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Loch MR, Augusto NA, Souza BLS, Rufino JV, Carvalho FFBD. Association between physical activity domains and depressive symptoms among Brazilian adults: does every move count? CAD SAUDE PUBLICA 2024; 40:e00095723. [PMID: 38477730 PMCID: PMC10929886 DOI: 10.1590/0102-311xpt095723] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2023] [Revised: 10/17/2023] [Accepted: 10/19/2023] [Indexed: 03/14/2024] Open
Abstract
This study aimed to investigate the practice of physical activities in the four domains (leisure time, transportation, household, and work) and the prevalence of depressive symptoms in Brazilian adults, in general and stratified by sex, schooling level, and having or not a self-reported diagnosis of depression. This is a cross-sectional study with data from 88,531 individuals aged 18 years or older, who responded to the Brazilian National Health Survey in 2019. The depressive symptoms were evaluated by the Patient Health Questionnaire-9 (PHQ-9). Those who practice physical activities at least once a week in a given domain were considered physically active. Additionally, the calculation of physical activities duration was conducted and later divided into quartiles for each domain. For the association analyses, the crude odds ratio (crudeOR) and adjusted odds ratio (adjustedOR) were calculated for the total and stratified analyses. Individuals who are physically active during leisure time showed a lower chance of presenting depressive symptoms, in total (adjustedOR = 0.74; 95%CI: 0.64-0.86) and in all stratifications, except for individuals with self-reported depression. The associations of leisure-time physical activity were most frequent in those who practice from 121 to 360 minutes/week. The individuals who were active in the transportation, household, and work domains had a higher chance of presenting depressive symptoms in some groups, with more consistent results for household physical activities. The results showed that the relationship between physical activities and depression among Brazilians varies according to domain and duration, and that the concept that "every move counts" seemed to be correct only for the leisure-time domain.
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Pimentel SM, de Avila MAG, de Medeiros VDA, Prata RA, Nunes HRDC, da Silva JB. Factors related to health literacy among Brazilian adolescents: cross-sectional study. Rev Esc Enferm USP 2024; 58:e20230310. [PMID: 38407465 PMCID: PMC10896200 DOI: 10.1590/1980-220x-reeusp-2023-0310en] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2023] [Accepted: 01/05/2024] [Indexed: 02/27/2024] Open
Abstract
OBJECTIVE To analyze the relationship between sociodemographic and clinical factors with health literacy in Brazilian adolescents. METHOD This is a cross-sectional study with 526 adolescents aged 14 to 19. Data were collected virtually between July and September 2021 using a sociodemographic characterization questionnaire, clinical profile and the Health Literacy Assessment Tool - Portuguese version. The variables were evaluated by multiple linear regression with normal response, with significance p < 0.05. RESULTS The average age was 16.9 years (±1.6), the average health literacy score was 25.3 (±5.4). Female gender (p = 0.014), university educational level (p = 0.002) and use of medication (p = 0.020) were related to higher levels of health literacy. Adolescents with chronic illnesses had a higher total literacy score, on average 1.51 points, compared to those without chronic illnesses. CONCLUSION Male adolescents and those with less education performed worse in health literacy and, therefore, deserve special attention in health promotion actions.
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Affiliation(s)
| | | | | | - Rafaela Aparecida Prata
- Universidade Estadual Paulista “Júlio de Mesquita Filho”, Faculdade de Medicina de Botucatu, Botucatu, SP, Brazil
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de Sousa RCR, de Paula WKAS, Alves FAP, de Albuquerque MIN, Albuquerque GA, Coriolano-Marinus MWDL. Continuing education on child development in primary care: healthcare workers' perspectives. Rev Esc Enferm USP 2023; 57:e20230189. [PMID: 38131442 PMCID: PMC10743572 DOI: 10.1590/1980-220x-reeusp-2023-0189en] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2023] [Accepted: 10/10/2023] [Indexed: 12/23/2023] Open
Abstract
OBJECTIVE To analyze the contributions of a continuing education with Primary Health Care professionals that promotes child development. METHOD A continuing education intervention, utilizing a qualitative approach, was conducted among healthcare workers at a Primary Health Care facility in a low-income neighborhood in the city of Recife. The intervention consisted of eight workshops conducted between July and October 2019, with the participation of fifteen healthcare workers. All data from the focus groups were recorded, transcribed, and analyzed thematically using Bronfenbrenner's bioecological model as the theoretical framework. RESULTS Through the continuing education intervention, healthcare professionals were able to reflect on their work processes and personal lives and propose actions to improve child development. CONCLUSION The study findings highlight the significant impact of such interventions in changing perceptions and professional practices related to child development. Overall, this research provides valuable insights into the effectiveness of continuing education interventions for promoting healthy child development in primary care settings.
