Abstract:
OBJECTIVES:To demonstrate the effects of including mutual aid associations into a continuing care programme for patients with alcohol dependence carried out by Primary Care teams. SITE: Primary Care Teams belonging to the attendance area of the University Hospital 12 de Octubre at Madrid. PARTICIPANTS:207 participants with alcohol dependence treated in an intensive hospital outpatient-setting programme were included in a continuing care programme carried out by a Primary Care team for a four-year period. INTERVENTIONS:Patients were randomised into two intervention modalities. The first group was followed up while receiving a treatment modality known as «monitoring recovery» (Group A, n = 97). The other group, in addition to the above-mentioned intervention, attended to a mutual aid association included in the Federation of Alcoholics of the Community of Madrid (FACOMA) in which the programme «Help Yourself-Help Us» was carried out (Group B, n = 112). MAIN OUTCOMES:Dropout rates on the sessions designed to monitor their recovery from their alcohol dependence and other comorbid medical conditions. RESULTS:Patients in Group B reached higher rates of therapeutic adherence to the programme (47.9% vs. 14.7%, p < 0.01), as well as for the comorbid medical issues when compared to Group A. CONCLUSIONS:Including mutual aid associations that carried out the «Help yourself-Help Us» programme for a four-year period improves outcomes related to therapeutic adherence in patients with alcohol dependence attending Primary Care teams.
journal_name
Aten Primariajournal_title
Atencion primariaauthors
Rubio G,Marín M,López-Trabada JR,Arias Fdoi
10.1016/j.aprim.2020.04.010subject
Has Abstractpub_date
2020-10-01 00:00:00pages
555-562issue
8eissn
0212-6567issn
1578-1275pii
S0212-6567(20)30139-6journal_volume
52pub_type
杂志文章abstract:AIMS:To determine the attitudes of community-dwelling elderly patients about the possibilities for cure of urinary incontinence. DESIGN:Cross-sectional study. INTERVENTIONS:A specific questionnaire on urinary incontinence and the Barthel Index Modified by Shah. LOCATION:Basic Health Zone of Cabra (Córdoba, Spain). ...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/s0212-6567(00)78708-7
更新日期:2000-10-31 00:00:00
abstract:AIMS:To assess the level of immunity in a healthy population to the hepatitis A virus (HAV), according to age groups and in an urban health area. DESIGN:Transversal random prospective study of a sample of the population found by letters. SITE. Primary Care Centre covering the population of an urban health area in Vall...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1992-01-01 00:00:00
abstract:OBJECTIVE:To analyse antibiotic consumption (ABC) and its trend in primary care in an area with a high rate of bacterial resistance during the periods 1993-96 and 2000-02. DESIGN:Comparative, retrospective analysis. SETTING:Costa de Ponent Health Region. Population in 1993-96 period was 1,158,098 inhabitants; in 2000...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/s0212-6567(04)79482-2
更新日期:2004-07-01 00:00:00
abstract:OBJECTIVE:To study the use of single consultation in Primary Care/Psychiatry liaison. DESIGN:A retrospective study. SITE. Outpatients psychiatry department. Hospital Clínico Universitario. Zaragoza. PATIENTS OR OTHERS PARTICIPANTS:200 consecutive referrals. PERIOD:June-December 1992. MEASUREMENTS AND MAIN RESULTS:G...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1994-02-28 00:00:00
abstract:OBJECTIVE:To assess the frequency of migraines attributable to continuous consumption of analgesics. DESIGN:A longitudinal prospective study of a descriptive type. SETTING:A specialised Neurology Clinic within a County hospital, which provides the Primary Care coverage for ibiza and Formentera. PATIENTS:All those pa...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1994-06-15 00:00:00
abstract:OBJECTIVE:To discover the recruitment and follow-up coverage of Prenatal Care in Parla Health Center, derivation causes and quality control of follow-up. DESIGN:Descriptive and retrospective study. PATIENTS:We obtained 445 newborns (from May 1991 to April 1992) in pediatric records of Health Center, and encountered 4...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1993-10-31 00:00:00
abstract:OBJECTIVE:To determine what family doctors think about various aspects of patient involvement in clinical decision making in Primary Care. DESIGN:Qualitative study using focus groups. LOCATION:Primary Care. PARTICIPANTS:Family physicians with and without expertise in clinical communication. METHODS:Three focus grou...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2011.07.007
更新日期:2012-07-01 00:00:00
abstract:OBJECTIVE:To analyse information on adolescent use of tobacco in Spain from different school surveys. DESIGN:Data on daily smoking prevalence by sex at the end of compulsory education is extracted and figures are compared, analysing trends. SETTING:The five representative studies on adolescents in Spain are reviewed:...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2010.12.016
更新日期:2012-01-01 00:00:00
abstract:OBJECTIVE:To evaluate the efficacy of a training technique to improve clinical interview skills connected with Primary Care doctors' psycho-diagnostic ability: visual contact, posture, verbal and non-verbal ways of advancing the interview, verbal interruptions and questions with a psychological content. DESIGN:The doc...
