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Metodología de Revisión Sistemática Simplificada (MRSS) para estudiantes de Grado y Máster

Fri, 31 Jul 2026 11:04:00 GMT

Título : Metodología de Revisión Sistemática Simplificada (MRSS) para estudiantes de Grado y Máster Autor : Pina López, David; Puente Lopez, Esteban; López López, Reyes; Cascales Martinez, Andrea; Fernández Arce, Alejandro; López Ros, Paloma; García Campos, Jonatan; Vázquez Rodríguez, Carolina; Pamies Aubalat, Lidia; Pascual Rodríguez, Roberto

The Prognostic Value of Transcutaneous Oxygen Pressure (TcPO2) in Diabetic Foot Ulcer Healing: A Protocol for a Systematic Review

Wed, 29 Jul 2026 12:14:04 GMT

Título : The Prognostic Value of Transcutaneous Oxygen Pressure (TcPO2) in Diabetic Foot Ulcer Healing: A Protocol for a Systematic Review Autor : Bordonado-Murcia, Andrea; Marco-Lledó, Javier; Nieto-Gil, Pilar; Zuluaga-Ríos, Luz Marina; López Ros, Paloma; Hernández-Martínez, Irene; Montoro Cremades, David; Garcia-Campos, Jonatan Resumen : Background/Objectives: Due to poor perfusion, diabetic foot ulcers (DFUs) create hypoxic environments, and their chronicity represents a negative factor in wound healing. Transcutaneous oxygen pressure (TcPO2) is a non-invasive method that provides information on oxygen supply to microvascular circulation, useful for determining the severity and progression of peripheral arterial disease (PAD) as well as potentially predicting DFU healing. However, the current literature does not provide strong support for the use of TcPO2 as an independent predictive tool. Methods: This protocol aims to systematically review the available evidence according to PRISMA (2020) guidelines, registered with the International Prospective Register of Systematic Reviews (registration number: CRD42024505907). The following databases will be used: Cochrane Library, EMBASE, Ovid Medline, PubMed, and Web of Science. Additionally, a manual search will be conducted through the references of the included articles. Results: The systematic review will summarize the current evidence on the prognostic value of TcPO2 in DFU healing, identifying gaps in knowledge and potential areas for future research. Conclusions: The findings of this study may clarify the prognostic value of TcPO2 in DFU healing, which could ultimately facilitate clinical management, decision-making, patient care, and potentially reduce treatment costs.

Experiences, Needs, and Beliefs Regarding Footwear Among People with Diabetes Mellitus in Spain: A Qualitative Focus Group Study Protocol

Wed, 29 Jul 2026 12:12:16 GMT

Título : Experiences, Needs, and Beliefs Regarding Footwear Among People with Diabetes Mellitus in Spain: A Qualitative Focus Group Study Protocol Autor : López Ros, Paloma; Gonzalez-Ibanez, Aitor; Montoro Cremades, David; Tabernero Grau, Laura; Marco-Lledo, Javier; Martínez Córcoles, Vicenta; Garcia-Campos, Jonatan Resumen : Background/Objectives: Diabetes mellitus (DM) is a group of chronic metabolic disorders characterised by persistent hyperglycaemia and an increasing global prevalence, imposing a significant socioeconomic and healthcare burden. Among its associated complications, the diabetic foot is a critical condition that doubles the risk of mortality. Although therapeutic footwear is an essential preventive strategy, research on treatment adherence has predominantly focused on quantitative parameters. This protocol aims to explore the experiences, needs, and perceived barriers of people with DM regarding therapeutic footwear use from a qualitative perspective. Methods: A qualitative focus group study will be conducted in the province of Alicante, Spain. Participants will be adults with a confirmed diagnosis of DM recruited across IWGDF foot risk categories 1–3 through purposive sampling. A total of 8–10 focus groups of 10–12 participants will be conducted in separate in-person and online modalities. Data will be analysed using reflexive thematic analysis within a constructivist epistemological framework, following the six-phase approach proposed by Braun and Clarke. The study adheres to the Consolidated Criteria for Reporting Qualitative Research (COREQ). Ethical approval will be obtained from the relevant Ethics Committee prior to data collection. Results/Expected Outcomes: The findings are anticipated to generate patient-centred, evidence-based insights into the psychosocial and experiential dimensions of therapeutic footwear adherence, informing the development of novel educational strategies and improvements in footwear design to optimise treatment adherence and clinical outcomes. Conclusions: This protocol provides a rigorous and transparent methodological framework for qualitative investigation of therapeutic footwear adherence in people with DM, contributing to a more comprehensive and person-centred approach to diabetic foot prevention.

