Nurse-led multicomponent educational intervention in primary care to reduce fear of falling in older adults: a cluster randomized trial
Background Fear of falling (FOF) and falls are prevalent and interconnected. Studies suggest that intervention programs can reduce FOF and prevent falls. The primary objective was to assess the effectiveness of this nurse-led intervention in reducing FOF. Methods This two-arm, parallel, multicenter, cluster-randomized clinical trial was conducted in ten primary care facilities in Madrid, Spain. […]
Experiences of family and community care physicians and nurse residents in Madrid regarding their training during the COVID-19 pandemic: a photovoice study
Background The COVID-19 pandemic brought about sudden changes in healthcare demands, requiring additional healthcare professionals and altering the educational landscape for medical and nursing residents. This study aimedto explore the experiences and impact of the pandemic on the training of family and community medicine as well asfamily and community nursing residents. Method A participatory qualitative […]
Association between obesity and mental health problems among Spanish children aged 9 and 12 years: the ELOIN study
Background Obesity is an important determinant of mental health in the child and adolescent population. In this study, the association between obesity and the development of psychological problems in Spanish children aged 9 and 12 years was examined. Methods In this prospective study, 2,473 9-year-old children and 2,119 12-year-olds who participated in theLongitudinal Study of […]
Analysis of Community Vulnerability Using Standardized Health Indicators: Health Systems as a Source of Community Information
Background: Knowledge management in global health is essential in response to aging populations, increasing morbidity, and rising expectations of care. The Knowledge Model about Person Care promotes health systems organized around individuals rather than diseases. Within this framework, vulnerability—understood as the risk of physical or moral harm—can be assessed through basic care variables (BCV) that […]
Climatic sensitivity of migraine: a 14-year time series analysis of primary care consultations in Spain
Background: Climatic variability has been proposed as a trigger for migraine; however, evidence from long-term primary care datasets remains scarce. Understanding how atmospheric conditions influence healthcare utilization may improve migraine prediction and management. This study aimed to analyze the association between climatic variables and weekly migraine consultations over a 14-year period in Spanish primary care […]
Outpatients’ interim estimates of 2025–2026 seasonal influenza vaccine effectiveness in the Community of Madrid (SiVIRA-MAD Group Data)
Background: In June and July 2025, a rapid increase in the incidence of influenza A(H3N2) subclade K raised awareness about a possible vaccine mismatch. We estimated the mid-season influenza vaccine effectiveness (IVE) against laboratory-confirmed influenza in outpatient settings in the Community of Madrid for the 2025/26 season. Methods: Individuals attending to primary care with acute […]
Socioeconomic inequalities and life expectancy in Madrid metro line 5
Objective: This study estimates life expectancy by sex and analyzes its relationship with social deprivation along the stations of Madrid Metro Line 5. It also applies a linear model to predict life expectancy in men and women. Method: A descriptive and analytical study was conducted on the population living within 350 meters of each station […]
Virtual & mixed reality fatigue questionnaire
Background Virtual Reality (VR) generates an artificial environment in which users interact with computer-generated scenarios and sounds. Using devices such as headsets and motion sensors, users are immersed in a simulated world. Augmented reality (AR) is an interactive overlay of the real environment that provides an additional wrapper over the environment, and the user experiences […]
Vaccine Attitudes among Adults in a southern European region:survey from pre- to post-COVID-19
Background: Vaccine hesitancy and refusal are growing public health challenges, reflecting individual decisions and social inequalities. The COVID-19 pandemic reshaped vaccine perceptions and may have amplified pre-existing differences. This study analyzed the evolution of vaccine hesitancy and refusal among adults in the Community of Madrid (Spain) between 2019 and 2024. We also explored the associated […]
Factors related to participation in colorectal cancer screening in a southern European region: A prevalence survey
The colorectal cancer screening programme was fully implemented in the Community of Madrid in 2019. This study aimed to analyse factors related to participation during the subsequent 4 years. We conducted a cross-sectional study using data from the Community of Madrid’s Noncommunicable Disease Risk-Factor Surveillance System (SIVFRENT) (2020–23). Study population included individuals aged 50–69 years. We […]