journal_title:Atencion primaria
pub_type: 临床试验,杂志文章,随机对照试验
doi:
更新日期:1998-02-28 00:00:00
abstract:OBJECTIVE:To identify the level of hypertension awareness, treatment and control in the adult population (14 years and older) at the Valencian Region. Type of treatment and associated factors to the hypertension awareness will be also explored. DESIGN:Cross-sectional study (population survey). SETTING:Valencian Regio...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1998-05-15 00:00:00
abstract:OBJECTIVE:To evaluate the prevalence of deformities of the vertebral column in the child population of a rural area; the index of false positives that diagnoses in the School Health programme generate; and the percentage of children where the diagnosis is confirmed and the treatment is then followed. DESIGN:Descriptiv...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1992-04-01 00:00:00
abstract::High blood pressure (HBP) is the main modifiable cardiovascular risk factor. HBP can be related to high salt intake. To measure intake, not all feeding surveys are comparable and valid. The reference procedure for assessing salt intake consists of measuring the urinary excretion of sodium in urine collected during 24h...
journal_title:Atencion primaria
pub_type: 杂志文章,评审
doi:10.1016/j.aprim.2019.05.012
更新日期:2019-12-01 00:00:00
abstract:OBJECTIVE:To compare portable coagulometer devices and conventional coagulometers. The clinical validity will be estimated via anticoagulation control (maintenance of therapeutic range), patient satisfaction, thrombotic or haemorrhagic events and mortality. Analytical validity will be studied in quality control terms. ...
journal_title:Atencion primaria
pub_type: 杂志文章,评审
doi:10.1016/j.aprim.2010.03.017
更新日期:2011-03-01 00:00:00
abstract:OBJECTIVE:Given the possibility of adverse side-effects, interactions with medicines and poisoning by contaminants among herbal medicine consumers (HM), we aimed to describe the consumption of HM by health centre users being treated with medicines. DESIGN:Cross-sectional, observational study.Setting. Thirteen health c...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/s0212-6567(01)70381-2
更新日期:2001-09-30 00:00:00
abstract:OBJECTIVES:To find whether the variables age, gender, speciality, training and type of contract of primary care doctors, as well as the size of their patient lists and the sort of centre where they work, affect their absenteeism, as measured by time off work sick. DESIGN:An observational, crossover study. SETTING:Nou...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1996-03-15 00:00:00
abstract:OBJECTIVE:To evaluate the efficacy of an educational intervention to minimise the prescription of those new medicines whose therapeutic effects are of little benefit. DESIGN:Controlled and randomised experimental study. SETTING:27 health centres in the province of Sevilla, Spain. PARTICIPANTS:376 general practitione...