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Carvalho IJSDA, de França ISX, de Sousa FS, Linhares FMP, Lira ALBDC, Coura AS. Informal caregivers of children with cerebral palsy ways of coping with the uncertainty of illness. Rev Esc Enferm USP 2023; 57:e20230115. [PMID: 38100602 PMCID: PMC10723799 DOI: 10.1590/1980-220x-reeusp-2023-0115en] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2023] [Accepted: 10/10/2023] [Indexed: 12/17/2023] Open
Abstract
OBJECTIVE To unveil the process of collective construction of interventions for coping by informal caregivers of children with cerebral palsy using the Theory of Uncertainty in Illness. METHOD Qualitative action-research in a hybrid format with informal caregivers of children with cerebral palsy registered with the Raros group in Petrolina, Pernambuco. The research followed the planned intervention cycle, going through four phases. The analysis was carried out using the IRAMUTEQ software and content analysis. RESULTS Interventions were designed collectively, both virtually and in person, which resulted in improvements for informal caregivers in coping with the conditions associated with the disability, promotion of self-care, empowerment and the construction of a sense of belonging to the group. There were 12 participants, all of whom were mothers. CONCLUSION There was a facilitation of the process of coping with uncertainty in the disease on the part of the informal caregiver of children with cerebral palsy and it was evidenced that for this a prismatic perspective is necessary, which understands that the uncertainties are not only related to the conditions associated with cerebral palsy, but involve subjective aspects of the caregivers.
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Affiliation(s)
| | | | | | | | | | - Alexsandro Silva Coura
- Universidade Estadual da Paraíba, Departamento de Enfermagem, Campina Grande, PA, Brazil
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Gueroni LPB, Pompeo DA, Eid LP, Ferreira MA, Sequeira CADC, Lourenção LG. Interventions for Strengthening General Self-Efficacy Beliefs in College Students: An Integrative Review. Rev Bras Enferm 2023; 77:e20230192. [PMID: 38088690 PMCID: PMC10704674 DOI: 10.1590/0034-7167-2023-0192] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2023] [Accepted: 09/02/2023] [Indexed: 12/18/2023] Open
Abstract
OBJECTIVE To assess the evidence regarding the effectiveness of interventions aimed at strengthening self-efficacy beliefs in college students. METHODS Integrative Review conducted on the Lilacs, PubMed, CinahL, Cochrane Collaboration Databases, Scopus, and PsycInfo databases. The methodological quality of the studies was assessed using tools proposed by the Joanna Briggs Institute, and the results were analyzed descriptively. RESULTS Out of the 10 selected studies, six demonstrated that interventions aimed at strengthening self-efficacy were effective (Levels of Evidence II and III), and four revealed contrary results (Levels of Evidence I and II). Programs aimed at enhancing self-efficacy should include content on positive mental health, psychoeducation strategies, cover a period of eight to twelve weeks, and consider the completion of homework assignments. CONCLUSION The synthesis of evidence pointed to pathways for building an effective self-efficacy strengthening program to be implemented in universities.
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Affiliation(s)
| | - Daniele Alcalá Pompeo
- Faculdade de Medicina de São José do Rio Preto. São José do Rio Preto, São Paulo, Brazil
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Farias ODO, Fontenele MGM, Lima FET, Galvão MTG, da Silva VM, Lopes MVDO. Analysis of the health advocacy concept from the perspective of the evolutionary method. Rev Esc Enferm USP 2023; 57:e20230170. [PMID: 37882698 PMCID: PMC10601892 DOI: 10.1590/1980-220x-reeusp-2023-0170en] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/20/2023] [Accepted: 08/09/2023] [Indexed: 10/27/2023] Open
Abstract
OBJECTIVE To analyze the concept of Health Advocacy from the methodological framework of the Evolutionary Model. METHOD The concept of interest was evaluated from the perspective of published studies identified in the databases: Web of Science, CINAHL, EMBASE, SCOPUS, MEDLINE and articles of interest. The attributes were determined from 19 scientific productions. Data were analyzed using thematic analysis, proposed by Bardin. RESULTS The following operational definition was obtained: Health Advocacy is an intentional action, implemented jointly and in favor of individuals and communities, especially for those who suffer from health inequalities, with the aim of preserving and improving health, well-being and empowerment for health promotion. FINAL CONSIDERATIONS Thus, a broader concept of Health Advocacy was abstracted, from the micro to the macro, which contemplates the development of the patient's autonomy; includes individuals and groups in care plans and involves them in political activities as possibilities to provide assistance and correct health inequalities.
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Silva JDPD, Martins IV, Braga LHR, Oliveira CMD, Lima-Costa MF, Braga LDS, Torres JL. Differences in determinants of active aging between older Brazilian and English adults: ELSI-Brazil and ELSA. CAD SAUDE PUBLICA 2023; 39:e00076823. [PMID: 37851723 PMCID: PMC10599105 DOI: 10.1590/0102-311xen076823] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2023] [Revised: 06/30/2023] [Accepted: 07/10/2023] [Indexed: 10/20/2023] Open
Abstract
This study aimed to investigate differences in determinants of active aging between older Brazilian and English adults and to verify the association of behavioral, personal, and social determinants with physical health. This cross-sectional study was based on the ELSI-Brazil (2015-2016) and ELSA (2016-2017) cohorts. Active aging determinants included behavior (smoking, sedentary lifestyle, and poor sleep quality), personal (cognitive function and life satisfaction), and social determinants (education, loneliness, and volunteering), according to the World Health Organization. Physical health included activities limitation and multimorbidity. We estimated age- and sex-adjusted prevalence for each indicator and mean score, and used the negative binomial regression for statistical analysis. We included 16,642 participants, 9,409 from Brazil and 7,233 from England. Overall, all active aging determinants were worse in Brazil than in England, except for life satisfaction (no difference). The most remarkable difference was found for social determinants score in Brazil (mean difference of 0.18; p < 0.05), mainly due to a significantly lower education level in Brazil (70.6%; 95% confidence interval - 95%CI: 69.7-71.5) than England (37.1%; 95%CI: 35.1-39.1). All determinants (behavioral, personal, and social) were associated with health in Brazil and in England. However, the behavioral domain was stronger associated with health in England (coefficient = 2.76; 95%CI: 2.46-3.10) than in Brazil (coefficient = 1.38; 95%CI: 1.26-1.50; p < 0.001). Older English adults beneficiate more from healthier behaviors than Brazilians, which depend more on social policies.
