Long-term impact of a real-world coordinated lifestyle promotion initiative in primary care: a quasi-experimental cross-sectional study

AbstractObjectiveTo determine the implications of car ownership for physical activity and weight in a global city.DesignQuasi-experimental cross sectional study.SettingBeijing, China, 2011-15.ParticipantsPeople aged 18 and older from a random sample of households who had entered a permit lottery to purchase a vehicle between January 2011 and November 2015.InterventionsPermit allowing purchase of a vehicle within six months of permit issuance.Main outcome measuresTransit use (number of subway and bus rides each week), physical activity (minutes of walking or bicycling each day), and weight, measured once in early 2016.ResultsOf 937 people analysed in total, 180 had won a permit to purchase a new vehicle. Winning the permit lottery resulted in the purchase of an additional vehicle 91% of the time (95% confidence interval 89% to 94%; P<0.001). About five years after winning, winners took significantly fewer weekly transit rides (−2.9 rides (−5.1 to −0.7); P=0.01) and walked and cycled significantly less (−24.2 minutes (−40.3 to −8.1); P=0.003) than those who did not win the lottery. Average weight did not change significantly between lottery winners and losers. Among those aged 50 and older, however, winners’ weight had increased relative to that of losers (10.3 kg (0.5 to 20.2); P=0.04) 5.1 years after winning.ConclusionsThese data indicate that vehicle ownership in a rapidly growing global city led to long term reductions in physical activity and increase in weight. Continuing increases in car use and ownership in developing and middle income countries could adversely affect physical health and obesity rates.

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Symptoms in long-term breast cancer survivors: A cross-sectional study in primary care

The Breast ◽

10.1016/j.breast.2020.09.013 ◽

2020 ◽

Vol 54 ◽

pp. 133-138 ◽

Cited By ~ 1

Author(s):

S.W.M.C. Maass ◽

L.M. Boerman ◽

D. Brandenbarg ◽

P.F.M. Verhaak ◽

J.H. Maduro ◽

...

Keyword(s):

Breast Cancer ◽

Primary Care ◽

Cancer Survivors ◽

Breast Cancer Survivors ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional

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The long-term impact of hyperthermic intraperitoneal chemotherapy on survivors treated for peritoneal carcinomatosis: a cross-sectional study

Supportive Care in Cancer ◽

10.1007/s00520-009-0578-6 ◽

2009 ◽

Vol 17 (10) ◽

pp. 1255-1261 ◽

Cited By ~ 10

Author(s):

Franck Zenasni ◽

Marion Botella ◽

Dominique Elias ◽

Sarah Dauchy ◽

Valérie Boige ◽

...

Keyword(s):

Peritoneal Carcinomatosis ◽

Intraperitoneal Chemotherapy ◽

Hyperthermic Intraperitoneal Chemotherapy ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Long Term Impact

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Long Term Impact of Covid-19 Infection on Sleep and Mental Health: A Cross-Sectional Study

Psychiatry Research ◽

10.1016/j.psychres.2021.114243 ◽

2021 ◽

pp. 114243

Author(s):

Gellan K. Ahmed ◽

Eman M Khedr ◽

Dina A. Hamad ◽

Taghreed S. Meshref ◽

Mustafa M. Hashem ◽

...

Keyword(s):

Mental Health ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Long Term Impact

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Strategic Incentive Systems For Open Innovation

Journal of Applied Business Research (JABR) ◽

10.19030/jabr.v30i1.8283 ◽

2013 ◽

Vol 30 (1) ◽

pp. 65 ◽

Cited By ~ 2

Author(s):

Dirk Schneckenberg

Keyword(s):

Open Innovation ◽

Cross Sectional Study ◽

Sectional Study ◽

Incentive Systems ◽

Structured Interviews ◽

Cross Sectional ◽

Psychology And Economics ◽

Long Term Impact ◽

Innovation Practices

<p class="AbsKeyBibli">Our paper presents a cross-sectional study of incentive systems for open innovation practices. Organisations face the challenge to design and implement strategic incentive systems which reward active contributions of individuals to open innovation practices. We refer to contributions from psychology and economics to develop a framework for organisational incentive systems. We have conducted semi-structured interviews with 10 experts in Germany and the Netherlands. The experts work in firms which are both international top players and open innovation pioneers in their respective industries. The results show that all organisations in the sample develop incentives for open innovation. The key strategic function of incentive systems is to open mind-sets of the workforce and to overcome mental barriers of the 'not invented here' syndrome. Immaterial and in particular task content incentives have been judged to have a more efficient long-term impact than material incentives. While experts have emphasised the importance of aligning incentives systems to open innovation strategies, in practice many incentive approaches still remain patchwork and lack a clear strategic focus.</p>

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Health status, lifestyle habits, and perceived social support in long-term cancer survivors: a cross-sectional study

10.21203/rs.3.rs-24555/v1 ◽

2020 ◽

Author(s):

Beatriz León-Salas ◽

Edurne Zabaleta-del-Olmo ◽

Joan LLobera ◽

Bonaventura Bolíbar-Ribas ◽

Tomas López-Jiménez ◽

...

