Ethics approval and consent to participate
The research protocol has been approved by the Basque Country Clinical Research Ethics Committee (Ref. no.: 08/2015). The Primary Care Research Unit of Bizkaia is explicitly authorized by the Healthcare Management of the Basque Health System to extract and use data from the electronic health records for research purposes. Written informed consent to participate in the study was obtained from all the participating Physicians and Nurses.
Consent to publication
Not applicable
Availability of data and materials
Since data supporting the present study will mostly concern to process data and reports from specific professionals of the Basque Health Service-Osakidetza, it will be only shared upon justified request to the study guarantors.
Competing interests
The authors declare that they have no competing interests.
Funding
The project was supported by the Carlos III Institute of Health of the Spanish Ministry of Health and co-financed by the European Regional Development Fund (FIS 2015/00350; RD12/0005/0010 and RD16/0007/0002). The funding body had no role in the design of the study, collection, analysis, or interpretation of data or writing of the manuscript.
Authors’ contributions
GG and AS conceived the idea and are the study guarantors. They were primarily responsible for the study design and planning, obtained funding, and are responsible for project coordination and supervision, analysis and interpretation of results and manuscript preparation. HLR and SP collaborated in the study design, obtained funding, and contributed to study coordination, interpretation of results and manuscript preparation. AS, SP and HLR were responsible for the analysis of results and critically reviewed the manuscript.
They led the implementation process and participated in fieldwork at each of the collaborating centers. They also collaborated in obtaining data and in the analysis and interpretation of study results. The PREDIAPS group contributed to the fieldwork for this study in relation to patient recruitment, intervention deployment and data collection. This study is an action-research project and all collaborators are members of the research team. All contributors approved this version submitted for publication. All authors read and approved the final manuscript.
Acknowledgements
The Prediaps Group:
ALANGO PC center (OSI Uribe): Nurses: Amaia Bengoetxea, Olga Galarza, Elsa Martínez, Itziar Zalduegi, Dorothea Chausson, Agurtzane Gorroño, Alicia Pollán, Marisol Bernabéu, MªYolanda Calvo, Ander Artiagoitia, Nerea Zaramillo, Lidia Gonzalez, and Asier Aurrekoetexea; Family Physicians: Jon Azkarate, María Muñoa, Mar Bilbao, Vicki Camineiro, Gonzalo Gómez de Iturriaga, Fernando Gago, Iciar Ochoa de Retana, Ana Zorrilla, MªLuisa Gutiérrez, Jone Capetillo Serra, and Mª Nieves Lopez
ERANDIO PC center (OSI Uribe): Nurses: Nekane Iguerregui, Dolores López, Maite Gastañaga, Antonia Flores, Marcos Pereda, Amaya González, Ana Castresana, Laura Saiz, Nerea Regulez, and Estibaliz Peciña; Family Physicians: Jasone De la Plaza, Lucía Irastoza, Jose Contreras, Idoia Etxebarria, Begoña Oleaga, Cristina Herrero, Nora Cabezón, Fátima Calvo, J Manuel Llamazares, Mª Ángeles Gutierrez, and Monica Prieto
ZUAZO PC center (OSI Barakaldo-Sestao): Nurses: Concepción Estébanez, María José Cordovilla, Alicia Domínguez, Isabel Lázaro, Elena Resines, Yolanda Villalba, and Begoña Ayerdi; Family Physicians: Florencia Martín, Magdalena Presmanes, Floreal Crespo, Araceli Benito, Mª Belén Molina, Mª Mar García, Mª Gracia Díaz, Mª Luisa Rodriguez Ortiz de Zarate, Rebeca San Cristóbal, and M Zugazaga Prieto
SAN VICENTE PC center (OSI Barakaldo-Sestao): Nurses: Pedro Martínez, Mercedes Crespo, Estíbaliz Albitre, Adelina García-Roldán, Amaia García, Maite Castro, Iñaki Gorospe, Amelia V. Hernández, Maite López, and Mirian Sainz; Family Physicians: Irene Marín, María Jesús Aragón, Leire Ulayar, Encarnación Santamaría, Carmen Sánchez, Javier Bayo, Begoña Urkullu, Ana Inés Pereda, and Mercedes Garcia
PORTUGALETE PC center (OSI Ezkerraldea-Ekarterri-Cruces): Nurses: Pilar Blanco, Silvia Soler Valverde, Jose I. Atela, Hiart Trespalacios, Anabel Llarena, and Verónica Ruiz; Family Physicians: Begoña Cabieces, Concepción Ugarte, Guadalupe Icaza, Edurne Zubeldia, Idoia González, and Ángeles Gayo
ZALLA PC center (OSI Ezkerraldea-Ekarterri-Cruces): Nurses: Itxaso Arévalo, Gloria Intxausti, Esther García, Teresa Sánchez, Igone Lobato, Noelia Fuente, Naiara Ortolachipi, and Edelweiss Sánchez; Family Physicians: Victoria Cosgaya, Ángeles Gayo, Arantza Azazeta, Patricia Zaballa, Ana Isabel Ramila, and Teresa Rodeño
SODUPE PC center (OSI Ezkerraldea-Ekarterri-Cruces): Nurses: Inmaculada Rodríguez, Teresa Vázquez, Raquel Ruíz, Rosa Herrero, María Valvanera, and Saioa Setién; Family Physicians: Begoña Ruíz, Juan José Casas, Joana Clemente, Javier Amiama, and Javier Angulo.
IZTIETA PC center (OSI Donostialdea): Nurses: Belén Aramendia, Soledad Asenjo, Mª Sonia Mayoral, Remedios Oyarzun, Bergoi Calvar, Belinda Zulueta, Edurne Elola, Josu Egaña, Gemma Díaz, Mª Ángeles Sola, Laura Balague, Mª Ángeles Ganzarain, Arantxa Aramburu, Ana Mª Guinea, Edurne Lizarazu, Inma Valverde, Nekane Arenas, and Susana Alonso; Family Physicians: Rosa Salaberria, Javier Merino, Mercedes Álvarez, Ester Lázaro, Juncal Izcara, Leire González, Ainhoa García Leunda, Idoia Sánchez, Esther Usandiaga, and Eluska Yetano
EGIA PC center (OSI Donostialdea): Nurses: Jaione Larrea, Inés Mendinueta, Asún Uria, Ana Belén Gaztañaga, Eva Mayo, Onintza Aranzadi, Eulalia Medina, Rosa González, Ione Gutiérrez, Arantxa Perez, and Mª Ángeles Izquierdo; Family Physicians: Alejandro García, Ainhoa Ugarte, Mª Teresa Zubeldia, Bingen Uriondo, Mª Carmen Aranegui, Arantxa Mendiguren, Yolanda Fernández, Maite Zapirain, Mª Jose Garín, Aitziber Ayerbe, and Jon Urkia.
COORDINATING RESEARCH TEAM: Director Team: Alvaro Sánchez, Josep Cortada (Deusto PC center), Esther Gorostiza (Matiena PC center), Susana Pablo, Heather Lynn Rogers, Arturo García-Alvarez, Gonzalo Grandes; Clinical Commitee: Alicia Cortazar (Cruces Hospital), Virginia Bellido (Cruces Hospital), Patxi Ezkurra (Zumaia PC center), and Rafa Rotaetxe (Alza PC center)