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2.

Is Participatory Design Associated with the Effectiveness of Serious Digital Games for Healthy Lifestyle Promotion? A Meta-Analysis.

DeSmet, Ann; Thompson, Debbe; Baranowski, Tom; Palmeira, Antonio; Verloigne, Maïté; De Bourdeaudhuij, Ilse
| Idioma(s): Inglés
BACKGROUND: Serious digital games can be effective at changing healthy lifestyles, but large differences in their effectiveness exist. The extent of user involvement in game design may contribute to game effectiveness by creating a better fit with user preferences. Participatory design (PD), which represents active user involvement as informant (ie, users are asked for input and feedback) or codesigner (ie, users as equal partners in the design) early on and throughout the game development, may be associated with higher game effectiveness, as opposed to no user involvement or limited user involvement. OBJECTIVE: This paper reports the results of a meta-analysis examining the moderating role of PD in the effectiveness of serious digital games for healthy lifestyle promotion. METHODS: Four databases were searched for peer-reviewed papers in English that were published or in press before October 2014, using a (group-) randomized controlled trial design. Effectiveness data were derived from another meta-analysis assessing the role of behavior change techniques and game features in serious game effectiveness. RESULTS: A total of 58 games evaluated in 61 studies were included. As previously reported, serious digital games had positive effects on healthy lifestyles and their determinants. Unexpectedly, PD (g=0.075, 95% CI 0.017 to 0.133) throughout game development was related to lower game effectiveness on behavior (Q=6.74, P<.05) than when users were only involved as testers (g=0.520, 95% CI 0.150 to 0.890, P<.01). Games developed with PD (g=0.171, 95% CI 0.061 to 0.281, P<.01) were also related to lower game effectiveness on self-efficacy (Q=7.83, P<.05) than when users were not involved in game design (g=0.384, 95% CI 0.283 to 0.485, P<.001). Some differences were noted depending on age group, publication year of the study, and on the specific role in PD (ie, informant or codesigner), and depending on the game design element. Games developed with PD were more effective in changing behavioral determinants when they included users in design elements on game dynamics (beta=.215, 95% CI .075 to .356, P<.01) and, more specifically, as an informant (beta=.235, 95% CI .079 to .329, P<.01). Involving users as informants in PD to create game levels was also related to higher game effectiveness (Q=7.02, P<.01). Codesign was related to higher effectiveness when used to create the game challenge (Q=11.23, P<.01), but to lower game effectiveness when used to create characters (Q=4.36, P<.05) and the game world (Q=3.99, P<.05). CONCLUSIONS: The findings do not support higher effectiveness of games developed with PD. However, significant differences existed among PD games. More support was found for informant roles than for codesign roles. When PD was applied to game dynamics, levels, and game challenge, this was associated with higher effectiveness than when it was applied to game aesthetics. Since user involvement may have an important influence on reach, adoption, and implementation of the intervention, further research and design efforts are needed to enhance effectiveness of serious games developed with PD.
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4.

Religiosidade e estilo de vida de uma população adulta/ Religiosity and Lifestyle of an Adult Population

Cres, Marli Rosangela; Abdala, Gina Andrade; Meira, Maria Dyrce Dias; Teixeira, Carlos Antonio; Ninahuaman, Maria Fernanda Melo Lopes; Moraes, Maria Cecília Leite de
| Idioma(s): Portugués
Caracterizar o perfil de religiosidade e estilo de vida de uma população adultae analisar a associação entre essas variáveis. Métodos: Pesquisa descritiva, transversal equantitativa, realizada com participantes (n=206) de duas Feiras de Saúde na cidade de SãoPaulo, em 20/10/2013 e 04/05/2014. Aplicaram-se dois instrumentos, o Duke UniversityReligion Index (DUREL, subdividido nas dimensões Religiosidade Organizacional, NãoOrganizacional e Intrínseca) e o Estilo de Vida FANTÁSTICO. Realizaram-se os testesRho de Spearman para associação das variáveis “estilo de vida” e “religiosidade”, e QuiQuadradopara análise bivariada entre sexo e religiosidade. Resultados: Encontrou-seperfil de religiosidade predominantemente bom nas três dimensões, com destaque para aReligiosidade Intrínseca, que alcançou 83,5% (n=167) nos três quesitos. Quanto ao estilode vida (FANTÁSTICO), obteve-se a classificação de: 26,6% (n=34) “Bom”, 48,4%(n=62) “Muito Bom” e 12,5% (n=16) “Excelente”. Das 125 análises bivariadas, 13 (11,3%)apresentaram correlação fraca (ρ< 0,30), porém significativa (p<0,05). Nas associações doQui-Quadrado, a religiosidade se relacionou às dimensões do estilo de vida quanto ao usode álcool e drogas, alimentação equilibrada e saúde mental. Conclusão: A religiosidade napopulação estudada, considerando-se as três dimensões analisadas, caracterizou-se como“boa” e “muito boa”; e o estilo de vida, segundo escore total do questionário FANTÁSTICO,pôde ser considerado saudável. Apesar de fraca, confirmou-se associação entre a religiosidadee o estilo de vida...
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5.

