Role of personal aptitudes as determinants of incident morbidity, lifestyles, quality of life, use of health services, and mortality (DESVELA cohort): quantitative study protocol for a prospective cohort study in a hybrid analysis

Frontiers in Public Health

Public Health

Joan Llobera¹  Emma Motrico²  Blanca Notario-Pacheco³  Enric Vicens-Pons⁴  Ma José Fernández-Domínguez⁵  Rosa Magallón-Botaya⁶  Álvaro Sánchez-Pérez⁷  José A Maderuelo-Fernández⁸  Bonaventura Bolíbar⁹  Lia Alves-Cabratosa^1,10  Rafel Ramos^1,11  Ruth Martí-Lluch^1,12 

[1] Network for Research on Chronicity, Primary Care, and Health Promotion (RICAPPS), Tenerife, Spain;Balearic Islands Health Service (Ib-Salut), Primary Care Research Unit of Mallorca, Palma, Spain;Hospital Universitari Son Espases, GrAPP-caIB—Health Research Institute of the Balearic Islands (IdISBa), Palma, Spain;Network for Research on Chronicity, Primary Care, and Health Promotion (RICAPPS), Tenerife, Spain;Departamento de Psicología, Universidad Loyola Andalucía, Sevilla, Spain;Network for Research on Chronicity, Primary Care, and Health Promotion (RICAPPS), Tenerife, Spain;Faculty of Nursing, Universidad de Castilla-La Mancha, Cuenca, Spain;Social and Health Research Center, Universidad de Castilla-La Mancha, Cuenca, Spain;Network for Research on Chronicity, Primary Care, and Health Promotion (RICAPPS), Tenerife, Spain;Health Technology Assessment in Primary Care and Mental Health (PRISMA) Research Group, Parc Sanitari Sant Joan de Deu, Institut de Recerca Sant Joan de Deu, St Boi de Llobregat, Catalunya, Spain;Network for Research on Chronicity, Primary Care, and Health Promotion (RICAPPS), Tenerife, Spain;Ourense Health Area, SERGAS, Ourense, Spain;Centro de Saúde de Leiro, SERGAS, Leiro, Spain;I-Saúde Group, Hospital Álvaro Cunqueiro Bloque Técnico, South Galicia Health Research Institute, Vigo, Spain;Network for Research on Chronicity, Primary Care, and Health Promotion (RICAPPS), Tenerife, Spain;Primary Health Care Research Group of Aragón (GAIAP), Institute for Health Research Aragón (IIS Aragón), Zaragoza, Spain;Department of Medicine, Psychiatry and Dermatology, University of Zaragoza, Zaragoza, Spain;Network for Research on Chronicity, Primary Care, and Health Promotion (RICAPPS), Tenerife, Spain;Unidad de Investigación Atención Primaria de Bizkaia. Subdirección para la Coordinación de la Atención Primaria, Dirección General Osakiadetza, Vitoria, Spain;Grupo de Investigación en Ciencias de la Diseminación e Implementación en Servicios Sanitarios Instituto Investigación Biocruces, Baracaldo, Bizkaia, Spain;Network for Research on Chronicity, Primary Care, and Health Promotion (RICAPPS), Tenerife, Spain;Unidad de Investigación en Atención Primaria de Salamanca (APISAL), Salamanca, Spain;Instituto de investigación Biomédica de Salamanca (IBSAL), Salamanca, Spain;Gerencia Regional de salud de Castilla y León (SACyL), Gerencia de Atención Primaria de Salamanca, Salamanca, Spain;Universitat Autònoma de Barcelona, Cerdanyola del Vallès, Spain;Network for Research on Chronicity, Primary Care, and Health Promotion (RICAPPS), Tenerife, Spain;Fundació Institut Universitari per a la recerca a l'Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), Barcelona, Spain;Vascular Health Research Group of Girona, Institut Universitari per a la Recerca a l’Atenció Primària Jordi Gol i Gurina (IDIAPJGol), Girona, Spain;Network for Research on Chronicity, Primary Care, and Health Promotion (RICAPPS), Tenerife, Spain;Vascular Health Research Group of Girona, Institut Universitari per a la Recerca a l’Atenció Primària Jordi Gol i Gurina (IDIAPJGol), Girona, Spain;Parc Hospitalari Martí Julià, Institut d'Investigació Biomèdica de Girona (IDIBGI), Salt, Spain;Network for Research on Chronicity, Primary Care, and Health Promotion (RICAPPS), Tenerife, Spain;Department of Medical Sciences, School of Medicine, Campus Salut, Universitat de Girona, Girona, Spain;Atenció Primària, Institut Català de la Salut, Girona, Catalonia, Spain;Vascular Health Research Group of Girona, Institut Universitari per a la Recerca a l’Atenció Primària Jordi Gol i Gurina (IDIAPJGol), Girona, Spain;Parc Hospitalari Martí Julià, Institut d'Investigació Biomèdica de Girona (IDIBGI), Salt, Spain;Universitat Autònoma de Barcelona, Cerdanyola del Vallès, Spain;Network for Research on Chronicity, Primary Care, and Health Promotion (RICAPPS), Tenerife, Spain;

