna, Ana / Gil-Juberias, Gema / Pérez-Cayuela, Pilar / Cañedo-Arguelles, Celina Arana / García-Pascual, Julia Natividad / Ruiz-Chércoles, Esther / Suarez-Fernández, Carmen / Garcia-Polo, Iluminada /
    Abad-Perez, Daniel / Ballesteros-Arribas, Juan M / Izquierdo-Martínez, Maravillas / Salvador-Alcaide, Elena / Arribas-Vela, Ana B / Alonso-Pérez, Juan M / Veja-Piris, Lorena / Rodríguez-Salvanés, Francisco / Novella-Arribas, Blanca

    BMC public health

    2012  Volume 12, Page(s) 1024

    Abstract: Background: This paper describes a methodology for comparing the effects of an eduentertainment strategy involving a music concert, and a participatory class experience involving the description and making of a healthy breakfast, as educational vehicles ...

    Abstract Background: This paper describes a methodology for comparing the effects of an eduentertainment strategy involving a music concert, and a participatory class experience involving the description and making of a healthy breakfast, as educational vehicles for delivering obesity-preventing/cardiovascular health messages to children aged 7-8 years.
    Methods/design: This study will involve a cluster-randomised trial with blinded assessment. The study subjects will be children aged 7-8 years of both sexes attending public primary schools in the Madrid Region. The participating schools (n=30) will be randomly assigned to one of two groups: 1) Group MC, in which the children will attend a music concert that delivers obesity-preventing/cardiovascular health messages, or 2) Group HB, in which the children will attend a participatory class providing the same information but involving the description and making of a healthy breakfast. The main outcome measured will be the increase in the number of correct answers scored on a knowledge questionnaire and in an attitudes test administered before and after the above interventions. The secondary outcome recorded will be the reduction in BMI percentile among children deemed overweight/obese prior to the interventions. The required sample size (number of children) was calculated for a comparison of proportions with an α of 0.05 and a β of 0.20, assuming that the Group MC subjects would show values for the measured variables at least 10% higher than those recorded for the subjects of Group HB. Corrections were made for the design effect and assuming a loss to follow-up of 10%. The maximum sample size required will be 2107 children. Data will be analysed using summary measurements for each cluster, both for making estimates and for hypothesis testing. All analyses will be made on an intention-to-treat basis.
    Discussion: The intervention providing the best results could be recommended as part of health education for young schoolchildren.
    Trial registration: Clinicaltrials.gov: NCT01418872.
    MeSH term(s) Breakfast ; Cardiovascular Diseases/prevention & control ; Child ; Cluster Analysis ; Female ; Follow-Up Studies ; Health Education/methods ; Health Knowledge, Attitudes, Practice ; Health Promotion/methods ; Humans ; Male ; Music ; Obesity/prevention & control ; Program Evaluation ; Single-Blind Method
    Language English
    Publishing date 2012-11-23
    Publishing country England
    Document type Comparative Study ; Journal Article ; Randomized Controlled Trial
    ISSN 1471-2458
    ISSN (online) 1471-2458
    DOI 10.1186/1471-2458-12-1024
    Database MEDical Literature Analysis and Retrieval System OnLINE

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