Revisión sistemática sobre la presencia de microplásticos en tejidos musculoesqueléticos humanos

Mon, 27 Jul 2026 16:41:13 GMT

Título : Revisión sistemática sobre la presencia de microplásticos en tejidos musculoesqueléticos humanos Autor : Zorrilla-Muñoz, Vanessa; Jiménez-García, Segundo; Andrés-Collado, Mariano; Madrigal-Verdú, Pilar; Ochando-Sánchez, Isabel; Montoro-Cremades, David; Marco-Lledó, Javier; Hernández-Borges, Javier; Martínez-Navarrete, Gema; Morales-Delgado, Nicanor; García-Campos, Jonatan Resumen : Objetivo La presente revisión sistemática tiene como propósito examinar la evidencia disponible sobre la detección de MPs en tejidos humanos del aparato locomotor, incluyendo articulaciones, cartílago, huesos o tendones, con el fin de esclarecer su distribución y valorar su posible implicación en procesos inflamatorios y degenerativos asociados a patologías musculoesqueléticas. Metodología El método de revisión se desarrolló de acuerdo con los estándares, incluyendo: protocolo de revisión, criterios de inclusión y exclusión, diseño de la estrategia de búsqueda y proceso de selección y recopilación de datos.

Postural analysis of children with muscle retraction after six-month exercise or heel cup interventions in a randomized trial

Mon, 27 Jul 2026 16:21:42 GMT

Título : Postural analysis of children with muscle retraction after six-month exercise or heel cup interventions in a randomized trial Autor : Martínez-Córcoles, Vicenta; García-Campos, Jonatan; Vicente-Mampel, Juan; Chicharro-Luna, Esther; Martínez-Jiménez, Eva María; Ferrer-Torregrosa, Javier Resumen : Balance and proprioception are crucial in children, especially in sports. The ankle joint plays a key role in postural control, and triceps surae retraction is common in active children. This study aimed to analyze the effects of stretching exercises versus heel cups on postural control in children aged 8 to 12 with triceps surae retraction. A six-month randomized controlled trial was conducted with 150 children assigned to either stretching exercises (n = 76) or heel cups (n = 74). The study was registered at ClinicalTrials.gov under the identification number NCT05902949 (first posted on 06/15/23). The area of oscillation was measured using the Gyko system under four conditions: eyes open/closed and firm ground/foam. A linear mixed regression model was applied to analyze the effects of the treatments, adjusting for sex, age, and physical activity. Stretching exercises were associated with significant reductions around oscillation across all conditions (p < 0.001 at six months). In contrast, heel cups were linked to significant increases around oscillation in all conditions (p < 0.001 at six months), indicating a negative effect on balance. Additionally, higher levels of physical activity and female sex were associated with better postural control (p < 0.001). In conclusion, stretching exercises significantly improved postural control in children with triceps surae retraction, whereas heel cups worsened this essential motor-performance ability. Further research is needed, but these findings support the incorporation of stretching exercises and regular physical activity in the management of these patients.

