Publications by authors named "JoseAngel Maderuelo-Fernandez"
Objective: To examine the effectiveness of a 12-month MHBC intervention in the prevention of onset depression in primary health care (PHC).
Methods: Twenty-two PHC centres took part in the cluster-randomized controlled trial. Patients were randomized to receive either usual care or an MHBC intervention.
Article Synopsis
- This study assessed a Multiple Health Behaviour Change (MHBC) intervention aimed at improving smoking cessation, physical activity, and adherence to a Mediterranean diet among individuals aged 45-75, comparing it to standard care in Spanish Primary Health Care centers.
- The trial involved 3,062 participants in a cluster randomized design, where the intervention focused on individual, group, and community strategies and was evaluated using a mixed-methods approach for implementation outcomes.
- Results showed that the intervention led to greater positive changes in health behaviors, particularly dietary changes, with moderate acceptability and fidelity among health professionals, alongside high initial acceptability from participants.
Background: Primary care is the ideal setting for promotion and prevention intervention. Multiple risk behaviour interventions present several advantages over single-risk lifestyle interventions. Multiple risk behaviour interventions could be easily implemented in primary care to prevent non-communicable disease and depression.
View Article and Find Full Text PDFLong-Term Effectiveness of a Smartphone App for Improving Healthy Lifestyles in General Population in Primary Care: Randomized Controlled Trial (Evident II Study).
JMIR Mhealth Uhealth
April 2018
Background: Information and communication technologies are currently among the supporting elements that may contribute to improving health and changing lifestyles.
Objective: The aim of this study was to evaluate the long-term effectiveness of adding an app to standardized counseling in order to increase physical activity (PA) and adherence to the Mediterranean diet and to analyze the effects of app adherence in lifestyle changes.
Methods: A randomized, multicenter clinical trial with a 12 month-follow up was conducted, involving 833 participants recruited by random sampling in 6 primary Spanish care centers (415 vs 418).
Short-Term Effectiveness of a Mobile Phone App for Increasing Physical Activity and Adherence to the Mediterranean Diet in Primary Care: A Randomized Controlled Trial (EVIDENT II Study).
J Med Internet Res
December 2016
Background: The use of mobile phone apps for improving lifestyles has become generalized in the population, although little is still known about their effectiveness in improving health.
Objective: We evaluate the effect of adding an app to standard counseling on increased physical activity (PA) and adherence to the Mediterranean diet, 3 months after implementation.
Methods: A randomized, multicenter clinical trial was carried out.
Gender differences in the progression of target organ damage in patients with increased insulin resistance: the LOD-DIABETES study.
Cardiovasc Diabetol
October 2015
Background: The purpose of this study was to analyze the evolution of vascular, cardiac and renal target organ damage (TOD) in patients with increased insulin resistance over a 3.5 year follow-up and to investigate gender difference and factors that influence its progression.
Methods: We performed a prospective observational study involving 112 patients (71 men, 41 women) who were followed for 3.