关键词: primary health care;    health promotion;    chronicity;    determinants of health;    health behavior;    morbidity;    lifestyles;    quality of life;   

DOI  :  10.3389/fpubh.2023.1067249

 received in 2023-01-09, accepted in 2023-05-26,  发布年份 2023

来源: Frontiers

【 摘 要 】

IntroductionThe healthcare and well-being of the population depend on multiple factors and should adapt to societal changes. The opposite is also occurring; society has evolved concerning the individuals’ approach to their care, which includes participation in decision-making processes. In this scenario, health promotion and prevention become crucial to provide an integrated perspective in the organization and management of the health systems.Health status and well-being depend on many aspects, determinants of health, which in turn may be modulated by individual behavior. Certain models and frameworks try to study the determinants of health and individual human behaviors, separately. However, the interrelation between these two aspects has not been examined in our population.Our main objective is to analyze whether personal aptitudes related to behaviors are independently associated with the incidence of morbidity. A secondary objective will enquire whether these personal aptitudes are independently associated with lower all-cause mortality, enhanced adoption of healthy lifestyles, higher quality of life, and lower utilization of health services during follow-up.MethodsThis protocol addresses the quantitative branch of a multicenter project (10 teams) for the creation of a cohort of at least 3,083 persons aged 35 to 74 years from 9 Autonomous Communities (AACC). The personal variables to evaluate are self-efficacy, activation, health literacy, resilience, locus of control, and personality traits. Socio-demographic covariates and social capital will be recorded. A physical examination, blood analysis, and cognitive evaluation will be carried out.Several sets of six Cox models (one for each independent variable) will analyze the incidence of morbidity (objective 1); all-cause mortality and the rest of the dependent variables (objective 2). The models will be adjusted for the indicated covariates, and random effects will estimate Potential heterogeneity between AACC.DiscussionThe analysis of the association of certain behavioral patterns and determinants of health is essential and will contribute to improving health promotion and prevention strategies. The description of the individual elements and interrelated aspects that modulate the onset and persistence of diseases will allow the evaluation of their role as prognostic factors and contribute to the development of patient-tailored preventive measures and healthcare.Clinical Trial Registration: ClinicalTrials.gov, NCT04386135. Registered on April 30, 2020.

【 授权许可】

Unknown   
Copyright © 2023 Martí-Lluch, Bolíbar, Llobera, Maderuelo-Fernández, Magallon-Botaya, Sánchez-Pérez, Fernández-Domínguez, Motrico, Vicens-Pons, Notario-Pacheco, Alves-Cabratosa, Ramos and the DESVELA Cohort Investigators.