{"id":14129,"date":"2025-07-18T10:24:52","date_gmt":"2025-07-18T09:24:52","guid":{"rendered":"https:\/\/icoprevencio.cat\/uct\/?page_id=14129"},"modified":"2025-07-18T10:24:53","modified_gmt":"2025-07-18T09:24:53","slug":"respir-net","status":"publish","type":"page","link":"https:\/\/icoprevencio.cat\/uct\/respir-net\/","title":{"rendered":"RESPIR.NET"},"content":{"rendered":"\n
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Projectes anteriors<\/strong><\/h2><\/div><\/div><\/div><\/div>\n<\/div><\/div>\n\n\n\n
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RESPIR.NET: simptomes respiratoris, asma i tabaquisme passiu en nens<\/h3><\/div>

L\u2019evid\u00e8ncia epidemiol\u00f2gica disponible indica que el tabaquisme involuntari o passiu (tamb\u00e9 conegut com a fum de segona ma o Fum Ambiental del Tabac, FAT) per part dels nens est\u00e0 relacionat, entre d\u2019altres efectes adversos per a la salut, amb les malalties respirat\u00f2ries, i en particular, l\u2019asma. Mentre que l\u2019exposici\u00f3 dels nens al fum del tabac es d\u00f3na principalment a la llar, els entorns en els que estan exposats s\u00f3n m\u00faltiples. Per tant, les intervencions a diversos nivells (nens, pares\/tutors, escoles) destinades a reduir el tabaquisme dels pares i d\u2019altres cuidadors, ja sigui canviant el lloc on es fuma, aix\u00ed com augmentant el coneixement sobre els efectes del tabaquisme passiu en els nens, pot reduir la seva exposici\u00f3 al fum del tabac i a les seves conseq\u00fc\u00e8ncies adverses en la salut repirat\u00f2ria.<\/p><\/div><\/div><\/div>\n\n\n

\t\t\t\n\t\t\t\t\t\t\t\t<\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t<\/span>\n\t\t\tObjectius<\/strong><\/span><\/div>

Avaluar l\u2019efectivitat d\u2019una intervenci\u00f3 multinivell (individual, familiar i escolar) en la prevenci\u00f3 del tabaquisme passiu i el seu impacte sobre la salut respirat\u00f2ria en nens de 12-14 anys d\u2019edat.
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\t\t\t\n\t\t\t\t\t\t\t\t<\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t<\/span>\n\t\t\tM\u00e8todes<\/strong><\/span><\/div>

Disseny:<\/em><\/strong>\u00a0Assaig controlat aleatoritzat. 25 escoles de secund\u00e0ria (de l\u2019\u00e0rea metropolitana de Barcelona) assignades aleat\u00f2riament a dos grups: intervenci\u00f3 completa o intervenci\u00f3 m\u00ednima.\u00a0Subjectes:<\/em><\/strong>\u00a03.700 escolars de 12-14 anys d\u2019edat en 1r i 2n d\u2019ESO (curs 2005-2006).\u00a0Procedimient:<\/em><\/strong>\u00a01) Disseny de la intervenci\u00f3 de m\u00faltiples nivells i un q\u00fcestionari per a l\u2019avaluaci\u00f3 del FAT; 2) Avaluci\u00f3 de la situaci\u00f3 de partida dels nens en relaci\u00f3 amb la salut respirat\u00f2ria i l\u2019exposici\u00f3 al FAT; 3) Implementaci\u00f3 de la intervenci\u00f3 i 4) avaluaci\u00f3 de l\u2019efic\u00e0cia de la intervenci\u00f3, avaluaci\u00f3 de la salut respirat\u00f2ria i l\u2019exposici\u00f3 al FAT dels nens vuit mesos despr\u00e9s de la intervenci\u00f3.\u00a0Principals mesures:<\/strong>\u00a01) S\u00edmptomes respiratoris: mitjan\u00e7ant el q\u00fcestionari ISAAC, validat i tradu\u00eft (catal\u00e0 i castell\u00e0); 2) exposici\u00f3 al FAT: mitjan\u00e7ant q\u00fcestionari, incloent-hi l\u2019exposici\u00f3 al FAT a la llar, en el temps lliure i en d\u2019altres entorns, i determinaci\u00f3 de la concentraci\u00f3 de nicotina al cabell com a biomarcador de l\u2019exposici\u00f3 al FAT a una mostra aleat\u00f2ria de 700 nens.\u00a0\u00a0Intervenci\u00f3:<\/strong><\/em>\u00a0Disseny d\u2019un perfil d\u2019atenci\u00f3 esglaonada, amb un m\u00ednim contacte inicial a les escoles proporcionat per personal entrenat (activitat grupal) amb retroalimentaci\u00f3 i material adicional impr\u00e8s (activitat individual), i amb una major intensitat i durada en el seguimient (cartes als nens i als seus pares).
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\t\t\t\n\t\t\t\t\t\t\t\t<\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t<\/span>\n\t\t\tPaquets de treball<\/strong><\/strong><\/span><\/div>