Keyword(s):

Physical Activity ◽

Social Support ◽

Primary Care ◽

Cancer Survivors ◽

Perceived Social Support ◽

Perceived Health ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional

Abstract Background: The purpose of this study was to compare health status, lifestyle habits, and perceived social support between cancer survivors and people who have never had cancer. Methods: Descriptive, cross-sectional multicenter study nested in phases II and III of the cluster randomized clinical trial ERIA, designed to analyze the effects of a complex primary care intervention compared with care as usual on smoking cessation, improved adherence to the Mediterranean diet, and increased physical activity. For the cross-sectional study, patients were divided into two groups: cancer survivors and people who had never had cancer (controls). Thirty eight Primary care centers Spanish provinces of Barcelona, Girona, Balearic Islands, Malaga, Seville, Salamanca, Soria, Toledo, Vigo, Vizcaya, and Zaragoza. Adults aged between 45 and 75 years with at least two risk behaviors. Patients being treated for active cancer or in end-of-life care were excluded.Primary outcomes: Sociodemographic variables, diet, physical activity, smoking, body mass index, Charlson Comorbidity Index, and self-perceived health and social support.Results: Of the 4259 people included, 190 (4.46%) were cancer survivors. Their mean±SD age was 62.8±7 years versus 58.7±8 years (P<0.01) for people who had never had cancer. Long-term sick leave was also more common in this group (11.9% vs 3.5%, P<0.001). No between-group differences were observed for smoking, adherence to the Mediterranean diet, physical activity, obesity, or perceived social support. Cancer survivors reported worse health (OR 1.82; IC95% 1.02–2.75) and were more likely to have two or more comorbid conditions (OR 1.68; 95% CI 1.18–2.39), chronic pulmonary obstructive disease (OR 2.17; 95% CI 1.25–3.78), and depression (OR 1.65; 95% CI 1.06–2.57). In the multiple regression analysis, older age and worse self-perceived health continued to be significantly associated with having survived cancer.Conclusions: Cancer survivors have more chronic diseases, a greater likelihood of being on long-term sick leave, and worse self-perceived health than people without a history of cancer, regardless of age. The two groups perceived similar levels of social support.

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Effects of Sure Start local programmes on children and families: early findings from a quasi-experimental, cross sectional study

BMJ ◽

10.1136/bmj.38853.451748.2f ◽

2006 ◽

Vol 332 (7556) ◽

pp. 1476 ◽

Cited By ~ 112

Author(s):

Jay Belsky ◽

Edward Melhuish ◽

Jacqueline Barnes ◽

Alastair H Leyland ◽

Helena Romaniuk

Keyword(s):

Cross Sectional Study ◽

Sectional Study ◽

Children And Families ◽

Cross Sectional ◽

Experimental Cross ◽

Quasi Experimental

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Oral Anticoagulant Adequacy in Non-Valvular Atrial Fibrillation in Primary Care: A Cross-Sectional Study Using Real-World Data (Fantas-TIC Study)

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18052244 ◽

2021 ◽

Vol 18 (5) ◽

pp. 2244

Author(s):

M. Rosa Dalmau Llorca ◽

Carina Aguilar Martín ◽

Noèlia Carrasco-Querol ◽

Zojaina Hernández Rojas ◽

Emma Forcadell Drago ◽

...

Keyword(s):

Atrial Fibrillation ◽

Primary Care ◽

Real World ◽

Vitamin K Antagonists ◽

Oral Anticoagulants ◽

Cross Sectional Study ◽

Sectional Study ◽

Real World Data ◽

Cross Sectional ◽

World Data

Background: Oral anticoagulants (OAs) are the treatment to prevent stroke in atrial fibrillation (AF). Anticoagulant treatment choice in non-valvular atrial fibrillation (NVAF) must be individualized, taking current guidelines into account. Adequacy of anticoagulant therapy under the current criteria for NVAF in real-world primary care is presented. Methods: Cross-sectional study, with real-world data from patients treated in primary care (PC). Data were obtained from the System for the Improvement of Research in Primary Care (SIDIAP) database, covering 60,978 NVAF-anticoagulated patients from 287 PC centers in 2018. Results: In total, 41,430 (68%) were treated with vitamin K antagonists (VKAs) and 19,548 (32%) NVAF with direct-acting oral anticoagulants (DOACs). Inadequate prescription was estimated to be 36.0% and 67.6%, respectively. Most DOAC inadequacy (77.3%) was due to it being prescribed as a first-line anticoagulant when there was no history of thromboembolic events or intracranial hemorrhage (ICH). A total of 22.1% had missing estimated glomerular filtration rate (eGFR) values. Common causes of inadequate VKA prescription were poor control of time in therapeutic range (TTR) (98.8%) and ICH (2.2%). Conclusions: Poor adequacy to current criteria was observed, being inadequacy higher in DOACs than in VKAs. TTR and GFR should be routinely calculated in electronic health records (EHR) to facilitate decision-making and patient safety.

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