Título 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
Autores Martí-Lluch R. , Bolíbar B. , Llobera J. , Maderuelo-Fernández J.A. , Magallón-Botaya R. , Sánchez-Pérez Á. , Fernández-Domínguez M.J. , MOTRICO MARTINEZ, EMMA, Vicens-Pons E. , Notario-Pacheco B. , Alves-Cabratosa L. , Ramos R. , the DESVELA Cohort Investigators
Publicación externa No
Medio Front Public Health
Alcance Article
Naturaleza Científica
Cuartil JCR 1
Cuartil SJR 1
Web https://www.scopus.com/inward/record.uri?eid=2-s2.0-85164165941&doi=10.3389%2ffpubh.2023.1067249&partnerID=40&md5=681d7b2f5e808665fd169b02fc9b1826
Fecha de publicacion 01/06/2023
ISI 001024684500001
Scopus Id 2-s2.0-85164165941
DOI 10.3389/fpubh.2023.1067249
Abstract Introduction: The 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. Methods: This 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. Discussion: The 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. 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.
Palabras clave aptitude; health promotion; human; lifestyle; morbidity; multicenter study (topic); procedures; prospective study; quality of life; Aptitude; Health Promotion; Humans; Life Style; Morbidity; Multicent
Miembros de la Universidad Loyola

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