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Affiliation(s)
| | | | | | | | - Maria Fernanda Lima-Costa
- Universidade Federal de Minas Gerais, Belo Horizonte, Brasil
- Instituto René Rachou, Fundação Oswaldo Cruz, Belo Horizonte, Brasil
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Guedes DP, Yamaji BHS, Zuppa MA. Independent and combined effects of lifestyle behaviors on adolescent health-related quality of life. Rev Bras Enferm 2023; 76:e20220780. [PMID: 37820155 PMCID: PMC10561926 DOI: 10.1590/0034-7167-2022-0780] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2023] [Accepted: 03/29/2023] [Indexed: 10/13/2023] Open
Abstract
OBJECTIVE To investigate the independent and combined effects of lifestyle behaviors, including physical activity, sedentary behavior, sleep duration and food intake, in the health-related quality of life (HRQoL) of Brazilian adolescents. METHODS Cross-sectional school-based study, with the participation of 306 adolescents aged 14 to 18 years. A questionnaire was applied with structured questions to collect lifestyle behaviors data. Perception of the HRQoL was identified using the Kidscreen-27. The study used covariance analysis and linear regression models for statistical analysis. RESULTS Adolescents who reported ≤ 2 hours/day of screen-based sedentary behavior and sleep duration equivalent to 8-10 hours/night presented significantly higher HRQoL. Adolescents who reported joint adherence ≥ 3 healthy lifestyle behaviors demonstrated approximately two [OR=2.12] to three times [OR=3.04] more chance of presenting higher perceptions of HRQoL. CONCLUSION Although healthy lifestyle behaviors had a positive independent effect on HRQoL, joint adherence to healthy behaviors enhances the cumulative effect.
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Atará-Piraquive ÁP, Forero-Suárez LL, Cárdenas-Martinez JF, Cantor-Cutiva LC. Effect of an online Workplace Vocal Health and Low Stress Levels Promotion Program implemented in a Colombian university during COVID-19 pandemic. Codas 2023; 35:e20220052. [PMID: 37672412 PMCID: PMC10547140 DOI: 10.1590/2317-1782/20232022052] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2022] [Accepted: 11/09/2022] [Indexed: 09/08/2023] Open
Abstract
PURPOSE To determine the effect of an online Workplace Vocal Health and Low Stress Levels (WVHLS) Promotion Program implemented in a Colombian university during COVID-19 pandemic. METHODS This research was a quasi-experimental study. Twenty-nine professors participated in this study within two groups: (1) intervention group (n=17) or (2) non-intervention group (n=12). Participants in the intervention group took part in four virtual sessions about how to improve vocal health and strategies to reduce stress levels during their homeworking and online classes. Teachers filled in a questionnaire including questions about working conditions, work-related stress, and the voice functioning (including the Vocal Fatigue Index-VFI). They also recorded a voice sample of a sustained vowel on two separate occasions (before and after the follow-up). RESULTS At the end of the follow-up, there was a tendency to reduce Factor 1 of VFI in the intervention group. Although, all participants had a longer MPT at the end of the study compared with the baseline measures, males in the intervention group had longer MPT compared with other participants. CONCLUSION Our results suggest a positive effect of a WVHLS promotion program on reducing vocal fatigue perception measured by means of the Vocal Fatigue Index and improving coordination and control of breathing speech measured MPT. These changes at the end of the follow-up may indicate that holistic programs that include voice care recommendations, breathing exercises, vocal warm-up, cold-down and laryngeal relaxation vocal exercises, and stress management may be beneficial for reducing work-related stress and voice symptoms among professors.
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Affiliation(s)
| | - Leidy Lorena Forero-Suárez
- Departamento de Salud de Colectivos, Facultad de Enfermería, Universidad Nacional de Colombia - Bogotá, Colombia.
| | | | - Lady Catherine Cantor-Cutiva
- Departamento de Salud de Colectivos, Facultad de Enfermería, Universidad Nacional de Colombia - Bogotá, Colombia.
- Communicative Sciences and Disorders Department, Michigan State University - East Lansing (MI), United States of America.
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Alves RDS, Sousa LRM, de Moura JP, Gir E, Reis RK. Effectiveness of educational intervention among seropositive women about knowledge about HIV sexual transmission. Rev Bras Enferm 2023; 76:e20220371. [PMID: 37610951 PMCID: PMC10441211 DOI: 10.1590/0034-7167-2022-0371] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2022] [Accepted: 01/30/2023] [Indexed: 08/25/2023] Open
Abstract
OBJECTIVES to assess the effectiveness of a group and telephone educational intervention with seropositive women about knowledge about HIV sexual transmission prevention. METHODS a quasi-experimental before-and-after study, carried out with 151 women living with HIV in a Specialized Care Service in a Brazilian capital. The educational intervention was carried out in three moments, with the assessment being carried out before the first and after the last moment. RESULTS 97.4% of study participants were cisgender women aged between 18 and 58 years; 55.6% considered themselves brown; and 32.5% of interviewees had elementary school. Regarding knowledge about HIV sexual transmission, in 78.5% of items, there was an association (p<0.005) with increased participants' knowledge after receiving the intervention. CONCLUSIONS the educational intervention helped to increase the knowledge of women living with HIV about the sexual transmission of the infection.
