iiinova — where your digital self keeps evolving

Prof. Josep Vidal Alaball @jvalaball.bsky.social · 6h

More adults are seeking ADHD assessment in primary care. JAMA highlights the challenge: expand access without lowering diagnostic rigour. Careful history, impairment, childhood onset and differential diagnosis are key. #PrimaryCare #ADHD doi.org/10.1001/jama...

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Prof. Josep Vidal Alaball @jvalaball.bsky.social · 08/10/2026

Primary care access among traditional Medicare beneficiaries fell from 61.9% in 2017 to 59.8% in 2023. Telemedicine accounted for just 7% of visits and did not reverse widening access gaps. Complement, not substitute. #PrimaryCare #Telemedicine doi.org/10.1001/jama...

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Prof. Josep Vidal Alaball @jvalaball.bsky.social · 07/10/2026

AI scribes were associated with 13.4 fewer EHR minutes and 16 fewer documentation minutes per 8 clinical hours, plus 0.49 more weekly visits—largest gains in primary care. Observational difference-in-differences; causality is unproven. #PrimaryCare #AI doi.org/10.1001/jama...

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Prof. Josep Vidal Alaball @jvalaball.bsky.social · 06/10/2026

Owning a smartphone at 12 was associated with a 49% higher risk of any eating-disorder symptom at 14 in a cohort of 8,957 adolescents. This observational study cannot establish causality. #AdolescentHealth jamanetwork.com/journals/jam...

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Prof. Josep Vidal Alaball @jvalaball.bsky.social · 05/10/2026

Pilot trials are where early-career clinician-scientists learn to lead. A JAMA Viewpoint warns that excluding them from NIH K awards may hinder independence and widen institutional inequities. #ClinicalResearch jamanetwork.com/journals/jam...

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Prof. Josep Vidal Alaball @jvalaball.bsky.social · 04/10/2026

Mireia Gascon is among Clarivate’s top 1% most-cited researchers for the 5th year running. Her message: planetary health belongs in primary care. #USRCatCentral idiapjgol.org/noticia/mire...

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Prof. Josep Vidal Alaball @jvalaball.bsky.social · 03/10/2026

Our 2022 multicentre randomised trial: group walking twice weekly for 4 months reduced clinical depression by 59% and anxiety by 45% in adults aged >64. A simple primary care intervention with meaningful benefits. #USRCatCentral www.mdpi.com/2227-9032/10...

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Prof. Josep Vidal Alaball @jvalaball.bsky.social · 02/10/2026

New protocol from our Central Catalonia Research Support Unit: the SALSA RCT evaluates shared meals in local restaurants plus healthy-eating workshops as a social-prescribing intervention for loneliness and wellbeing. #USRCatCentral #SocialPrescribing doi.org/10.17219/ace...

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Prof. Josep Vidal Alaball @jvalaball.bsky.social · 01/10/2026

🤖 Avui he participat com a ponent convidat a la XIII Jornada de Recerca de SSIBE, a Palamós, amb «De la IA al valor clínic: casos reals d’implementació». IA en salut: evidència, validació local, integració i criteri clínic. 📊 Presentació completa 👇 www.linkedin.com/feed/update/...

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Prof. Josep Vidal Alaball @jvalaball.bsky.social · 01/10/2026

In an interrupted time-series study in Central Catalonia, the new paediatric influenza vaccination programme was not yet associated with fewer influenza cases or hospitalisations in its early phase. Longer follow-up is needed. #USRCatCentral pubmed.ncbi.nlm.nih.gov/42188745/

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Prof. Josep Vidal Alaball @jvalaball.bsky.social · 30/09/2026

Among 13,137 children at risk in Central Catalonia, average influenza vaccination coverage was only 28.8%; just 7.1% were vaccinated for 5 consecutive seasons. Stronger promotion and continuity are needed. #USRCatCentral pubmed.ncbi.nlm.nih.gov/39204048/

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Prof. Josep Vidal Alaball @jvalaball.bsky.social · 29/09/2026