Profile of lifestyle of older elderly persons/ Perfil do estilo de vida de longevos

Souza, Marilza Amaral Henrique de; Porto, Elias Ferreira; Souza, Eduardo Luiz de; Silva, Kathleen Ingrid da
| Idioma(s): Portugués
Abstract Introduction: Lifestyle has been widely studied in recent years, especially in the context of longevity and aging well. Objective: The aim of this study was to analyze the lifestyle profile of older elderly persons and the relationship between lifestyle and chronic diseases. Method: A cross-sectional study evaluating 132 older persons aged over 74.6 years, who were resident of the Capão Redondo district of São Paulo, was carried out. The study was conducted in 23 institutions such as churches, community centers, parks, nursing homes and residences. All participants completed two questionnaires, with the first based on lifestyle and the second on socio-economic classification, and also answered some questions about the presence and control of non-communicable chronic diseases (NCDs). Result: the mean age was 78.8(±4.5) years and the respondents had a mean BMI of 25.5(±5.5). Most were women from social classes C and D. A total of 46 were former smokers, seven were smokers, and 82 had NCDs, with heart diseases the most prevalent. The mean lifestyle questionnaire score was 30.2(±3.5). There was no statistical difference in scores between those with NCDs and those that did not suffer from such diseases. The physical activity component had the lowest score, followed by the nutrition component. The prevalence of NCDs was significantly higher for smokers and former smokers than for those who had never smoked. Conclusion: The majority of older persons demonstrated an excellent lifestyle with healthy habits. Even those with a diagnosed NCD had a good lifestyle. Cardiovascular diseases were the most prevalent in this population. The risk of NCD was greater for smokers and former smokers than for those who had never smoked. AU Resumo Introdução: O estilo de vida tem sido objeto de estudo nos últimos anos, haja vista poder estar relacionado ao processo de envelhecimento construído através da longevidade saudável. Objetivo: analisar o perfil do estilo de vida em longevos e a relação entre estilo de vida e doenças crônicas não transmissíveis. Método: trata-se de um estudo transversal, no qual foram avaliados 132 longevos maiores de 74,6 anos, moradores do distrito de Capão Redondo em São Paulo. Todos os participantes responderam a questionários sobre estilo de vida, classificação socioeconômica e questões sobre a presença e controle de doenças crônicas não transmissíveis (DCNT). Resultados: a média da idade foi de 78,8(±4,5) anos; IMC de 25,5(±5,5) a maioria era do sexo feminino e das classes sociais C e D; 46 eram ex-fumantes e sete fumantes; 82 tinham DCNT; dentre estas, as doenças cardíacas foram as mais prevalentes. A pontuação média do questionário de estilo de vida foi 30,2(±3,5). Não houve diferença estatística da pontuação entre os que tinham e não tinham DCNT. O componente "atividade física" foi o de menor pontuação. A prevalência de DCNT foi significantemente maior para o grupo de fumante e ex-fumantes, em relação aqueles que nunca fumaram. Conclusão: a maioria dos longevos tem excelente estilo de vida com hábitos saudáveis. Mesmo aqueles que tem diagnóstico de alguma DCNT apresentam um bom estilo de vida. As doenças cardiovasculares são as de maior prevalência para essa população. O risco para DCNT esteve aumentado para fumante e ex-fumantes em relação aos que nunca fumaram. AU
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6.

Perfil do estilo de vida de universitários de Educação Física da cidade do Rio de Janeiro/ Lifestyle profile of Physical Education students in the city of Rio de Janeiro