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Affiliation(s)
| | | | | | - Elucir Gir
- Universidade de São Paulo. Ribeirão Preto, São Paulo, Brazil
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Penachiotti FDF, Yamaguchi MU, Mana A, Sagy S, Grossi-Milani R. Sense of coherence and social support as predictors of mental health during COVID-19 pandemic. Rev Bras Enferm 2023; 76Suppl 1:e20220468. [PMID: 37556675 PMCID: PMC10405388 DOI: 10.1590/0034-7167-2022-0468] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2022] [Accepted: 03/29/2023] [Indexed: 08/11/2023] Open
Abstract
OBJECTIVES to verify the role of sense of coherence, sense of national coherence, social support and trust in institutions to predict mental health in Brazilians during the COVID-19 pandemic. METHODS a cross-sectional study, carried out from November, 2020 to January, 2021 via an online survey. Standardized instruments were used. The sample consisted of 1,630 Brazilians. Pearson's correlation and linear regression were performed in data analysis. RESULTS sense of coherence was the only predictor of anxiety [β= -0.61; p<0.001], explaining 38% of the variance in its scores, while sense of coherence [β= 0.52; p<0.001], sense of national coherence [β= 0.16; p<0.001], and social support [β= 0.15; p<0.001] predicted positive mental health and together explained 51% of its variance. CONCLUSIONS the findings suggest that sense of coherence, sense of national coherence and social support represent important predictors for mental health and that strengthening these resources, could potentially promote Brazilians' mental health.
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Affiliation(s)
| | - Mirian Ueda Yamaguchi
- Universidade Cesumar. Maringá, Paraná, Brazil
- Cesumar Institute of Science, Technology and Innovation. Maringá, Paraná, Brazil
| | - Adi Mana
- Peres Academic Center. Rehovot, Israel
| | - Shifra Sagy
- Ben-Gurion University of the Negev. Beer Sheva, Israel
| | - Rute Grossi-Milani
- Universidade Cesumar. Maringá, Paraná, Brazil
- Cesumar Institute of Science, Technology and Innovation. Maringá, Paraná, Brazil
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Vasconcelos BF, Vilhena DDA, Vasconcelos LF, Corrêa PMMG, da Costa MCP, Santos JN, Machado TPG. Content validity of the Post-Stroke Guidance and Follow-up Booklet. Rev Bras Enferm 2023; 76:e20220532. [PMID: 37556694 PMCID: PMC10405396 DOI: 10.1590/0034-7167-2022-0532] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2022] [Accepted: 07/02/2023] [Indexed: 08/11/2023] Open
Abstract
OBJECTIVES to provide sources of content validity evidence for the Post-Stroke Guidance and Follow-up Booklet. METHODS a quantitative-qualitative approach, using two Delphi method and content analysis rounds. The Educational Content Validation Instrument in Health was sent to 53 independent judges. A Content Validity Index above 0.90 was considered. RESULTS of the 14 nurses who participated, 64.3% have experience with stroke care, 35.7% with primary care and 64.3% with educational material production. In content analysis, judges' suggestions were stratified into four categories: material conformation, objectivity, accuracy and perception. Spelling changes were made to the images, addition of functionality scale, adequacy of technical terms and language. The Content Validity Index in the second round showed a concordance of 0.97. CONCLUSIONS the booklet presented satisfactory content validity sources of evidence.
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Affiliation(s)
| | | | | | | | | | - Juliana Nunes Santos
- Universidade Federal dos Vales do Jequitinhonha e Mucuri. Diamantina, Minas Gerais, Brazil
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de Melo RC, da Silva LALB, Toma TS, de Araújo BC, Luquine CD, Milhomens LDM, Melo DS, de Bortoli MC, Barreto JOM. Telessaúde no consumo e comportamento alimentar em adultos: uma revisão rápida de revisões sistemáticas. Rev Panam Salud Publica 2023; 47:e47. [PMID: 37008677 PMCID: PMC10065307 DOI: 10.26633/rpsp.2023.47] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2022] [Accepted: 10/05/2022] [Indexed: 04/03/2023] Open
Abstract
Objetivo. Sintetizar as evidências sobre os efeitos de intervenções de telessaúde oferecidas por meio de aplicativos de celular e de mensagens de texto no comportamento de adultos com vistas à alimentação saudável. Métodos. Foi realizada uma revisão rápida por meio de buscas em nove bases eletrônicas da literatura para identificar revisões sistemáticas publicadas em inglês, português e espanhol que avaliassem estratégias de telessaúde comparadas a atendimento presencial para melhoria da alimentação na população adulta (18 a 59 anos). As buscas foram realizadas em novembro de 2020 e atualizadas em abril de 2022. As revisões sistemáticas incluídas foram avaliadas quanto à qualidade metodológica com a ferramenta AMSTAR 2. Resultados. Cinco revisões sistemáticas foram incluídas, sendo uma com avaliação de confiança moderada e as demais com confiança criticamente baixa. Verificou-se uma escassez de estudos comparando o uso de estratégias de telessaúde com o atendimento presencial para a promoção da alimentação saudável em adultos. Os resultados mais consistentes referem-se ao aumento no consumo de frutas e vegetais com o uso de aplicativo ou mensagens de texto, além de melhoria do padrão alimentar de pessoas com diabetes ou intolerância à glicose com o uso de mensagens de texto. Conclusão. A maioria das análises de intervenções utilizando aplicativos de celular ou mensagens de texto mostrou efeitos positivos nos desfechos de alimentação saudável. No entanto, esses achados se referem aos poucos ensaios clínicos com amostras pequenas de participantes incluídos nas revisões sistemáticas da presente revisão rápida, a maioria de baixa qualidade metodológica. Conclui-se que há uma lacuna no conhecimento, sendo importante a realização de estudos metodologicamente mais robustos.