journal_title:Atencion primaria
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1157/13080299
更新日期:2005-10-31 00:00:00
abstract:OBJECTIVE:To research on the relationship of the patient and his/her family as a non-pharmacological factor for blood hypertension. To determine whether a hyposodic, hypocaloric, hypofat, and hypocholesterolemic diet decreases the blood tension. To determine whether physical exercises in the patient and his/her family ...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1999-10-31 00:00:00
abstract:OBJECTIVES:1. To describe the habits and conduct of school students (13-17 years old) around alcohol in the Cartagena Health Area. 2. To discover the factors underlying consumption. 3. To analyse beliefs and behaviour about consumption. DESIGN:Cross-sectional descriptive study. SETTING:Health area. PARTICIPANTS:16,6...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/s0212-6567(01)78790-2
更新日期:2001-02-28 00:00:00
abstract:OBJECTIVE:To evaluate diagnostic concordance in the interpretation of electrocardiograms (ECG) between general practitioners and a referral cardiologist. DESIGN:Crossover and descriptive. SETTING:Seven General Medicine consulting rooms at Burgo de Osma Health Centre. PATIENTS AND OTHER PARTICIPANTS:318 ECGs included...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1995-09-15 00:00:00
abstract:OBJECTIVES:To study internal communication between primary care health professionals DESIGN:Cross-sectional, descriptive. SETTING:Catalan Health Institute Costa de Ponent Primary Care Area, Spain. PARTICIPANTS:All workers in the area (n=3565). MEASUREMENTS:Three part questionnaire: a) sociodemographic questions; b)...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1157/13125405
更新日期:2008-08-01 00:00:00
abstract:OBJECTIVE:To know the health professional profile in the province of Lleida with regard to health education. DESIGN:Observational transversal study. SETTING:All the medicine, nursery and social work colleges in the province of Lleida (3060). PARTICIPANTS:Bachelors in medicine (208), graduates in nursery (252), gradu...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1999-07-01 00:00:00
abstract:OBJECTIVE:To assess the precision of the Sickness Certificate (SC) issued for Temporary Unfitness for Work (TUW). To measure the percentage of TUW where the diagnoses in the medical records and in the TUW Sickness Certificate do not coincide. To seek objective criteria to determine TUW. DESIGN:A descriptive, prospecti...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1993-05-31 00:00:00
abstract:OBJECTIVES:Development and training of a neurone network that enables the patients who attend the clinic with symptoms of dyspepsia to be classified into two groups: those who very probably have peptic ulcer disease or gastro-oesophageal reflux (GOR) and those more likely to have functional or idiopathic dyspepsia. Res...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:2002-06-30 00:00:00
abstract:OBJECTIVES:To find how much alcohol, tobacco and drugs adolescents consume and identify some linked socio-family variables. DESIGN:A crossover and descriptive study, with randomised sampling stratified by classrooms. SETTING:Secondary schools in the town of Lugo. PATIENTS AND OTHER PARTICIPANTS:805 students of both ...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1996-10-31 00:00:00
abstract:OBJECTIVE:To analyse the modifications in cardiovascular risk in patients seen over two years in adult services for dyslipaemia, diabetes mellitus or hypertension. DESIGN:Observational, retrospective study with repeated measurement tests. SETTING:Two health centres. PATIENTS:265 patients attended by the above servic...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/s0212-6567(01)78857-9
更新日期:2001-05-15 00:00:00
abstract:OBJECTIVE:To carry out a budget impact analysis (BIA) of olmesartan/amlodipine (20/5, 40/5 and 40/10mg) marketed as a fixed combination (FC) in its approved indication for the National Health System (NHS). DESIG:We developed a decision tree model in order to estimate usual hypertension treatment algorithm in Spanish c...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2010.04.017
更新日期:2011-07-01 00:00:00
abstract:OBJECTIVES:Ascertain what effect post-natal visits have on recruiting involvement in the mother and child programme of activities. Identify the profile of mothers and children with little involvement in these activities. Ascertain how suitable the register is. DESIGN:Study of cohorts of previous years. The term expose...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1992-09-15 00:00:00
abstract:OBJECTIVES:To determine the level of therapeutic inertia (TI), and the factors associated to the patient, doctor and the health organisation, in hypertensive patients treated in Primary Care (PC). DESIGN:Cross-sectional, multicentre study. SETTING:A sample of PC Teams from all over Spain. PARTICIPANTS:The study was ...
journal_title:Atencion primaria
pub_type: 杂志文章,多中心研究
doi:10.1016/j.aprim.2010.09.030
更新日期:2011-12-01 00:00:00
abstract:OBJECTIVE:To describe the prevalence of iron deficiency anaemia in the Basque Country by age group and sex and to identify the main groups at risk. DESIGN:Cross-sectional study. SETTING:Basque Country. PARTICIPANTS:School-aged population of Bilbao (n = 762); further education students of San Sebastian (n = 372); adu...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1998-10-15 00:00:00
abstract:OBJECTIVE:To measure the impact of the peer-led training for chronic patients on their health status and behaviors. DESIGN:Descriptive, transversal pretest and posttest quantitative approach. PLACEMENT:Andalusia. PARTICIPANTS:Nine hundred sixty-four patients with Diabetes, fibromyalgia and heart failure, trained at ...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2018.09.020
更新日期:2020-02-01 00:00:00