redIAPP has established a unique Research Programme:
Prevention and health promotion to carry out innovative interventions in Primary Health Care with the goal of avoiding the most frequent chronic diseases and favouring active, healthy ageing in the population.
Encouraging behaviours that contribute to a healthy lifestyles, such as participation in screening programs and adherence to drug treatment recommendations represent a key element in current health care systems, with the objectives of reducing the risk of disease and disability, contributing to active and healthy aging.
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WP 1 LS
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WP 2 CV
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WP 3 Can
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WP 4 MH
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WP 5 HSR
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WP 6 CT
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WP 7 I+D
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Activities and interventions related to improving healthy lifestyles
The objective is to evaluate new interventions directed to improving lifestyle choices (tobacco, alcohol, physical activity and diet) and the
development of applications and tools to achieve them. Together with other WPs, the treatment effect of interventions based on lifestyle modification to prevent and control chronic health conditions (cancer, cardiovascular diseases, depression, etc) will also be evaluated.
Coordinator: Luis García Ortiz (CyL)
Current Groups
Castilla y León, BIPS, GrenSSAP, PREVAF-Cuenca, Baleares
Main projects
PVS
SEDESTACTIV
TABATIC
EVIDENT
EFICAR
EVIDENT II
Platforms
Network of exercise research laboratories
Evaluation of interventions for risk reduction and cardiovascular prevention
The objective is to evaluate interventions (both pharmacological and behaviour modifications) directed at the reduction of cardiovascular risk in various target populations. Another objective is the evaluation and management of cardiovascular diseases in the population using estimation and mathematical modelling of risk, taking into account the holistic and longitudinal perspective of primary care.
Coordinator: Rafael Ramos (CardioCat)
Current Groups
Cardiocat, Castilla y León, Baleares, Galicia
Main Projects
5 projects that evaluate the cost-effectiviness of statins treatment in various target populations based on the SIDIAP platform: MARIA, EPREV, 4E, ECERC, PETREA.
TAHPS
MARK
FRESCO
Platforms
RISCCAT
Adequacy of cancer detection activities
The objective is to establish the coverage and degree of adequacy of cancer detection activities (populational or opportunistic) in primary care and to evaluate the effect of early diagnosis and the intensity of the follow-up in colorectal cancer patients. The effect of lifestyle-based promotion interventions in patients with cancer will also be evaluated, and the adherence to healthy lifestyles in cancer survivors patients.
Coordinator: Joan Llobera (Baleares)
Current Groups
Baleares, GRenSSAP, Aragón, Galicia, BIPS
Main Projects
DECCIRE
EFICANCER
Platforms
DECCIRE
Prevention of mental health disorders in primary care adult patients
The main objective is to develop and evaluate innovative interventions (effectiveness and efficiency) to prevent the onset, relapse and recurrence of anxiety and depressive disorders in adult primary care patients. Furthermore, predictive risk algorithms and on-line psychotherapy programs related to anxiety and depressive disorders will be developed.
Coordinator: Juan Bellón (Samserap)
Current Groups
Samserap, Sant Joan de Déu, SM-Baleares, Aragón
Main Projects
PREDICT
PREDICT-CCRT
PREDICT-EVAL
ON-LINE PSYCHOTHERAPY STUDY
Platforms
PREDICT
Health Services Research related to preventive services in primary care
The main objective is to study the current situation of preventive activities (at the individual, group and community level), their variability and related factors, and their efficiency. The efficiency of the new proposed interventions and adherence to established guidelines and treatments will also be assessed. New instruments for data analysis (case-mix systems, classification of multimorbidities, etc) and feed-back using the electronic medical record will also be developed to improve the management of preventive activities in primary care.
Coordinator: Bonaventura Bolíbar (GRenSSAP)
Current Groups
GRenSSAP, Baleares, Aragón, Sant Joan de Déu, Galicia, Cardiocat, Samserap
Main Projects
HYPOLIPIDAEMIA STUDY
REGIPREV
SMOKING AND PUBLIC LAW
BENZOS STUDY
PRODEFAR
FIBROQUOL
Platforms
REGIPREV
SIDIAP
Multi-risk clinical trial
Design and implement a clinical trial following the methodology proposed by the MRC to evaluate the effectiveness and cost-benefit of a multi-factorial and multi-risk intervention for health promotion and disease prevention to reduce the most frequent chronic health conditions and favour active, healthy aging.