In a survey of 388 families, 53.6% supported routine influenza vaccination, yet 53.1% did not plan vaccination in 2023/24. Paediatrician advice was a key driver; safety concerns and lack of information remained barriers. #USRCatCentral pubmed.ncbi.nlm.nih.gov/39852833/

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Prof. Josep Vidal Alaball @jvalaball.bsky.social · 28/09/2026

Among 39,761 students, 21.1% used generative AI for emotional support. Affective AI use was associated with more emotional problems after adjustment, but causality cannot be inferred. #YouthMentalHealth #AI jamanetwork.com/journals/jam...

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Prof. Josep Vidal Alaball @jvalaball.bsky.social · 27/09/2026

Scaling telemedicine takes more than technology. The WHO/Europe support tool helps health systems assess readiness, develop strategy, implement services and monitor progress. #Telemedicine #DigitalHealth www.who.int/europe/publi...

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Prof. Josep Vidal Alaball @jvalaball.bsky.social · 26/09/2026

An umbrella review of 18 reviews covering 973 studies across 63 countries found major heterogeneity in telemedicine implementation frameworks. Context-sensitive, evidence-based tools are needed. #Telemedicine www.jmir.org/2025/1/e70276

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Prof. Josep Vidal Alaball @jvalaball.bsky.social · 25/09/2026

Telemedicine needs more than technology. In a modified Delphi study, experts reached consensus on 78% of 58 implementation constructs, ranking monitoring, evaluation and optimisation highest. #Telemedicine journals.sagepub.com/doi/10.1177/...

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Prof. Josep Vidal Alaball @jvalaball.bsky.social · 24/09/2026

EHR nudges can support deprescribing. In a trial of 1,146 older adults, precommitment prompts increased deprescribing by 10.4 percentage points and booster reminders by 6.5 points versus usual care. #PrimaryCare #Deprescribing jamanetwork.com/journals/jam...

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Prof. Josep Vidal Alaball @jvalaball.bsky.social · 23/09/2026

More time can broaden primary care. Across 191,269 visits, reduced time pressure was linked to more diagnoses addressed and more diagnostic tests, especially in multimorbidity, with modest effects. #PrimaryCare jamanetwork.com/journals/jam...

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Prof. Josep Vidal Alaball @jvalaball.bsky.social · 22/09/2026

Could AI-guided handheld ultrasound bring heart-failure detection closer to primary care? A Spanish pilot trained family physicians to perform 12–15-minute exams, potentially reducing referrals, waits and costs. #PrimaryCare #POCUS #AI www.annfammed.org/content/24/4...

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Prof. Josep Vidal Alaball @jvalaball.bsky.social · 21/09/2026

In a cluster-randomized trial across 16 Kenyan primary care facilities, LLM-assisted decision support was safe but did not significantly reduce 14-day treatment failure. It did improve documentation. #AI #PrimaryCare www.nature.com/articles/s41...

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Prof. Josep Vidal Alaball @jvalaball.bsky.social · 20/09/2026

In 80,039 adults across 48 primary care clinics, patient reminders, automatic vaccine orders and clinician peer comparisons raised influenza vaccination by 5.1 percentage points. #PrimaryCare #Vaccination jamanetwork.com/journals/jam...

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Prof. Josep Vidal Alaball @jvalaball.bsky.social · 19/09/2026

Our systematic review of 29 RCTs found that mHealth interventions reduced depressive symptoms versus nonactive controls, with hybrid approaches showing the strongest results. High heterogeneity underlines the need for personalized care. #DigitalMentalHealth mental.jmir.org/2023/1/e46877

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Prof. Josep Vidal Alaball @jvalaball.bsky.social · 18/09/2026

In our survey of 120 GPs, 72% of diagnoses across 22 skin-lesion images were correct. Smartphone photography can support dermatology in primary care, but further training in image interpretation is needed. #Teledermatology journals.sagepub.com/doi/full/10....