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Affiliation(s)
- Roberta Crevelário de Melo
- Secretaria de Estado de SaúdeInstituto de SaúdeNúcleo de EvidênciasSão Paulo (SP)BrasilSecretaria de Estado de Saúde, Instituto de Saúde, Núcleo de Evidências, São Paulo (SP), Brasil.
| | - Letícia Aparecida Lopes Bezerra da Silva
- Secretaria de Estado de SaúdeInstituto de SaúdeNúcleo de EvidênciasSão Paulo (SP)BrasilSecretaria de Estado de Saúde, Instituto de Saúde, Núcleo de Evidências, São Paulo (SP), Brasil.
| | - Tereza Setsuko Toma
- Secretaria de Estado de SaúdeInstituto de SaúdeNúcleo de EvidênciasSão Paulo (SP)BrasilSecretaria de Estado de Saúde, Instituto de Saúde, Núcleo de Evidências, São Paulo (SP), Brasil.
| | - Bruna Carolina de Araújo
- Secretaria de Estado de SaúdeInstituto de SaúdeNúcleo de EvidênciasSão Paulo (SP)BrasilSecretaria de Estado de Saúde, Instituto de Saúde, Núcleo de Evidências, São Paulo (SP), Brasil.
| | - Cézar Donizetti Luquine
- Secretaria de Estado de SaúdeInstituto de SaúdeNúcleo de EvidênciasSão Paulo (SP)BrasilSecretaria de Estado de Saúde, Instituto de Saúde, Núcleo de Evidências, São Paulo (SP), Brasil.
| | - Lais de Moura Milhomens
- Secretaria de Estado de SaúdeInstituto de SaúdeNúcleo de EvidênciasSão Paulo (SP)BrasilSecretaria de Estado de Saúde, Instituto de Saúde, Núcleo de Evidências, São Paulo (SP), Brasil.
| | - Daiane Sousa Melo
- Secretaria de Estado de SaúdeInstituto de SaúdeNúcleo de EvidênciasSão Paulo (SP)BrasilSecretaria de Estado de Saúde, Instituto de Saúde, Núcleo de Evidências, São Paulo (SP), Brasil.
| | - Maritsa Carla de Bortoli
- Secretaria de Estado de SaúdeInstituto de SaúdeNúcleo de EvidênciasSão Paulo (SP)BrasilSecretaria de Estado de Saúde, Instituto de Saúde, Núcleo de Evidências, São Paulo (SP), Brasil.
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Faustino GPDS, da Silva MO, de Almeida AJ, Ferreira MDA. Outline of a project for nursing health education on the Instagram social network. Rev Bras Enferm 2023; 76:e20220301. [PMID: 36995823 PMCID: PMC10042475 DOI: 10.1590/0034-7167-2022-0301] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2022] [Accepted: 10/29/2022] [Indexed: 03/29/2023] Open
Abstract
Objectives: to characterize the outline of a project for health education and its contributions to the propagation of information on the Instagram social network. Methods: exploratory and descriptive research on an Instagram profile called “@resenhadasaude”;. Data collection: from July 23, 2020, to April 21, 2021. Interaction metrics were generated on 36 posts. Simple and percentage statistical analysis were applied. Results: there are 1,016 followers in Brazil, with a 206.02% growth. The largest audience is teenagers, young people, and women, with a gender difference of 41.8%. The greatest interest was about covid-19, sexual health, and drugs. Followers’ misconceptions reinforce the need for the dissemination of quality information. Conclusions: Instagram metrics point to the project’s validation in terms of audience interest, mostly adolescents and youth. Instagram proved to be powerful for educational purposes and information dissemination, as well as an autonomous field for nursing.
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Muniz EA, Queiroz MVO, Pinheiro PNDC, da Silva MRF, Moreira TMM, Oliveira EN, de Almeida IFDP, Barbosa VC. School Nursing Guide for student health promotion: construction and validity. Rev Bras Enferm 2022; 76:e20220260. [PMID: 36542056 PMCID: PMC9749768 DOI: 10.1590/0034-7167-2022-0260] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2022] [Accepted: 08/02/2022] [Indexed: 12/23/2022] Open
Abstract
OBJECTIVES to describe the process of construction and validity of a School Nursing Guide for student health promotion. METHODS a methodological study, carried out from February to December 2021, composed of Convergent Care Research based on Pender's Health Promotion Model. Based on the literature and dialogue with 11 nurses in the seven online focus groups, actions were constructed. Subsequently, 24 judges assessed content and appearance. RESULTS the guide proposes strategies for developing school nursing practices focusing on health promotion. The Appearance Validity Index ranged from 0.63 to 1.0, and the total was 0.84. The Content Validity Index ranged from 0.95 to 1.0, and the total was 0.997. CONCLUSIONS the guide incorporated the needs of young people recognized by professionals, and the assessment phase confirms its validity, and can be used in the context of practice with young people.
