Publications by authors named "Maria Isabel Fernandez San-Martin"

Article Synopsis
  • - The study addresses the rising incidence of sexually transmitted infections (STIs) among young people and aims to improve knowledge and prevention strategies through a gamified training intervention for primary care professionals using an online video game called SEXIT.
  • - A multicentre cluster randomized controlled trial will compare groups of primary care professionals who use the game with control groups not using it, measuring knowledge and clinical management of STIs before and after the intervention over six months.
  • - The researchers anticipate that the intervention will lead to significant improvements in knowledge and clinical behaviors related to STIs, ultimately developing an engaging educational tool on sexuality and violence prevention.
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Objective: To evaluate the cost-effectiveness and cost-utility of a psychoeducational group intervention led by primary care (PC) nurses in relation to customary care to prevent the depression and improve quality of life in patients with physical comorbidity.

Design: Economic evaluation based on data from randomized, multicenter clinical trial with blind response variables and a one-year follow-up, carried in the context of the PSICODEP study.

Location: 7 PC teams from Catalonia.

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Background: Depression has a high prevalence among European countries. Several instruments have been designed to assess its symptoms in different populations. The Hopkins Symptom Checklist 25 (HSCL-25) scale has been identified as valid, reproducible, effective, and easy to use.

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Background: The aim of this study is to evaluate the short- and long-term effects of the universal mental health literacy intervention "EspaiJove.net" in increasing mental health knowledge, help seeking and reducing stigma attitudes in the adolescent population. We also examine whether these effects depend on the intervention intensity.

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Background: The COVID-19 pandemic has had a major impact on the mental health of healthcare workers, yet studies in primary care workers are scarce.

Aim: To investigate the prevalence of and associated factors for psychological distress in primary care workers during the first COVID-19 outbreak.

Design And Setting: This was a multicentre, cross-sectional, web-based survey conducted in primary healthcare workers in Spain, between May and September 2020.

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Depression constitutes a major public health problem due to its high prevalence and difficulty in diagnosis. The Hopkins Symptom Checklist-25 (HSCL-25) scale has been identified as valid, reproducible, effective, and easy to use in primary care (PC). The purpose of the study was to assess the psychometric properties of the HSCL-25 and validate its Spanish version.

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The association between physical illness and depression implies a poorer management of chronic disease and a lower response to antidepressant treatments. Our study evaluates the effectiveness of a psychoeducational group intervention led by Primary Care (PC) nurses, aimed at patients of this kind. It is a randomized, multicenter clinical trial with intervention (IG) and control groups (CG), blind response variables, and a one year follow-up.

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Objective: The aim of the study is to describe from a gender perspective how people with depression and physical comorbidity perceive their quality of life. The study included 380 people over 49 years of age with at least one of the following pathologies: diabetes, chronic obstructive pulmonary disease and ischemic heart disease. Participants were recruited from 31 teams the primary care of in Catalonia.

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Aim: To describe the translation and cross-cultural adaptation process of the Hopkins Symptom Checklist-25 (HSCL-25) scale into Spanish, Catalan and Galician.

Design: Translation, cross-cultural adaption and comprehensibility analysis through cognitive debriefing.

Location: Research Units of Primary Care in Barcelona and Vigo.

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Background: Low back pain (LBP) is a multifactorial condition with individual and societal impact that affects populations globally. Current guidelines for the treatment of LBP recommend pharmacological and non-pharmacological strategies. The aim of this study was to compare usual clinical practice with the effectiveness of a biopsychosocial multidisciplinary intervention in reducing disability, severity of pain and improving quality of life in a working population of patients with subacute (2-12 weeks), non-specific LBP.

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Background: Depressive disorders are the third leading cause of consultation in primary care, mainly in patients with chronic physical illnesses. Studies have shown the effectiveness of group psychoeducation in reducing symptoms in depressive individuals. Our primary aim is to evaluate the effectiveness of an intervention based on a psychoeducational program, carried out by primary care nurses, to improve the remission/response rate of depression in patients with chronic physical illness.

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Article Synopsis
  • Patients with severe mental illness (SMI) show a higher cardiovascular risk (CVR) compared to the general population, but this risk varies among different SMI subgroups, such as schizophrenia and depression.
  • A systematic review identified 35 studies involving over 12,000 psychiatric patients, using tools like the Framingham risk score to evaluate CVR; schizophrenia patients exhibited a significantly higher CVR than those with other disorders.
  • Meta-analysis results indicated no significant difference in overall CVR between SMI patients and control groups, highlighting high variability among the studies included.
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Objective: To describe inappropriate prescribing (IP) in the polymedicated population over 64 years-old in primary care using the STOPP/START criteria.

Design: The study design was descriptive, cross-sectional and multicenter.

Location: Four urban primary care centers in Barcelona.

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Article Synopsis
  • The study investigates the impact of waiting 1 minute between blood pressure (BP) readings using validated automatic devices in hypertensive patients.
  • Six BP readings were taken from 150 patients with both immediate and 1-minute waiting intervals to compare results.
  • The findings indicate a high agreement between the two methods, suggesting that waiting or not waiting has little effect on BP measurements, making them interchangeable.
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Patients with severe mental illness have higher prevalences of cardiovascular risk factors (CRF). The objective is to determine whether interventions to modify lifestyles in these patients reduce anthropometric and analytical parameters related to CRF in comparison to routine clinical practice. Systematic review of controlled clinical trials with lifestyle intervention in Medline, Cochrane Library, Embase, PsycINFO and CINALH.

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Objective: To evaluate the effectiveness of a joint team intervention between primary care (PC) and mental health (MH) to improve information on cardiovascular risk factors (CVRF) in psychotic patients.

Design: Multicenter before-after intervention study.

Location: Seven primary care and 2 mental health centers in Barcelona participated.

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Background: Insomnia is an often seen primary health care problem. Valerian might be an alternative treatment with fewer secondary effects. The aim of this study is to evaluate its effectiveness on insomnia through a meta-analysis of published literature.

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Objective: Catalan and Spanish adaptation of a questionnaire to measure patient satisfaction with their family doctor and nurse visit.

Design: Descriptive study of adapting questionnaires.

Setting: Primary Care Team Gòtic, Institut Català de la Salut, Barcelona, Spain.

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