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Prof. Josep Vidal Alaball @jvalaball.bsky.social · 17/09/2026

Across 233,809 US traffic fatalities, major album release days were linked to a 15.1% increase in deaths as music streaming surged by 43%—a warning about smartphone-related distracted driving. #RoadSafety jamanetwork.com/journals/jam...

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Prof. Josep Vidal Alaball @jvalaball.bsky.social · 16/09/2026

Among 13,423 adults aged 65+, higher objectively measured fitness was linked to lower all-cause mortality over 7 years. Balance/agility, lower-body strength and cardiorespiratory fitness showed the strongest links. #HealthyAgeing jamanetwork.com/journals/jam...

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Prof. Josep Vidal Alaball @jvalaball.bsky.social · 16/09/2026

3/3 💻 An important message: digital tools can support #SocialPrescribing, but should complement, not replace, relational support. A common framework that can be adapted to different European #PrimaryCare contexts. @peppomar.bsky.social

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Prof. Josep Vidal Alaball @jvalaball.bsky.social · 16/09/2026

2/3 🌍 The European consensus highlights key link worker functions: connecting people with community resources, advocacy, follow-up and documentation. Communication and navigation training, supervision and continued professional development are also essential.

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Prof. Josep Vidal Alaball @jvalaball.bsky.social · 15/09/2026

A rapid review found only 6 real-world studies of ambient AI scribes. Documentation time generally fell and clinician engagement improved, but burnout and productivity did not—and evidence remains sparse. #AmbientAI ai.jmir.org/2025/1/e76743

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Prof. Josep Vidal Alaball @jvalaball.bsky.social · 14/09/2026

Our proof-of-concept study in Catalan primary care found AI note generation feasible, with high patient satisfaction, positive clinician ratings and 26% of drafts requiring no edits. #AmbientAI #PrimaryCare ai.jmir.org/2026/1/e80549/

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Prof. Josep Vidal Alaball @jvalaball.bsky.social · 13/09/2026

Evaluating the Accuracy and Usability of the WHO Skin NTD App as a capacity building tool in Kenya url: academic.oup.com/eurpub/artic...

academic.oup.com

Validate User

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Prof. Josep Vidal Alaball @jvalaball.bsky.social · 13/09/2026

This is a very good question! it is clear that we need a longer study...

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Prof. Josep Vidal Alaball @jvalaball.bsky.social · 13/09/2026

In >20,000 primary care visits, ambient AI scribe use was associated with more neuropsychiatric symptom documentation but fewer depression-related interventions. More research is needed. #AmbientAI jamanetwork.com/journals/jam...

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Prof. Josep Vidal Alaball @jvalaball.bsky.social · 12/09/2026

Across 5 standardized primary care cases, human-produced notes outscored AI-generated notes in all 10 quality domains—especially thoroughness, organization and usefulness. Independent evaluation matters. #AmbientAI www.acpjournals.org/doi/10.7326/...

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Prof. Josep Vidal Alaball @jvalaball.bsky.social · 11/09/2026

After 30 days with an ambient AI scribe, burnout fell from 51.9% to 38.8% among ambulatory clinicians across 6 US health systems. Cognitive workload and after-hours documentation also improved. #AmbientAI jamanetwork.com/journals/jam...

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Prof. Josep Vidal Alaball @jvalaball.bsky.social · 10/09/2026

Ambient AI scribes showed promise in a 46-clinician outpatient pilot: 20% less note time per visit and 30% less after-hours work, alongside mixed feedback on note quality. #AmbientAI jamanetwork.com/journals/jam...

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Prof. Josep Vidal Alaball @jvalaball.bsky.social · 09/09/2026

In 405 healthcare workers, higher antibody and neutralisation levels predicted better protection against Omicron BQ.1/XBB breakthrough infection, although the association weakened over time. #COVID19 www.nature.com/articles/s43...

