Sebastià March1, Elena Torres2, María Ramos3, Joana Ripoll4, Atanasio García5, Oana Bulilete6, David Medina7, Clara Vidal8, Elena Cabeza9, Micaela Llull10, Edurne Zabaleta-del-Olmo11, José Manuel Aranda12, Silvia Sastre13, Joan Llobera14. 1. Research Unit, Mallorca Primary Care, Ib-Salut Balears, Reina Esclaramunda Street, 9, 07003 Palma, Spain; IUNICS-IdISPa, UIB, 07010 Palma, Spain. Electronic address: smarch@ibsalut.caib.es. 2. Research Unit, Mallorca Primary Care, Ib-Salut Balears, Reina Esclaramunda Street, 9, 07003 Palma, Spain; IUNICS-IdISPa, UIB, 07010 Palma, Spain. Electronic address: elenatorres@ibsalut.caib.es. 3. IUNICS-IdISPa, UIB, 07010 Palma, Spain; Registro de Cáncer, Servicio de Epidemiología, Dirección General de Salud Pública y Consumo, Conselleria de Salut, Família i Benestar Social, Camí de Jesús 38 A, 07010 Palma, Spain. Electronic address: mramos@dgsanita.caib.es. 4. Research Unit, Mallorca Primary Care, Ib-Salut Balears, Reina Esclaramunda Street, 9, 07003 Palma, Spain; IUNICS-IdISPa, UIB, 07010 Palma, Spain. Electronic address: jripoll@ibsalut.caib.es. 5. Mallorca Primary Care, Ib-Salut Balears, Centro de Salud Coll d'en Rabassa, Guayaquil Street, 9, 07006 Palma, Spain. Electronic address: agarciapineda@ibsalut.caib.es. 6. Mallorca Primary Care, Ib-Salut Balears, Centro de Salud Son Pisà, Vicens Joan Rosselló Ribas Street, 65, 07011 Palma, Spain. Electronic address: obulilete@ibsalut.caib.es. 7. IUNICS-IdISPa, UIB, 07010 Palma, Spain; Mallorca Primary Care, Ib-Salut Balears, Centro de Salud de Manacor, Central Street, 1, Son Macià, 07509 Manacor, Spain. Electronic address: dmedina@ibsalut.caib.es. 8. Research Unit, Mallorca Primary Care, Ib-Salut Balears, Reina Esclaramunda Street, 9, 07003 Palma, Spain; IUNICS-IdISPa, UIB, 07010 Palma, Spain. Electronic address: mcvidal@ibsalut.caib.es. 9. IUNICS-IdISPa, UIB, 07010 Palma, Spain; Dirección General de Salud Pública y Consumo, Conselleria de Salut, Família i Benestar Social, Camí de Jesús 38 A, 07010 Palma, Mallorca, Spain. Electronic address: cabezaelena@gmail.com. 10. Mallorca Primary Care, Ib-Salut Balears, Centro de Salud Sant Agustí, Plaça Pça, Sant Salvador, 2, 07015 Gènova, Spain. Electronic address: mllull@ibsalut.caib.es. 11. Institut Universitari d'Investigació en Atenció Primària (IDIAP) Jordi Gol, Gran Via de les Corts Catalanes, 587, 08007 Barcelona, Spain. Electronic address: ezabaleta@idiapjgol.org. 12. Grupo de Investigación en Salud Mental, Servicios y Atención Primaria (SAMSERAP), Centro de Salud San Andres Torcal, C/José Palanca, s/n, 29003 Málaga, Spain. Electronic address: regules11@gmail.com. 13. Mallorca Primary Care, Ib-Salut Balears, Biblioteca Virtual de Ciencias de la Salud de las Islas Baleares, Reina Esclaramunda Street, 9, 07003 Palma, Spain. Electronic address: ssastre@bibliosalut.com. 14. Research Unit, Mallorca Primary Care, Ib-Salut Balears, Reina Esclaramunda Street, 9, 07003 Palma, Spain; IUNICS-IdISPa, UIB, 07010 Palma, Spain. Electronic address: jllobera@ibsalut.caib.es.
Abstract
OBJECTIVE: To examine evidence on the effectiveness of health-promoting community interventions carried out in primary health care. METHODS: Systematic review of originals and systematic reviews of health-promoting community interventions with the participation of primary health care. A working definition of community activities was used in the inclusion criteria. Databases searched up to 2013: PUBMED, EMBASE, CINHAL, Web of SCIENCE, IBECS, IME, and PSICODOC. No restrictions on year of publication or design. Articles were reviewed by separate researchers to identify risks of bias. RESULTS: Fifty-one articles published between 1966 and 2013 were included: 11 systematic reviews and 40 originals that described 39 community interventions. There is evidence on the effectiveness of community interventions in reducing cardiovascular risk factors, encouraging physical exercise, preventing falls and improving self-care among chronic patients compared with usual individual care. The effectiveness of some interventions increases when the community is involved in their development. Most assessments show positive results despite design limitations. CONCLUSIONS: The community approach may be more effective than the individual in usual preventive interventions in primary care. There is a lack of evidence on many community interventions in primary care and further research is needed.