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Affiliation(s)
- Emanoel Avelar Muniz
- Instituto Federal de Educação, Ciência e Tecnologia do Ceará. Acaraú, Ceará, Brazil,Universidade Estadual do Ceará. Fortaleza, Ceará, Brazil
| | | | | | | | | | | | | | - Valter Cordeiro Barbosa
- Universidade Estadual do Ceará. Fortaleza, Ceará, Brazil,Instituto Federal de Educação, Ciência e Tecnologia do Ceará. Aracati, Ceará, Brazil
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Farias PADM, Raposo SRF, Pereira HJADR. Health promotion at work: assessment of lifestyles of administrative assistants in a hospital. Rev Esc Enferm USP 2022; 56:e20220198. [PMID: 36122364 PMCID: PMC10081597 DOI: 10.1590/1980-220x-reeusp-2022-0198en] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2022] [Accepted: 07/26/2022] [Indexed: 11/21/2022] Open
Abstract
OBJECTIVE To characterize the lifestyles of administrative assistants in a hospital, in order to define health promotion strategies in the workplace. METHOD A quantitative, descriptive, cross-sectional study, carried out with administrative assistants (N = 167) of a medium-sized Portuguese hospital. The data were collected through a questionnaire (QEV&PS-SO) for sociodemographic characterization and analysis of health determinants related to lifestyles. RESULTS It was observed that 54% of the sample did not practice physical exercise, 52% had four or fewer meals a day, 29% were smokers, 51% had insomnia, and 45% had no health surveillance, as well as 51.5% were overweight or obese and 63% had an increased or very increased risk of developing metabolic complications. No significant differences were identified in relation to weight, physical exercise or stress according to sex or age. CONCLUSION The results support the need to develop intervention programs with strategies aimed at promoting healthy lifestyles among workers in health institutions, to be comprehensively integrated within the scope of occupational health.
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Kolchraiber FC, Tanaka LH, Negi LT, Atanes AC, de Souza KMJ. Effects of Cognitively Based Compassion Training in the outskirts: A mixed study. Rev Lat Am Enfermagem 2022; 30:e3575. [PMID: 35507959 PMCID: PMC9052775 DOI: 10.1590/1518-8345.5691.3575] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2021] [Accepted: 01/30/2022] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE to analyze the effects of Cognitively Based Compassion Training (CBCT®) among people in situations of social vulnerability. METHOD a mixed, sequential and transformative study with the same QUAL→QUAN weight. Focus Groups were applied at the beginning (n=24) and three months (n=11) after CBCT®, to understand the participants' knowledge about emotions, (self)care and stress situations. Content analysis was performed in the WebQDA software. The participants (n=65) were randomized into control (n=31) and intervention (n=34) to assess self-compassion, perceived stress, and positive and negative affects at three time moments. The mixed factorial ANOVA analysis considered within-participants (time) and between-participants (place and group) factors. RESULTS mean age (37), female gender (88%), single (51%) and black-skinned people (77%). The following thematic categories emerged before the course: "Reducing others' suffering as a bridge to conscious self-care" and "Social vulnerability as a potentiator of low emotional literacy". Subsequently, self-compassion and awareness of the mental states for social activism. The quantitative analysis showed a significant increase in self-compassion within-participants (p=0.003); group factor (p<0.001); perceived stress reduction (p=0.013); negative affects group factor (p=0.005); and increase in positive affects (p<0.001) within-participants. CONCLUSION CBCT®️ exerted a positive effect on individual well-being and a positive impact on community engagement to promote social well-being in the outskirts. Brazilian Registry of Clinical Trials (RBR-3w744z.) in April 2019.
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Affiliation(s)
- Flávia Cristiane Kolchraiber
- Universidade Federal de São Paulo, Escola Paulista de Enfermagem, São Paulo, SP, Brasil
- Bolsista da Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES), Brasil
| | - Luiza Hiromi Tanaka
- Universidade Federal de São Paulo, Escola Paulista de Enfermagem, São Paulo, SP, Brasil
| | - Lobsang Tenzin Negi
- Emory University, Center for Contemplative Science and Compassion-Based Ethics, Atlanta, GA, Estados Unidos da América
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Mialhe FL, Moraes KL, Bado FMR, Brasil VV, Sampaio HADC, Rebustini F. Psychometric properties of the adapted instrument European Health Literacy Survey Questionnaire short-short form. Rev Lat Am Enfermagem 2021; 29:e3436. [PMID: 34231791 PMCID: PMC8253353 DOI: 10.1590/1518-8345.4362.3436] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2020] [Accepted: 09/12/2020] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE to investigate the psychometric properties of the Brazilian Portuguese version of the health literacy questionnaire European Health Literacy Survey Questionnaire short-short form (HLS-EU-Q6) in Brazilian adults. METHOD the instrument was translated and pre-tested in a sample of 50 individuals. Subsequently, it was applied to a sample of 783 adult individuals. The data went through an appropriate process of testing the properties, with the combination of techniques of Exploratory Factor Analysis, Confirmatory Factor Analysis and Item Response Theory. For the assessment of reliability, the Cronbach's alpha and McDonald's Omega indicators were used. Cross-validation with full data analysis was applied. RESULTS the majority of the participants was female (68.1%), with a mean age of 38.6 (sd=14.5) years old and 33.5% studied up to elementary school. The results indicated a unidimensional model with an explained variance of 71.23%, adequate factor load levels, commonality and item discrimination, as well as stability and replicability of the instrument to other populations. CONCLUSION the Brazilian version of HLS-EU-Q6 indicated that the instrument is suitable for indiscriminate application in the population to which it is intended to assess health literacy levels.