Develop the first 4 phases established by the Medical research Council (MRC)
- Preparatory Phase (0). Preclinical/Theoretical: 1.- Conduct literature review and synthesize the available scientific evidence; 2.- Identify and evaluate the different health promotion theories as well as economic evaluation techniques and methods.
- Phase 1. Modelling and operationalizing: 1.- Identify barriers and the elements that can facilitate the intervention. 2.- Determine the components of the intervention, their interrelationships and their relationship with health outcomes. 3.- Operationalize and adapt the intervention to the study centres.
- Phase 2. Pilot test /exploratory trial: Implementation and feasibility study, determining acceptance and the potential effectiveness of the intervention.
- Phase 3. Definitive clinical trial: Conduct the clinical trial, implementing an intervention that is appropriate, feasible and reproducible, with an appropriate control group and sufficient statistical power to verify the results.
Coordinator: Bonaventura Bolíbar (GRenSSAP)
Current Groups
All groups
Innovation and transfer
Develop and integrate new decision support tools for primary care professionals as well as interventions based on the use of ICT directed toward health promotion, prevention of chronic health conditions and their transfer to the private sector.
The actions in this WP are intended to enhance the network’s culture of innovation and stimulate the creation of innovative products. Therefore, it will focus on all of the products of innovation as they are produced by the network.
Coordinator: Javier García Campayo (Aragón)
Current Groups
All groups
Activities, Outputs and Outcomes of the Research Programme
| OBJETIVES | WP | ACTIVITIES | OUTPUTS | OUTCOMES |
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| Evaluate disease prevention and health promotion activities that exists in primary health care and develop innovative new preventive interventions. |
WP1: LS |
- Finalize active projects
- Propose and develop new ideas and projects
- Construction of an inventory of unit costs for health care services
- Data cleaning of the network's platform
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- Design of innovative intervention programmes for health promotion and prevention
- Publications in high-impact journals
Reports with recommendations directed at the various actors
- Development and improvement of CPG
- Participation in national and int. commissions
- Inventory of unit costs
- Maintenance and consolidation of network's platforms
- Doctoral dissertations
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- Knowledge to design and implement innovative primary and secondary prevention programmes in PC
- Increase patient empowerment and adherence to treatments and advice
- To provide new evidences to clinicians and decision- and policy-makers to take better decisions and contribute to the sustainability of the national
health system
- Improvement in healthy habits, decrease in cardiovascular risk and risk in depression, lower incidence of major cardiovascular events, cancer, depression and anxiety
- Transfer of the tools developed
- Obtain complementary funding for the network programme
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| WP2: CV |
| WP3: CA |
| WP4: MH |
| WP5: HRS |
| Design and implement a clinical trial to evaluate the effectiveness and cost-utility of a multi-factorial and multi-risk intervention. |
WP6:Multirisk Trial |
- Phase 0: preclinical/ Theorical
- Phase 1: Modelling and operationalizing
- Phase 2: Pilot test /exploratory trial
- Phase 3: Definitive clinical trial
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- Systematic review of the effectiveness and efficiency
- Review of the health promotion theories and economic assessment methods
- Validation of the multii-risk intervention
- Publication in high-impact journals
- Development of decision support tools
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| Develop and integrate new decision support tools, as well as interventions based on information and communications technology (ICT) and directed at the prevention of chronic diseases and technology transfer. |
WP7: I+D+i |
- Training in process of innovation and intellectually propriety
- Support of the VHIR and search of private firms
- ICT services orientation, utilization and integration
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- Development and validation of applications and tools
- Development of secondary prevention new models based on ICT
- Validation of questionnaires
- Development and validation of instruments applicable to information management
- Agreements or contracts with private enterprise
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