{"id":15801,"date":"2026-05-04T16:18:56","date_gmt":"2026-05-04T15:18:56","guid":{"rendered":"https:\/\/icoprevencio.cat\/uct\/?page_id=15801"},"modified":"2026-05-08T11:13:14","modified_gmt":"2026-05-08T10:13:14","slug":"llars-sense-fum-la-marato","status":"publish","type":"page","link":"https:\/\/icoprevencio.cat\/uct\/llars-sense-fum-la-marato\/","title":{"rendered":"LLARS SENSE FUM – LA MARAT\u00d3"},"content":{"rendered":"\n
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Projectes en curs<\/strong><\/h2><\/div><\/div><\/div><\/div>\n<\/div><\/div>\n\n\n\n
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Intervenci\u00f3 de llars sense fum per millorar la salut respirat\u00f2ria infantil: estudi d\u2019efectivitat i implementaci\u00f3 en serveis de pediatria d\u2019atenci\u00f3 prim\u00e0ria<\/h3><\/div>

L\u2019exposici\u00f3 al fum del tabac augmenta el risc de malalties respirat\u00f2ries i altres problemes de salut en la poblaci\u00f3 infantil. A Espanya, l\u2019exposici\u00f3 al fum del tabac a la llar s\u2019ha mantingut elevada i estable entre els infants durant l\u2019\u00faltima d\u00e8cada. Actualment, aproximadament el 42% de totes les llars i al voltant del 70% de les llars on viuen persones fumadores permeten fumar dins de casa. Aix\u00f2 comporta una prevalen\u00e7a significativa i una elevada c\u00e0rrega d\u2019exposici\u00f3 a la llar, especialment per als infants, que s\u00f3n m\u00e9s vulnerables als riscos per a la salut associats al fum del tabac.

Els infants exposats al fum del tabac tenen m\u00e9s probabilitat de desenvolupar infeccions de les vies respirat\u00f2ries inferiors, otitis mitjana i patir exacerbacions d\u2019asma.
Adoptar la norma volunt\u00e0ria de no fumar a casa redueix l\u2019exposici\u00f3 de tots els membres de la llar, incrementa la motivaci\u00f3 i les probabilitats que les persones fumadores deixin de fumar, desnormalitza el consum de tabac i prev\u00e9 incendis dom\u00e8stics.<\/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, la implementaci\u00f3 i els resultats econ\u00f2mics d\u2019una intervenci\u00f3 basada en l\u2019evid\u00e8ncia que promou l\u2019adopci\u00f3 volunt\u00e0ria de llars sense fum en llars amb infants, implementada a trav\u00e9s dels serveis de pediatria d\u2019atenci\u00f3 prim\u00e0ria a Catalunya.

Els objectius espec\u00edfics s\u00f3n:

– Dissenyar un conjunt complet d\u2019estrat\u00e8gies de cribratge i derivaci\u00f3 per rebre la intervenci\u00f3 de llar sense fum en serveis pedi\u00e0trics d\u2019atenci\u00f3 prim\u00e0ria a Catalunya, utilitzant un enfocament sistem\u00e0tic i participatiu (implementation mapping).

– Avaluar l\u2019efectivitat i la implementaci\u00f3 de la intervenci\u00f3 de llar sense fum en dos grups de llars amb infants, amb i sense afeccions respirat\u00f2ries, en termes de:

a) prevalen\u00e7a autodeclarada d\u2019adopci\u00f3 de llars sense fum i canvis en el comportament tab\u00e0quic dels participants.

b) resultats de salut general i respirat\u00f2ria en la poblaci\u00f3 pedi\u00e0trica mitjan\u00e7ant enquestes i dades d\u2019hist\u00f2ria cl\u00ednica.

c) resultats d\u2019implementaci\u00f3 avaluats amb el marc RE-AIM.

– Avaluar la relaci\u00f3 cost-efectivitat de la intervenci\u00f3 de llar sense fum implementada a trav\u00e9s dels serveis pedi\u00e0trics d\u2019atenci\u00f3 prim\u00e0ria a Catalunya.

– Comparar l\u2019efectivitat, la implementaci\u00f3 i els resultats econ\u00f2mics entre dos grups de llars amb infants, amb i sense afeccions respirat\u00f2ries.
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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>

Es tracta d\u2019un estudi de recerca amb m\u00e8todes mixtos i disseny seq\u00fcencial integrat. El disseny principal ser\u00e0 un assaig controlat aleatoritzat (ACA), complementat amb un estudi qualitatiu explicatiu. L\u2019estudi consta de dues fases:

El projecte es divideix en dues fases:

Fase 1: Estudi qualitatiu participatiu.<\/strong>

S\u2019utilitzar\u00e0 l\u2019implementation mapping per implementar estrat\u00e8gies no disruptives i acceptables amb l\u2019objectiu de millorar l\u2019adopci\u00f3, la implementaci\u00f3 i el manteniment de la intervenci\u00f3 per part dels professionals sanitaris en la pr\u00e0ctica assistencial habitual.

Fase 2: Estudi h\u00edbrid d\u2019efectivitat-implementaci\u00f3 tipus 2.<\/strong>

Es dur\u00e0 a terme un ACA per avaluar l\u2019efectivitat, la implementaci\u00f3 i els resultats econ\u00f2mics de la intervenci\u00f3. Aquests resultats es compararan entre dos grups d\u2019estudi (dos ACA simultanis): llars amb infants amb i sense afeccions respirat\u00f2ries.

La intervenci\u00f3 s\u2019adre\u00e7a a llars on es permet fumar (llars no lliures de fum). Les llars elegibles hauran de tenir almenys un menor (0-15 anys) i almenys una persona adulta que fumi di\u00e0riament a casa, ja sigui a l\u2019interior o a espais exteriors com ara balcons.<\/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>

3 anys (maig de 2026 \u2013 maig de 2029)
<\/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>

299.982 \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\tCoordinaci\u00f3<\/strong><\/span><\/div>

Unitat de Control del Tabaquisme, Institut Catal\u00e0 d\u2019Oncologia (ICO) \/ Institut d\u2019Investigaci\u00f3 Biom\u00e8dica de Bellvitge (ICO-IDIBELL)

Institut Universitari d\u2019Investigaci\u00f3 en Atenci\u00f3 Prim\u00e0ria Jordi Gol (IDIAPJGol)<\/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\tInvestigadors principals<\/strong><\/strong><\/span><\/div>

Dra. Marcela Fu i Dr. Pere Toran
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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\tEquip de recerca UCT<\/strong><\/span><\/div>

Laura Ant\u00f3n
Montse Ballb\u00e8
Isabel Barroso
Pablo Bautista
Yolanda Castellano
Clara F\u00e1bregas
Esteve Fern\u00e1ndez
Marcela Fu (IP)
Xiuchao Guo
Anna Mar L\u00f3pez
Cristina Mart\u00ednez
Laura Perdiguero
Armando Peruga
Olena Tigova
<\/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 cient\u00edfiques<\/strong><\/span><\/div>

Encara no hi han publicacions…
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