TY - JOUR AU1 - Zabaleta-del-Olmo, Edurne AU2 - Pombo, Haizea AU3 - Pons-Vigués, Mariona AU4 - Casajuana-Closas, Marc AU5 - Pujol-Ribera, Enriqueta AU6 - López-Jiménez, Tomás AU7 - Cabezas-Peña, Carmen AU8 - Martín-Borràs, Carme AU9 - Serrano-Blanco, Antoni AU1 - Rubio-Valera, Maria AU1 - Llobera, Joan AU1 - Leiva, Alfonso AU1 - Vidal, Clara AU1 - Campiñez, Manuel AU1 - Martín-Álvarez, Remedios AU1 - Maderuelo, José-Ángel AU1 - Recio, José-Ignacio AU1 - García-Ortiz, Luis AU1 - Motrico, Emma AU2 - Bellón, Juan-Ángel AU2 - Moreno-Peral, Patricia AU2 - Martín-Cantera, Carlos AU2 - Clavería, Ana AU2 - Aldecoa-Landesa, Susana AU2 - Magallón-Botaya, Rosa AU2 - Bolíbar, Bonaventura AB - Background: Health promotion is a key process of current health systems. Primary Health Care (PHC) is the ideal setting for health promotion but multifaceted barriers make its integration difficult in the usual care. The majority of the adult population engages two or more risk behaviours, that is why a multiple intervention might be more effective and efficient. The primary objectives are to evaluate the effectiveness, the cost-effectiveness and an implementation strategy of a complex multiple risk intervention to promote healthy behaviours in people between 45 to 75 years attended in PHC. Methods: This study is a cluster randomised controlled hybrid type 2 trial with two parallel groups comparing a complex multiple risk behaviour intervention with usual care. It will be carried out in 26 PHC centres in Spain. The study focuses on people between 45 and 75 years who carry out two or more of the following unhealthy behaviours: tobacco use, low adherence to the Mediterranean dietary pattern or insufficient physical activity level. The intervention is based on the Transtheoretical Model and it will be made by physicians and nurses in the routine care of PHC practices according to the conceptual framework of the “5A’s”. It will have a TI - Complex multiple risk intervention to promote healthy behaviours in people between 45 to 75years attended in primary health care (EIRA study): study protocol for a hybrid trial JF - BMC Public Health DO - 10.1186/s12889-018-5805-y DA - 2018-07-13 UR - https://www.deepdyve.com/lp/springer-journals/complex-multiple-risk-intervention-to-promote-healthy-behaviours-in-o5A0idF8q0 SP - 1 EP - 15 VL - 18 IS - 1 DP - DeepDyve ER -