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Affiliation(s)
- Fábio Luiz Mialhe
- Universidade Estadual de Campinas, Faculdade de Odontologia de
Piracicaba, Piracicaba, SP, Brazil
| | | | - Fernanda Maria Rovai Bado
- Universidade Estadual de Campinas, Faculdade de Odontologia de
Piracicaba, Piracicaba, SP, Brazil
- Secretaria Municipal de Saúde, Piracicaba, SP, Brazil
| | | | | | - Flávio Rebustini
- Universidade de São Paulo, Escola de Artes, Ciências e Humanidades,
São Paulo, SP, Brazil
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Porcelli ICDS, Corsi NM, Fracasso MDLC, Pascotto RC, Cardelli AAM, Poli-Frederico RC, Nasser D, Maciel SM. ORAL HEALTH PROMOTION IN PATIENTS WITH MORBID OBESITY AFTER GASTROPLASTY: A RANDOMIZED CLINICAL TRIAL. Arq Bras Cir Dig 2019; 32:e1437. [PMID: 31460597 PMCID: PMC6713051 DOI: 10.1590/0102-672020190001e1437] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/28/2018] [Accepted: 03/15/2019] [Indexed: 12/17/2022]
Abstract
BACKGROUND The bariatric surgery may have negative repercussions on oral conditions. AIM To evaluate the impact of oral health educational/preventive program developed with patients submitted to gastroplasties. METHOD The sample consisted of 109 patients randomly allocated to two groups: intervention group (IG), where they participated in the oral health promotion program that include multiple educational-preventive approaches; control group (CG), where they received usual care from the bariatric clinic staff, without participation in the program. The oral conditions investigated in the pre-operative and postoperative periods of one month (1M) and six months (6M) were: dental caries, periodontal disease, tooth wear, dental plaque and salivary flow. RESULTS After bariatric surgery, patients in IG presented: fewer changes in enamel (6M: p=0.004), dentin (6M: p=0.005) and gingival bleeding (6M: p<0.0001), reduction in plaque index (1M, 6M: p<0.0001) and increased salivary flow (6M: p=0.039), when compared with CG. Incipient tooth wear was recorded in both groups (6M: p=0.713). CONCLUSION There was a positive impact of the implemented program in the prevention of the main oral health problems in patients who underwent gastroplasties, contributing to their quality of life.
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Affiliation(s)
| | - Nathalia Maciel Corsi
- Postgraduate Program in Communication, State University of Londrina (UEL), Londrina, PR
| | | | - Renata Corrêa Pascotto
- Postgraduate Program in Integrated Dentistry, State University of Maringá (UEM), Maringá, PR
| | | | | | - Daoud Nasser
- Postgraduate Program in Integrated Dentistry, State University of Maringá (UEM), Maringá, PR
| | - Sandra Mara Maciel
- Postgraduate Program in Integrated Dentistry, State University of Maringá (UEM), Maringá, PR
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Gaino LV, de Almeida LY, de Oliveira JL, Nievas AF, Saint-Arnault D, de Souza J. The role of social support in the psychological illness of women. Rev Lat Am Enfermagem 2019; 27:e3157. [PMID: 31340345 PMCID: PMC6687359 DOI: 10.1590/1518-8345.2877.3157] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2018] [Accepted: 02/19/2019] [Indexed: 11/21/2022] Open
Abstract
OBJECTIVE to analyze the relationship between perception of social support and emotional and physical symptoms associated with psychiatric conditions among women. METHOD a cross-sectional, quantitative study was carried out with a randomized random sample of 141 women attended at a Family Health Unit of the city of Ribeirão Preto/SP. A sociodemographic questionnaire, the Social Support Questionnaire and the Self-Report Questionnaire were used. RESULTS there was no association between sociodemographic characteristics and mental disorder, but between aspects such as low income and schooling. The exercise of professions culturally considered as of low prestige gave rise to some reflections related to gender inequality. There was a significant difference in the satisfaction scores between the women who reported or not the symptoms of tiredness and sadness and the number of supporters among those who reported or not the symptom of fatigue. Spouses and children were the most mentioned supporters, and having mental disorder was significantly associated with having no friends in the support network. CONCLUSION issues related to gender equity and satisfaction with social support are important aspects of care. For the promotion of mental health, efforts must be made to make women feel more connected and supported by the supporters available in their social environment.
