ID-5184 Wonca Abstracts supplement A-K 13-10-23 - Flipbook - Page 110
WONCA 2023 Supplement 1: WONCA 2023 abstracts (A–K)
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A cluster randomised clinical trial evaluating a complex
intervention to improve the quality of life of the hotel
housekeepers
Dr Oana Bulilete1,2, Xenia Chela Alvarez1,2, Maria Clara Vidal Thomas1,2, Estela Terrer Hernandez3,
Cristian Sanchez Rodriguez4, Joan Llobera Canaves1,2
1
Primary Care Research Unit, Mallorca, Balearic Public Health Service, 2Health Research Institute of
the Balearic Island (IdiSBa), GRAPP-caIB, 3Vila Primary Care Health Center, Eivissa, Baleric Public
Health Service, 4Sant Joan de Deu Hospital, Mallorca
Background
Women are disproportionately represented in high-stress occupations like hotel housekeeping (HH).
Health and quality of life (QoL) are significantly impacted by the nature of their work and occupational
risk factors (physical, psychological, etc). The QoL of HHs could be enhanced by a primary healthcare
(PHC) intervention that takes a multidimensional approach to health promotion and empowerment.
Objectives
This study’s aims were to evaluate the effectiveness of a complex intervention to improve HHs’ QoL,
life satisfaction, psychological wellbeing, pain, the drivers for adopting healthy lifestyles (motivation,
self-efficacy, locus of control [LOC]) and the stages of behaviour change.
Methods
Cluster randomised trial; 17 centres randomly assigned to intervention group (IG), 18 to control group
(CG).
Participants
HHs aged ≥18 years that worked in the 2019 summer season.
Intervention
Theoretical framework: intervention mapping and integrated model for change; multilevel: individual,
group and community delivered by nurses, physiotherapists, psychologists (eight weeks). IG: three
individual + five group visits, social prescription; CG: three individual visits; usual care.
Follow-up visit
Six months
Sample size
594 HHs
Measurements
QoL (SF36), Five Well-Being Index (WHO-5), life satisfaction, acute and chronic pain, motivation,
self-efficacy, LOC, smoking status, Mediterranean diet (PREDIMED), physical activity (IPAQ), attitude,
intention, planning
Statistical analysis
Intention-to-treat, generalised-equation model
Results
1.223 HHs (IG 48.7%, CG 51.3%); mean age: 47.2 ± 8.7 vs 46.4 ± 9.5; QoL: general health:
β-coefficient 0.2 (95% CI: –0.5, 0.9); life satisfaction β 0.2 (2.1, 2.6); WHO-5 OR 1.0 (0.8, 1.4); acute pain
OR 1.1 (0.8, 1.4); chronic pain OR 1.1 (0.8, 1.4); autonomous motivation β 0.2 (–0.4, 0.8); self-efficacy β
0.1 (–0.5, 0.6); LOC OR 1.2 (0.9, 1.5); tobacco OR 2.1 (1.2, 3.6);PREDIMED OR 1.8 (1.4, 2.4); IPAQ OR
1.2 (0.9, 1.5); attitude OR 1.7 (1.3, 2.3); intention OR 1.2 (0.9, 1.6), planning OR 1.1 (0.8, 1.4).
Conclusions
When compared to usual care, a complex intervention based on health promotion and empowerment
did not improve the QoL of HHs, neither their pain, psychological distress nor life satisfaction. There
were no statistically significant differences in the drivers of adopting healthy lifestyles or the stages of
behaviour change. IG were twice as likely to not smoke after 6 months.
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