Creating a Collaborative Platform for the Development of Community Interventions to Prevent Non-Communicable Diseases.

Chronic diseases, also known as non-communicable diseases (NCD) are one of the most important public health problems of our time. Many of these diseases can be reduced by achieving healthy lifestyles. Community interventions are very useful in reducing these types of diseases since they have a direct impact over daily conditions and are adjustable to the complex situations that they carry. This article describes the process of the creation of a collaborative platform for the design and implementation of community interventions to prevent NCDs. This platform includes six non-governmental organizations who have aligned their prevention and health promotion objectives to develop joint community interventions. The intervention levels approach, based on the socio-ecological model has been the basic model to structure the working groups of the platform. Dealing with institutional differences, complexity and variability of contexts, defining the roles and responsibilities and managing the resources are key elements to have in mind to achieve good relations and functional partnerships to design and implement effective community interventions at different levels. Institutional recognition, support and planning based on local priorities are also key elements for these kinds of platforms to be successful, sustainable and, therefore, have an impact on people's health.

Posicionamiento sobre el consumo de alcohol semFYC / Positioning on alcohol consumption semFYC

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Recomendaciones sobre el estilo de vida / Lifestyle recommendations

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Alcohol, vino y salud: mitos y realidades / Alcohol, wine, and health: myths and realitie

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[Effectiveness of a group therapy intervention to quit smoking. Randomized clinical trial]. / Efectividad de la intervención grupal para la deshabituación tabáquica. Ensayo clínico aleatorizado.

BACKGROUND: Group therapy is a widely used technique for the treatment of tobacco, alcohol and other toxic addictions. Nevertheless, its effectiveness for smoking cessation remains to be established. Our objective was to evaluate the relative effectiveness of a group intervention versus an individual intervention for smoking cessation. METHOD: Randomized clinical trial of 106 smokers wishing to quit their addiction, who were assigned to two types of intervention: Short Individual Intervention (SII) and Group Intervention (GI). Nicotine patches were administered as supplemental therapy when needed in both instances. Results were assessed by intention to treat analysis. RESULTS: Although smoking cessation rates decreased in parallel with longer follow-up periods in each intervention group (from 39.6 to 26.4% and from 22.6 to 15.1% for GI and SII groups, respectively, at 3 and 6-months), the relative effectiveness was similar during both periods and there was no better response to any intervention at 3-months (relative risk [RR] = 1.75; CI95%, 0.96-3.18) and at 6-months (RR = 1.75; CI95%, 0.80-3.82). Compliance with GI was low and less than 60% of smokers attended to 5 out of 7 GI sessions. CONCLUSIONS: Group intervention (GI) is not more effective than short individual intervention to quit smoking. However, this fact could be due to the low compliance observed with regard to smokers' attendance to GI sessions.

Efectividad de la intervención grupal para la deshabituación tabáquica. Ensayo clínico aleatorizado / Effectiveness of a group therapy intervention to quit smoking. Randomized clinical trial

FUNDAMENTO: La terapia grupal es una técnica de uso extendido en el campo de las dependencias, alcoholismo y tabaquismo. A pesar de ello, su efectividad para la deshabituación tabáquica no ha sido aún suficientemente establecida. El objetivo fue evaluar la efectividad relativa de una intervención grupal para la deshabituación tabáquica frente a una intervención individual. MÉTODO: Ensayo clínico aleatorizado de 106 fumadores interesados en dejar de fumar, asignados a dos tipos de intervención: intervención individual corta (IIC) e intervención grupal (IG), usando parches de nicotina como terapia sustitutiva en ambos tipos de intervención cuando fuera necesaria. Los resultados se miden por intención de tratar, considerando abstinencia de período continua. RESULTADOS: Aunque la tasa de deshabituación tabáquica disminuyó al prolongarse el seguimiento desde los tres hasta los 6 meses en cada uno de los dos grupos de intervención (del 39,6 al 26,4 per cent, y del 22,6 al 15,1 per cent, para la IG e IIC, respectivamente), la efectividad relativa fue similar durante ambos períodos y no evidenció una superioridad clara de ninguna de las intervenciones a los tres meses (riesgo relativo [RR] = 1,75; intervalo de confianza [IC] del 95 per cent, 0,96-3,18), ni a los 6 meses (RR = 1,75; IC del 95 per cent, 0,80-3,82). La adhesión a la IG fue baja: menos del 60 per cent de los fumadores asistieron a 5 de las 7 sesiones. CONCLUSIONES: No se ha podido establecer una superior efectividad de la intervención grupal para la deshabituación tabáquica sobre una intervención individual corta, aunque esto puede ser debido a que la primera presenta una baja adhesión. La intervención grupal podría ser más efectiva que la individual corta, pero no en la magnitud presumida (AU)