Cross-cultural adaptation and validation of the Diabetic Foot Questionnaire (DiaFootQ) into Spanish Language

Mon, 27 Jul 2026 15:57:26 GMT

Título : Cross-cultural adaptation and validation of the Diabetic Foot Questionnaire (DiaFootQ) into Spanish Language Autor : Ruiz-Muñoz, María; Martínez-Barrios, Francisco Javier; Fernández-Torres, Raúl; Vallejo-Herrera, María José; García-Campos, Jonatan; González-Sánchez, Manuel Resumen : Objective: To perform a cross-cultural adaptation and validation of the Diabetic Foot Questionnaire (DiaFootQ) into Spanish (DiaFootQ-Sp). Design: Cross-cultural adaptation, validity and reliability study. Site: Diabetic Foot Unit (Regional University Hospital of Malaga, Spain), Podiatry Teaching Unit (University of Malaga, Spain) and private clinics across Spain. Participants: Adults over 18 years old with type 2 diabetes mellitus who were referred for diabetic foot examination or already enrolled with DFD. Methods: An observational study was conducted in two phases: (1) translation and cross-cultural adaptation of the DiaFootQ into Spanish and (2) psychometric validation of the DiaFootQ-Sp. Recommendations by ISPOR Task Force for Translation and Cultural Adaptation were followed. Reliability and validity were assessed using internal consistency (Cronbach’s ˛), test---retest reliability (ICC), and construct validity through factor analysis. Criterion validity was evaluated by correlating DiaFootQ-Sp with the Foot Function Index (FFI), SF-12v2, and EuroQoL. Results: A total of n = 466 participants completed the study. The DiaFootQ-Sp showed strong internal consistency (Cronbach’s ˛ = 0.903) and high test---retest reliability (ICC = 0.854---0.997). Sensitivity analysis reported SEM = 2.195 and MDC90 = 5.121. Construct validity was confirmed (KMO = 0.677, Bartlett’s test p < 0.001). Criterion validity showed significant correlations with the EuroQol-5D (r = 0.889) and SF-12 (r = 0.353). The mean completion time was 8.61 min.Conclusions: DiaFootQ was successfully adapted and validated for Spanish-speaking population, providing a useful and reliable tool to assess patients with DFD. The quality of care and prevention might be enhanced by implementing this instrument in clinical practice.; Objetivos: Realizar la adaptación transcultural y validación al espa˜nol del Diabetic Foot Questionnaire (DiaFootQ), dando lugar al DiaFootQ-Sp. Dise˜no: Estudio de adaptación transcultural, validez y fiabilidad. Emplazamiento: Unidad de Pie Diabético (Hospital Regional Universitario de Málaga, Espa˜na), Unidad Docente de Podología (Universidad de Málaga, Espa˜na) y clínicas privadas en distintas regiones de Espa˜na. Participantes: Personas adultas mayores de 18 a˜nos con diabetes mellitus tipo 2 remitidas para exploración del pie diabético o ya incluidas por enfermedad del pie diabético (DFD). Métodos: Se llevó a cabo un estudio observacional en dos fases: (1) traducción y adaptación transcultural del DiaFootQ al espa˜nol y (2) validación psicométrica del DiaFootQ-Sp. Se siguieron las recomendaciones del ISPOR Task Force for Translation and Cultural Adaptation. La fiabilidad y validez se evaluaron mediante consistencia interna ( de Cronbach), fiabilidad testretest (ICC) y validez de constructo mediante análisis factorial. La validez de criterio se analizó correlacionando el DiaFootQ-Sp con el Foot Function Index (FFI), el SF-12v2 y el EuroQoL. Resultados: Un total de 466 participantes completaron el estudio. El DiaFootQ-Sp mostró una elevada consistencia interna ( de Cronbach = 0.903) y una alta fiabilidad test-retest (ICC = 0.854---0.997). El análisis de sensibilidad indicó un SEM = 2.195 y un MDC90 = 5.121. La validez de constructo quedó confirmada (KMO = 0.677; prueba de Bartlett p < 0.001). La validez de criterio mostró correlaciones significativas con el EuroQol-5D (r = 0.889) y el SF-12 (r = 0.353). El tiempo medio de cumplimentación fue de 8.61 minutos. Conclusiones: El DiaFootQ fue adaptado y validado con éxito para la población hispanohablante, proporcionando una herramienta útil y fiable para la evaluación de pacientes con DFD. La implementación de este instrumento en la práctica clínica podría mejorar la calidad asistencial y las estrategias de prevención.