WP1. Coordinaci\u00f3, implementaci\u00f3 de la intervenci\u00f3, an\u00e0lisis i difusi\u00f3 de edades (ICO-IDIBELL, Coordinador: Esteve Fern\u00e1ndez).
WP2. Disseny de la intervenci\u00f3 i l\u2019evaluaci\u00f3 (ASPB, Coordinador: Manel Nebot).
WP3. Evaluaci\u00f3 de la nicotina (IMIM, Coordinador: Jos\u00e9 A. Pascual).<\/p><\/div><\/div>

\t\t\t\n\t\t\t\t\t\t\t\t<\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t<\/span>\n\t\t\tFinan\u00e7ament<\/strong><\/span><\/div>

Fundaci\u00f3 \u201cLa Marat\u00f3 de TV3\u201d, 283.790,00 \u20ac<\/p><\/div><\/div>

\t\t\t\n\t\t\t\t\t\t\t\t<\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t<\/span>\n\t\t\tDuraci\u00f3<\/strong><\/span><\/div>

36\u00a0mesos: del 03\/2005 fins el 03\/2008
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\t\t\t\n\t\t\t\t\t\t\t\t<\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t<\/span>\n\t\t\tInvestigador principal i centre coordinador<\/strong><\/strong><\/span><\/div>

Dr. Esteve Fern\u00e1ndez<\/a>, Unitat de Control del Tabac-Institut Catal\u00e0 d\u2019Oncologia<\/p><\/div><\/div>

\t\t\t\n\t\t\t\t\t\t\t\t<\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t<\/span>\n\t\t\tPublicacions<\/strong><\/strong><\/span><\/div>

Ariza C, Schiaffino A, Pascual JA, Twose J, Nebot M, Fern\u00e1ndez E.\u00a0Exposici\u00f3n al humo de tabaco y concentraci\u00f3n de cotinina en saliva en una muestra de escolares de Barcelona.<\/a>\u00a0Medicina Cl\u00ednica (Barc). 2009 133:622-5.
Mart\u00edn-Pujol A, Fern\u00e1ndez E, Schiaffino A, Moncada A, Ariza C, Blanch C, Mart\u00ednez-S\u00e1nchez JM; RESPIR.NET research group.\u00a0Tobacco smoking, exposure to second-hand smoke, and asthma and wheezing in schoolchildren: a cross-sectional study<\/a>. Acta Paediatrica. 2013;102:e305-9.
Blanch C, Fern\u00e1ndez E, Mart\u00ednez-S\u00e1nchez JM, Ariza C, L\u00f3pez MJ, Moncada A, Schiaffino A, Rajmil L, Salt\u00f3 E, Pascual JA, Nebot M; RESPIR.NET research group.\u00a0Impact of a multi-level intervention to prevent secondhand smoke exposure in schoolchildren: a randomized cluster community trial.<\/a>\u00a0Preventive Medicine. 2013;57:585-90.
Respir.net Group.\u00a0S\u00edmptomes respiratoris, asma i tabaquisme passiu en escolars: efectivitat d\u2019una intervenci\u00f3 individual, familiar i escolar.<\/a>\u00a0Barcelona: Fundaci\u00f3 La Marat\u00f3; 2003.<\/p><\/div><\/div><\/div>\n\n\n

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