La Salud móvil en Atención Primaria

Identificador:  TDX:2911

Handle: https://hdl.handle.net/20.500.11797/TDX2911

Autors:  Granado Font, Ester

Resum:
Introduction: Lifestyles are the set of guidelines and habits of a person that maintained over time can behave as risk or protection factors depending on their nature. Some studies show that certain changes in lifestyle are effective in improving health and decreasing the burden of disease. The rise of the new technologies opens a new way in the lifestyles treatment such as tobacco and obesity. Applications for mobile devices provide solutions to different user needs. However, many of these are not very sophisticated and provide a limited or dubious benefit, needing to regulate this growing market through studies that provide real scientific evidence on the impact on primary care. Goals: - Analyze the effectiveness of interventions based on the implementation of an application developed for mobile devices to reduce weight and increase physical activity. - Design a study protocol to evaluate the effectiveness of a weight loss intervention based on standard diet recommendations plus a smartphone application (app) and portable device, compared to the standardized evidence-based dietary intervention alone, in primary care patients aged 18 years or older who are overweight or obese. - Know the coping strategies and online social support provided by users of an app for mobile devices to stop smoking during the process of smoking cessation. Methodology: To achieve the first objective, a systematic review and meta-analysis of relevant studies identified through a PubMed search, CINAHL (the Cumulative Index to Nursing and Allied Health Literature) and Scopus from its inception to August 2015 were performed. Two team members analyzed the studies independently to verify the inclusion criteria and extract the data. We included all controlled studies that evaluated an intervention with a mobile phone application health measures related to weight (ie, body weight, body mass index and/or waist circumference) and/or physical activity results. The estimattions of the net change that compared the intervention group with the control group were combined in the studies that used random effects models. To achieve the second objective, a randomized, multicenter controlled clinical trial was designed in two primary care centers in the city of Tarragona. Subjects: 70 primary care patients, 18 years of age or older, with a body ma