Assessing the effectiveness and feasibility of the Experienced Carers Helping Others program in relatives of adolescents with eating disorders using an online application format with individual sessions

Wed, 03 Jun 2026 07:21:56 GMT

Título : Assessing the effectiveness and feasibility of the Experienced Carers Helping Others program in relatives of adolescents with eating disorders using an online application format with individual sessions Autor : Ruiz, Álvaro; Quiles, Yolanda; León-Zarceño, Eva; Quiles, María José; Roncero, María; Sanmartín, Ricardo Resumen : Eating disorders (ED) usually involve hospital admission and a high relapse rate, with the return home being a critical moment for patients and their families. After their return home, they often have trouble incorporating the guidelines they have learned into their daily context. ECHOMANTRA intervention program aims to facilitate this transition by offering psychological strategies that involve both patients and their families and carers. Specifically, the ECHO program is aimed at the relatives of these patients. The present study aimed to analyze the efficacy of adding the ECHO program to the usual treatment (TAU) of relatives through a novel format based on individual intervention and with an online format and to examine the acceptability and feasibility of this new format. The study design was multi-center, randomized, controlled, with a longitudinal design and comparing two parallel groups. A total of 108 family members participated. Results indicated that relatives from both groups, TAU and ECHO + TAU, showed improvements in expressed emotion, accommodation, impact of the ED, emotional well-being, and caregiver skills. However, effect sizes in the ECHO + TAU group were slightly larger than the TAU group. In addition, the changes were greater in depression and caregiver skills when the ECHO component was added. Most caregivers (81.48%) completed the ECHO and indicated a high level of satisfaction with the program. These results suggest the efficacy and the feasibility of adding the ECHO intervention program to the usual treatment in an individual online format.

Application of the ECHOMANTRA Program in the Treatment of an Adult Patient With Anorexia Nervosa: A Clinical Report With Family Involvement

Wed, 03 Jun 2026 07:21:27 GMT

Título : Application of the ECHOMANTRA Program in the Treatment of an Adult Patient With Anorexia Nervosa: A Clinical Report With Family Involvement Autor : Payá-López, Sofía; Kovacheva, Katina; Ruiz, Álvaro; Galindo, Inés; Quiles, Yolanda Resumen : Anorexia nervosa (AN) is a severe psychiatric disorder with high mortality and frequent relapse in adulthood. Although evidence-based treatments exist, their effectiveness remains limited, and few involve caregivers despite evidence supporting their role. This single-case study explored the feasibility and preliminary effectiveness of the ECHOMANTRA program—a brief, manualized, online intervention based on the cognitive–interpersonal model—as an adjunct to treatment-asusual (TAU) for an adult woman with AN and her mother. The eight-session intervention included MANTRA-based modules for the patient and ECHO-based modules for the caregiver, supported by manuals and personalized workbooks. Assessments were conducted at pre-treatment, posttreatment, and three-month follow-up using validated self-report measures. Patient outcomes included eating disorder symptoms (EDE-Q), emotional distress (DASS-21), functional impairment (CIA 3.0), and quality of life. Carer outcomes included symptom accommodation (AESED), perceived illness impact (EDSIS), and caregiving skills (CASK). Results showed clinically meaningful reductions in eating disorder symptoms, emotional dysregulation, and functional impairment in the patient, with gains maintained at follow-up. A transient post-treatment increase in emotional distress likely reflected greater illness insight, which subsided by follow-up. The caregiver reported decreased accommodation, lower burden, and improved caregiving competence. Both participants adhered to and were highly satisfied with the intervention. Findings offer preliminary support for ECHOMANTRA as a feasible and potentially effective adjunct to standard care, highlighting the value of integrating caregiver-focused strategies into adult AN treatment.

