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Abstract:
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[eng] Objective: to assess the effectiveness of a complex multidimensional intervention based on the promotion of healthy lifestyles and the empowerment of hotel housekeepers (HHs) for the management of chronic pain and stress in order to reduce pain and increase physical activity (PA). Materials and method: multicentre, two-arm, parallel, hybrid type I effectiveness-implementation cluster-randomised clinical trial, carried out in 35 primary care health centres: 17 randomised into the intervention group (IG) and 18 into the control group (CG). Participants: HHs≥18 years old, with health coverage in the Balearic Public Health System, who worked as HHs in 2019. Multilevel intervention: individual, group, and community, carried out by nursing, physiotherapy, and psychology staff. The CG received basic health advice from the nursing regarding healthy lifestyles. A six-month follow-up was performed, along with an Intention-to-treat analysis. Results: 1,223 HHs were included (IG=595, CG=628). After a six-month follow-up, no significant differences were found between the two groups for the chronic pain (60.8%IG-vs-61.9%CG) [OR 1.1 (0.8-1.4)] or PA levels [OR 1.2 (0.9-1.5)]. Conclusions: an intervention based on the promotion of healthy lifestyles and empowerment of HHs for the management of chronic pain and stress does not improve pain in HHs in comparison to basic health advice. ; [spa] Objetivo: evaluar la efectividad de una intervención compleja y multidimensional basada en la promoción de estilos de vida saludables y el empoderamiento de las camareras de hotel (CH) para el manejo del dolor crónico y el estrés, con el fin de reducir el dolor y aumentar la actividad física (AF). Materiales y método: ensayo clínico aleatorizado por conglomerados, multicéntrico, de dos grupos paralelos, híbrido tipo I de efectividad e implementación, llevado a cabo en 35 centros de atención primaria: 17 aleatorizados al grupo de intervención (GI) y 18 al grupo control (GC). Participantes: CH ≥18 años, con cobertura sanitaria en el Sistema de Salud Pública de Baleares, que trabajaban como camareras de piso en 2019. Intervención multinivel: individual, grupal y comunitaria, realizada por personal de enfermería, fisioterapia y psicología. El GC recibió asesoramiento básico de salud por parte del personal de enfermería sobre estilos de vida saludables. Se realizó un seguimiento de seis meses, junto con un análisis por intención de tratar. Resultados: se incluyeron 1.223 CH (GI = 595, GC = 628). Tras el seguimiento de seis meses, no se encontraron diferencias significativas entre los dos grupos en cuanto al dolor crónico (60,8% GI vs. 61,9% GC) [OR 1,1 (0,8–1,4)] ni en los niveles de AF [OR 1,2 (0,9–1,5)]. |
Evaluation of an intervention based on lifestyle modification and coping with chronic pain and stress in reducing pain in hotel housekeepers: a cluster-randomised clinical trial in primary health care