Himar González‐Pacheco

ORCID: 0000-0001-6651-0693
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About
Contact & Profiles
Research Areas
  • Diabetes Management and Education
  • Chronic Disease Management Strategies
  • Diabetes Management and Research
  • Digital Mental Health Interventions
  • Patient-Provider Communication in Healthcare
  • Mental Health Treatment and Access
  • Diabetes Treatment and Management
  • Health Systems, Economic Evaluations, Quality of Life
  • Chemotherapy-related skin toxicity
  • Interprofessional Education and Collaboration
  • Eating Disorders and Behaviors
  • Hair Growth and Disorders
  • Hip disorders and treatments
  • Medication Adherence and Compliance
  • Pancreatic function and diabetes
  • E-Learning and Knowledge Management
  • Electronic Health Records Systems
  • Obesity, Physical Activity, Diet
  • Healthcare cost, quality, practices
  • Clinical practice guidelines implementation
  • Neurological disorders and treatments
  • Diabetes and associated disorders
  • Patient Dignity and Privacy
  • Patient Satisfaction in Healthcare
  • Bipolar Disorder and Treatment

Servicio Canario de la Salud
2020-2025

Health Research Institute of the Balearic Islands
2020-2025

Instituto de Salud Carlos III
2025

Red de Investigación en Actividades Preventivas y Promoción de la Salud
2023-2024

Fundación Canaria de Investigación Sanitaria
2020-2023

Agencia de Evaluación de Tecnologías Sanitarias
2021-2023

Sistema Nacional de Salud
2021-2023

Background: The incorporation of shared decision making (SDM) is a central part empowerment processes, as it facilitates greater activation on the patients, increasing likelihood them gaining control over their healthcare and developing skills to solve health problems. Despite these benefits, there are still difficulties in implementation SDM among professionals due internal external factors related context systems. Aim: To explore primary care (PCPs)’ perceptions model, based preconceptions...

10.5334/ijic.6554 article ES cc-by International Journal of Integrated Care 2024-04-16

Background Type 2 diabetes mellitus (T2DM) is a chronic disease in which health outcomes are related to decision making by patients and care professionals. Objective This study aims assess the effectiveness of internet-based multicomponent interventions support all actors involved with T2DM primary care. Methods The INDICA an open, community-based, multicenter trial random allocation usual or intervention for patients, professionals care, combined both. In participants received educational...

10.2196/18922 article EN cc-by JMIR mhealth and uhealth 2020-11-02

This study aimed to determine the evolution of Instagram use, body dissatisfaction and physical appearance comparisons throughout coronavirus disease-2019 (COVID-19) pandemic, explore whether there was a relationship between changes in use pandemic comparisons.A total 272 Spanish women (16-70 years old) were followed-up across four waves assessment November 2019 (before started) July 2021. Body dissatisfaction, social comparisons, assessed using Eating Disorders Inventory-3, Physical...

10.1002/eat.23827 article EN cc-by International Journal of Eating Disorders 2022-10-21

Abstract Background Healthcare professionals traditional education reflects constraints to face the complex needs of people with chronic diseases in primary care settings. Since more innovative and practical solutions are required, Virtual Community Practices (vCoP) seem better respond learning updates, improving professional organizational knowledge. However, little is known about value created vCoPs as social environments. The objective this project was explore creation process a gamified...

10.1186/s12909-024-05061-6 article EN cc-by BMC Medical Education 2024-02-07

Aim To assess the effectiveness of two interventions knowledge transfer and behavior modification to improve medication adherence in patients with depressive disorders. Methods An open, multicenter, three-arm clinical trial random allocation by cluster usual care or one interventions. The intervention for psychiatrists (PsI) included an educational program based on a patient-centered model. relatives (PtI) collaborative plus reminder system that works using already available application....

10.3389/fpubh.2024.1320159 article EN cc-by Frontiers in Public Health 2024-04-02

Introduction. In cross-sectional analyses, higher levels of patient empowerment have been related to lower symptoms anxiety and depression. The aims this study are: (1) assess if predicts depression after 12 24 months among patients with type 2 diabetes mellitus, (2) analyze whether a change in is associated level. Methods. This secondary analysis the INDICA study, month-long, multi-arm randomized controlled trial. Patient (DES-SF), (BDI-II), state-anxiety (STAI-S) were assessed at baseline...

10.3390/ijerph19084818 article EN International Journal of Environmental Research and Public Health 2022-04-15

The Monitoring Studies (MS) program, the approach developed by RedETS to generate postlaunch real-world evidence (RWE), is intended complement and enhance conventional health technology assessment process support policy decision making in Spain, besides informing other interested stakeholders, including clinicians patients. MS program focused on specific uncertainties about real effect, safety, costs, routine use of new insufficiently assessed relevant medical devices carefully selected...

10.1017/s0266462321000295 article EN cc-by International Journal of Technology Assessment in Health Care 2021-01-01

Abstract Objective The aim of the present study is to identify factors associated with patient empowerment in people living type 2 diabetes mellitus (T2DM) Canary Islands (Spain). Methods Secondary cross‐sectional analysis was carried out data obtained INDICA study: A 24‐month cluster randomized‐controlled trial evaluating effectiveness educational interventions supported by new technology decision tools for T2DM patients. Sociodemographic variables, clinical (years since diagnosis, glycated...

10.1111/hex.13501 article EN cc-by Health Expectations 2022-09-01

Extracapsular hip fractures are very common in the elderly. They mainly treated surgically with an intramedullary nail. Nowadays, both endomedullary nails single cephalic screw systems and interlocking double available on market. The latter supposed to increase rotational stability therefore decrease risk of collapse cut-out. A retrospective cohort study was carried out, which 387 patients extracapsular fracture undergoing internal fixation nail were included occurrence complications...

10.3390/jcm12103411 article EN Journal of Clinical Medicine 2023-05-11

To analyse the cost-effectiveness of multicomponent interventions designed to improve outcomes in type 2 diabetes mellitus (T2DM) primary care Canary Islands, Spain, within INDICA randomised clinical trial, from public health system perspective.An economic evaluation was conducted for within-trial period (2 years) comparing four arms study.Primary Spain.2334 patients with T2DM without complications were included.Interventions (PTI), professionals (PFI), both (combined intervention arm and...

10.1136/bmjopen-2021-058049 article EN cc-by-nc BMJ Open 2022-04-01

Introduction Suicide poses a severe public health challenge worldwide, impacting individuals, families, work, and society. The multifaceted nature of suicide demands complex approach involving psychological, biological, social, cultural, environmental factors. Recognizing suicide’s status as the leading external cause death in Spain, prevention increasingly incorporates technology, specifically mobile software applications. Methods A systematic review effectiveness safety applications was...

10.1017/s0266462324002514 article EN International Journal of Technology Assessment in Health Care 2024-12-01

Objectives This study aimed to evaluate the effectiveness, safety and costs of FreeStyle Libre (FSL) glucose monitoring system for children adolescents with type 1 diabetes mellitus (T1DM) in Spain. Design Prospective, multicentre pre-post study. Setting Thirteen Spanish public hospitals recruited patients from January 2019 March 2020, a 12-month follow-up. Participants 156 were included. Primary secondary outcome measures Primary: glycated haemoglobin (HbA1c) change. Secondary: severe...

10.1136/bmjopen-2022-071334 article EN cc-by-nc BMJ Open 2023-12-01
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