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Prof. Josep Vidal Alaball @jvalaball.bsky.social · 08/09/2026

Virtual reality can make childhood vaccination easier. In a 300-child trial, 53.3% using VR reported no pain at first vaccination vs 25.3% with usual care, with lower anxiety too. #PrimaryCare #VR journals.plos.org/plosone/arti...

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Prof. Josep Vidal Alaball @jvalaball.bsky.social · 08/09/2026

2/2 🌐 Ongoing and completed projects, scientific publications, research areas, innovation initiatives and opportunities to participate in studies and clinical trials. Research rooted in our territory, generating knowledge to transform healthcare. #PrimaryCare #Research #Innovation #ICSCatCentral

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Prof. Josep Vidal Alaball @jvalaball.bsky.social · 08/09/2026

1/2 🔬 We have launched the new ICS Central Catalonia Research & Innovation website! A new platform to showcase the research carried out in primary and community care and make our projects and professionals’ work more visible and accessible. 👉 icscatcentralrecerca.cat

icscatcentralrecerca.cat

INICI ICS RECERCA

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Prof. Josep Vidal Alaball @jvalaball.bsky.social · 08/09/2026

2/2 🌐 Projectes en curs i finalitzats, publicacions científiques, línies de recerca, innovació i oportunitats per participar en estudis i assaigs clínics. Recerca feta des del territori per transformar la pràctica assistencial i millorar la salut. #Recerca #Innovació #AtencióPrimària #ICSCatCentral

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Prof. Josep Vidal Alaball @jvalaball.bsky.social · 08/09/2026

1/2 🔬 Estrenem nova plataforma web de Recerca i Innovació de l’ICS Catalunya Central! Un nou espai per fer més visible i accessible la recerca que fem des de l’atenció primària i comunitària i donar valor al talent dels nostres professionals. 👉 icscatcentralrecerca.cat

icscatcentralrecerca.cat

INICI ICS RECERCA

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Prof. Josep Vidal Alaball @jvalaball.bsky.social · 07/09/2026

Can we forecast healthcare demand without losing interpretability? CCLR-DL combines statistical feature selection with deep learning, validated on 6.3 million clinical visits over 10 years. #AI #HealthData www.sciencedirect.com/science/arti...

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Prof. Josep Vidal Alaball @jvalaball.bsky.social · 06/09/2026

Digital tools can support healthier eating in adolescents. Our review identified goal-setting, feedback, social support and self-monitoring among key behaviour-change strategies. #DigitalHealth #Nutrition www.sciencedirect.com/science/arti...

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Prof. Josep Vidal Alaball @jvalaball.bsky.social · 05/09/2026

We analysed 755,215 posts from Italy, the UK and Egypt to explore how people made sense of COVID-19. Narratives evolved across pandemic phases, highlighting the need for context-sensitive crisis communication. #PublicHealth www.jmir.org/2025/1/e58656/

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Prof. Josep Vidal Alaball @jvalaball.bsky.social · 04/09/2026

Can digital health help manage depression in primary care? Our meta-analysis of 29 controlled studies found a small but significant reduction in depressive symptoms, sustained at 6–12 months. #DigitalHealth www.sciencedirect.com/science/arti...

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Prof. Josep Vidal Alaball @jvalaball.bsky.social · 03/09/2026

Informació o incentius? En 272 CAP catalans, la informació en temps real va millorar el 75% dels indicadors, davant del 64% amb incentius econòmics. #AtencióPrimària lagestioimporta.cat/arees/millor...

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Prof. Josep Vidal Alaball @jvalaball.bsky.social · 02/09/2026

T-cell responses to the highly mutated BA.2.86 variant remained largely preserved and were strongly shaped by the type of first antigen exposure—vaccination or infection. #COVID19 #TCells www.journalofinfection.com/article/S016...

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Prof. Josep Vidal Alaball @jvalaball.bsky.social · 01/09/2026

Repeated mRNA vaccination was associated with SARS-CoV-2 IgG4/IgG2 class switching. Higher IgG4 levels were associated with more breakthrough infections and reduced antibody functionality. #COVID19 www.journalofinfection.com/article/S016...

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