Uncovering the association between broad emotional dysregulation and emotional eating: A meta-analysis

Wed, 03 Jun 2026 07:20:48 GMT

Título : Uncovering the association between broad emotional dysregulation and emotional eating: A meta-analysis Autor : Mendia, Jara; Quiles, Yolanda; Pascual, Aitziber; Ruiz, Álvaro; Manchón, Javier; Conejero, Susana; Pizarro, José J.; Alonso-Arbiol, Itziar Resumen : Emotional eating refers to the consumption of food in response to pleasant or unpleasant emotions. This behavior has frequently been linked to emotional dysregulation; however, the results obtained are inconsistent. Therefore, the aim of this meta-analytic study was to conduct a meta-analysis to synthesize the available evidence on the relationship between broad emotional dysregulation and emotional eating, as well as to identify possible moderators of this association. A systematic search was conducted in March 2025 in the following databases: Scopus, Web of Science, APA PsycInfo, and APA PsycArticles. Inclusion criteria comprised quantitative studies published in English or Spanish, analyzing the broad emotional dysregulation-emotional eating relationship, and reporting sufficient data to extract effect sizes. This systematic search yielded 40 studies and 42 samples (N = 14,481; Mage = 26.8; SDage = 11.6; 67.8% females). The results revealed a positive, moderate association between broad emotional dysregulation and emotional eating (rpooled = .337 [.279, .396]). The valence of emotional eating and sample type emerged as relevant moderators. The association was stronger when focusing on studies that exclusively analyzed negative emotional eating (rpooled = .286 [.226, .345]) and became nonsignificant for studies addressing positive emotional eating (rpooled = .055 [-.113, .220]). Moreover, the links were stronger for non-clinical samples as compared to clinical ones. This review helps to better understand the association between broad emotional dysregulation and emotional eating and will contribute to preventing and intervening in this problem by developing new and more effective preventive and therapeutic strategies.

Effectiveness of Family Intervention Programs Based on the Interpersonal Cognitive Model of Anorexia: Systematic Review and Meta‐Analysis

Wed, 03 Jun 2026 07:19:54 GMT

Título : Effectiveness of Family Intervention Programs Based on the Interpersonal Cognitive Model of Anorexia: Systematic Review and Meta‐Analysis Autor : Quiles-Marcos, Yolanda; Ruiz-Maciá, Álvaro; Payá-López, Sofía; Kovacheva, Katina; Albaladejo-Sánchez, Manuel Jesús; Cañas, Elizabeth; León-Zarceño, Eva; López-López, José Antonio Resumen : Introduction: This paper aims to examine family intervention programs based on the Cognitive‐Interpersonal Maintenance Model of anorexia nervosa (AN) and their impact on patients and carers. Method: A systematic search was undertaken across several databases through 20 December 2024 in accordance with Preferred Reporting Items for Systematic reviews and Meta‐Analyses. Results: 15 studies were identified. Meta‐analyses of patient outcomes revealed no significant differences in BMI, eating disorder symptomatology, or emotional well‐being between intervention and control groups at post‐treatment or 12‐month followup. In contrast, carers showed significant improvements in emotional well‐being and expressed emotion at post‐treatment, with benefits maintained at follow‐up, and enhanced caregiving skills. These family intervention programs yielded better results in the evaluated variables among carers compared to the other programs with which they were compared. Moderator analyses suggested that these interventions are more effective in improving caregiving skills if they are delivered in a face‐to‐face format and improve caregivers' emotional well‐being and accommodation to a greater extent when patients are younger. Conclusions: The present findings highlight the positive impact of family intervention programs based on this model on carers, particularly in enhancing their emotional well‐being, expressed emotion and care skills. Future studies should continue to refine these programs to optimise benefits for all stakeholders involved.