OBJECTIVE: To examine evidence on the effectiveness of health-promoting community interventions carried out in primary health care. METHODS: Systematic review of originals and systematic reviews of health-promoting community interventions with the participation of primary health care. A working definition of community activities was used in the inclusion criteria. Databases searched up to 2013: PUBMED, EMBASE, CINHAL, Web of SCIENCE, IBECS, IME, and PSICODOC. No restrictions on year of publication or design. Articles were reviewed by separate researchers to identify risks of bias. RESULTS: Fifty-one articles published between 1966 and 2013 were included: 11 systematic reviews and 40 originals that described 39 community interventions. There is evidence on the effectiveness of community interventions in reducing cardiovascular risk factors, encouraging physical exercise, preventing falls and improving self-care among chronic patients compared with usual individual care. The effectiveness of some interventions increases when the community is involved in their development. Most assessments show positive results despite design limitations. CONCLUSIONS: The community approach may be more effective than the individual in usual preventive interventions in primary care. There is a lack of evidence on many community interventions in primary care and further research is needed.
Authors: Janis E Campbell; Amanda E Janitz; Thomas A Teasdale; Claire Dowers-Nichols; Keith Kleszynski; Andrew N Dentino; Laurence Z Rubenstein Journal: J Soc Serv Res Date: 2018-02-07
Authors: Edurne Zabaleta-Del-Olmo; Marc Casajuana-Closas; Tomàs López-Jiménez; Haizea Pombo; Mariona Pons-Vigués; Enriqueta Pujol-Ribera; Carmen Cabezas-Peña; Joan Llobera; Ruth Martí-Lluch; Caterina Vicens; Emma Motrico; Irene Gómez-Gómez; José-Ángel Maderuelo-Fernández; José I Recio-Rodriguez; Barbara Masluk; Sara Contreras-Martos; Constanza Jacques-Aviñó; Ignacio Aznar-Lou; Montserrat Gil-Girbau; Ana Clavería; Rosa Magallón-Botaya; Juan-Ángel Bellón; Rafel Ramos; Alvaro Sanchez-Perez; Patricia Moreno-Peral; Alfonso Leiva; Clara González-Formoso; Bonaventura Bolíbar Journal: BMC Public Health Date: 2021-12-04 Impact factor: 3.295
Authors: Maria Rubio-Valera; Antoni Serrano-Blanco; Ignacio Aznar-Lou; Edurne Zabaleta-Del-Olmo; Marc Casajuana-Closas; Alba Sánchez-Viñas; Elizabeth Parody-Rúa; Bonaventura Bolíbar; Montserrat Iracheta-Todó; Oana Bulilete; Tomàs López-Jiménez; Haizea Pombo-Ramos; María Victoria Martín Miguel; Rosa Magallón-Botaya; Jose Ángel Maderuelo-Fernández; Emma Motrico; Juan Bellón; Ruth Martí-Lluch Journal: Int J Behav Nutr Phys Act Date: 2021-07-02 Impact factor: 6.457
Authors: Rosa Maria de Albuquerque Freire; Maria José Lumini Landeiro; Maria Manuela Ferreira Pereira da Silva Martins; Teresa Martins; Heloísa Helena Ciqueto Peres Journal: Rev Lat Am Enfermagem Date: 2016-08-08
Authors: Sebastià March; Joana Ripoll; Matilde Jordan Martin; Edurne Zabaleta-Del-Olmo; Carmen Belén Benedé Azagra; Lázaro Elizalde Soto; Mª Clara Vidal; María de Lluc Bauzà Amengual; Trinidad Planas Juan; Damiana Maria Pérez Mariano; Micaela Llull Sarralde; Juan Luís Ruiz-Giménez; Rosa Bajo Viñas; Carmen Solano Villarubia; Maria Rodriguez Bajo; Manuela Cordoba Victoria; Marta Badia Capdevila; Elena Serrano Ferrandez; Maria Bosom Diumenjo; Isabel Montaner-Gomis; Buenaventura Bolibar-Ribas; Angel Antoñanzas Lombarte; Samantha Bregel Cotaina; Ana Calvo Tocado; Barbara Olivan Blázquez; Rosa Magallon Botaya; Pilar Marín Palacios; Margarita Echauri Ozcoidi; María Jose Perez-Arauta; Joan Llobera; Maria Ramos Journal: BMJ Open Date: 2017-10-08 Impact factor: 2.692