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Affiliation(s)
| | - Letícia Yamawaka de Almeida
- Universidade de São Paulo, Escola de Enfermagem de Ribeirão
Preto, Centro Colaborador da OPAS/OMS para o Desenvolvimento da Pesquisa em
Enfermagem, Ribeirão Preto, SP, Brasil
- Bolsista da Coordenação de Aperfeiçoamento de Pessoal de Nível
Superior (CAPES), Brasil
| | - Jaqueline Lemos de Oliveira
- Universidade de São Paulo, Escola de Enfermagem de Ribeirão
Preto, Centro Colaborador da OPAS/OMS para o Desenvolvimento da Pesquisa em
Enfermagem, Ribeirão Preto, SP, Brasil
| | - Andreia Fernanda Nievas
- Universidade de São Paulo, Escola de Enfermagem de Ribeirão
Preto, Centro Colaborador da OPAS/OMS para o Desenvolvimento da Pesquisa em
Enfermagem, Ribeirão Preto, SP, Brasil
| | | | - Jacqueline de Souza
- Universidade de São Paulo, Escola de Enfermagem de Ribeirão
Preto, Centro Colaborador da OPAS/OMS para o Desenvolvimento da Pesquisa em
Enfermagem, Ribeirão Preto, SP, Brasil
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Konstantyner T, Taddei JAAC, Konstantyner TCRO, Rodrigues LC. Frequency of nutritional disorders and their risk factors among children attending 13 nurseries in São Paulo, Brazil. A cross-sectional study. SAO PAULO MED J 2015; 133:326-35. [PMID: 26517146 PMCID: PMC10876351 DOI: 10.1590/1516-3180.2014.8800711] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/23/2014] [Revised: 04/23/2014] [Accepted: 12/23/2014] [Indexed: 11/22/2022] Open
Abstract
CONTEXT AND OBJECTIVE Nutritional disorders are associated with health problems earlier in life. The objective here was to estimate the frequency of nutritional disorders and their risk factors among children. DESIGN AND SETTING Cross-sectional study in nurseries at 13 day-care centers in São Paulo, Brazil. METHODS The mothers of 482 children were interviewed, with anthropometry on these children. Children whose anthropometric indices for weight and height were greater than two standard deviations were considered to have nutritional disorders. RESULTS Children in families with lower per capita income (odds ratio [OR]: 2.25; 95% confidence interval, CI: 1.08-4.67) and who presented neonatal risk (OR 8.08; 95% CI: 2.29-28.74), had incomplete vaccinations (OR 3.44; 95% CI: 1.15-10.31) or were male (OR 3.73; 95% CI: 1.63-8.56) were more likely to be malnourished. Children in families with lower per capita income were also less likely to be overnourished (OR 0.40; 95% CI: 0.19-0.88). Children who were exclusively breastfed for less than two months (OR 2.95; 95% CI: 1.35-6.44) or who were male (OR 2.18; 95% CI: 1.02-4.65) were also at greater risk of being overnourished. Children who presented neonatal risk (OR 3.41; 95% CI: 1.04-11.23), had incomplete vaccinations (OR 3.18; 95% CI: 1.307.76), or were male (OR 2.76; 95% CI: 1.56-4.90) were more likely to have a nutritional disorder. CONCLUSIONS Nutritional disorders remain present in children attending nurseries in São Paulo. Actions should focus on boys, children who were exclusively breastfed for less than two months and those without up-to-date vaccinations.
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Affiliation(s)
- Tulio Konstantyner
- MD, MSc, PhD. Professor, Department of Health Sciences, Universidade de Santo Amaro (Unisa), São Paulo, Brazil.
| | - José Augusto Aguiar Carrazedo Taddei
- MD, MSc, PhD. Affiliated Professor, Department of Pediatrics, Escola Paulista de Medicina-Universidade Federal de São Paulo (EPM-Unifesp), São Paulo, Brazil.
| | | | - Laura Cunha Rodrigues
- MD, MSc, PhD. Head of Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, United Kingdom.
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Ribeiro MA, Martins MDA, Carvalho CRF. The role of physician counseling in improving adherence to physical activity among the general population. SAO PAULO MED J 2007; 125:115-21. [PMID: 17625711 PMCID: PMC11014696 DOI: 10.1590/s1516-31802007000200010] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/15/2006] [Revised: 09/15/2006] [Accepted: 03/16/2007] [Indexed: 02/02/2023] Open
Abstract
The regular practice of physical activity at appropriate levels ensures various benefits for the individual over the short, medium and long terms. It is therefore important in health promotion. On the other hand, sedentary behavior has reached alarming levels among the general population, which qualifies it as a serious health problem of endemic proportions. The present review describes public health problems consequent to sedentary behavior and the importance of physician counseling for change their patients behavior and making them more physically active on a regular basis. Models and behavioral theories are presented to facilitate physicians understanding of how to approach patients during clinical practice. We also describe programs conducted in many countries based on physician counseling for reducing sedentary behavior, and we present many tools used to quantify and qualify patients attitudes towards becoming more physically active. Through understanding the barriers faced by patients, we suggest methodologies that will enable physicians to use physical activity promotion appropriately. We hope that this will provide support for physicians in conducting physical activity counseling, as a means for improving the health of the population.
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Affiliation(s)
| | | | - Celso Ricardo Fernandes Carvalho
- Celso Ricardo Fernandes de Carvalho Centro de Promoção da Saúde Serviço de Clínica Geral do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HC/FMUSP) Rua Dr. Enéas de Carvalho Aguiar, 455 — 4o andar — Bloco 6 — Prédio dos Ambulatórios São Paulo (SP) — Brasil — CEP 05408-040 Tel. (+55 11) 3069-7691 E-mail:
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