Castro, Juliana B. P. de; Vale, Rodrigo G. de S; Aguiar, Rogério Santos de; Mattos, Rafael da Silva
| Idioma(s): Portugués
Diversos hábitos adquiridos durante os anos cursados nas universidades permanecem incorporados ao cotidiano dos estudantes, mesmo após a conclusão do curso. O objetivo deste estudo é avaliar fatores específicos relacionados ao estilo de vida e à qualidade de vida em universitários do curso de Educação Física da Universidade do Estado do Rio de Janeiro (UERJ). Trata-se de um estudo descritivo com abordagem quantitativa com alunos do primeiro ao último período acadêmico com matrícula ativa no curso de graduação em Educação Física (Licenciatura e Bacharelado) da UERJ, com ingresso por meio do vestibular. Foi aplicado um questionário adaptado do Perfil do Estilo de Vida Individual, contendo oito componentes: alimentação, atividade física, autoimagem, relacionamentos, controle do estresse, finanças, comportamento preventivo e sono restaurador. Utilizou-se o teste de Spearman para analisar a associação entre os domínios do questionário (p < 0,05). A amostra foi composta por 103 estudantes (idade: 22,16 ± 3,85 anos), 66,02% do sexo masculino e 33,98% do sexo feminino. A análise dos componentes revelou uma tendência de os jovens universitários apresentarem, ao iniciar a fase adulta, dificuldade em manter níveis ideais de sono restaurador (3,19 ± 2,02) e finanças (4,14 ± 2,15). O componente relacionamentos (7,49 ± 1,61) apresentou os melhores níveis. Pode-se concluir que os estudantes de Educação Física pesquisados nem sempre conseguem seguir as recomendações que eles mesmos irão disseminar para clientes e alunos. Esse distanciamento entre o discurso e a prática se manifestou em diferentes graus, configurando diversos níveis de inadequações às práticas concernentes à saúde. Assim sendo, os conhecimentos acerca da importância dos hábitos de saúde nem sempre se manifestaram no comportamento alimentar, na atividade física, no sono e demais componentes atrelados à qualidade de vida e ao estilo de vida da amostra do presente estudo....(AU) Several habits acquired during routed years in universities remain embedded in the daily lives of students, even after completing the course. The aim of this study is to evaluate specific factors related to lifestyle and quality of life in undergraduates of the Physical Education course at the State University of Rio de Janeiro (UERJ). This is a descriptive study with a quantitative approach with students from the first to the last academic period with active enrollment in the undergraduate degree in Physical Education (Licentiate and Bachelor's degree) of UERJ, with admission through the entrance exam. We applied a questionnaire, adapted from the Individual Lifestyle Profile, containing eight components: nutrition, physical activity, self-image, relationships, stress management, finance, preventive behavior and restorative sleep. We used the Spearman test to analyze the association between the domains of the questionnaire (p < 0.05). The sample consisted of 103 students (age: 22.16 ± 3.85 years), 66.02% male and 33.98% female. The analysis of the components revealed a tendency for university students present, at the beginning of adulthood, difficulty in maintaining optimal levels of restorative sleep (3.19 ± 2.02) and finance (4.14 ± 2.15). The component relationships (7.49 ± 1.61) showed the best levels. It can be concluded that the students of Physical Education researched do not always follow the recommendations that they themselves will disseminate to clients and students. This distance between discourse and practice has manifested itself in different degrees, setting different levels of inadequacies in health practices. Therefore, knowledge about the importance of health habits was not always manifested in the eating behavior, physical activity, sleep and other components related to the quality of life and lifestyle in the sample of the present study....(AU)
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7.

Health protective behavior scale: Development and psychometric evaluation.

Ping, Weiwei; Cao, Wenjun; Tan, Hongzhuan; Guo, Chongzheng; Dou, Zhiyong; Yang, Jianzhou
| Idioma(s): Inglés
OBJECTIVE: A healthy lifestyle includes health protective and health promoting behaviors. Health promoting lifestyle profiles have been developed, but measures of health protective behavior are still lacking. This study sought to develop a health protecting behavior scale. METHODS: An initial item pool for the Health Protective Behavior Scale (HPBS) was generated based on read and referred literature and a single-item open-ended survey. An expert group screened this initial item pool using an item-level content validity index. Pilot testing was conducted. The degree of variation, the response rate, the item-total correlation coefficient, and the factor loading in factor analysis and item analysis were used to screen items using data of pilot testing. 454 subjects were recruited evaluate the psychometric properties of the HPBS. Analyses included internal consistency, test-retest reliability, factor analysis, parallel analysis, correlation analysis and criterion validity analysis. RESULTS: The final iteration of the HPBS was developed with 32 items and five dimensions: interpersonal support, general behavior, self-knowledge, nutrition behavior and health care. Cronbach's alpha coefficient, and test-retest reliability were 0.89 and 0.89 respectively. Correlation coefficients of the five dimensions ranged from 0.28 to 0.55. The Spearman correlation coefficient between the total scores on the WHOQOL-BREF and on the HPBS was 0.34. CONCLUSIONS: HPBS has sufficient validity and reliability to measure health protective behaviors in adults.
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8.

Health-Promoting Verses as mentioned in the Holy Quran.

Aboul-Enein, Basil H
| Idioma(s): Inglés
The Quran is regarded as both the spiritual and behavioral guidance for all Muslims. This narrative study was designed at examining relevant health-promoting verses in the Quran and to identify the chapters and verses where keywords and phrases are mentioned relevant to health promotion and behavior. Twenty-eight verses were identified, with a focus on diet and nutrition, personal hygiene, alcohol abstention, and the importance of a healthy lifestyle. These results suggest that the Quran could serve as an influential medium for culturally competent public health practitioners in diverse populations, particularly in Muslim communities, for improving and maintaining healthy behaviors.
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9.

Advising on lifestyle can improve nurses' health.

Bickerstaffe, Gary; Williams, Denise
| Idioma(s): Inglés
Many nurses are trained in brief health promotion interventions to ensure patients' lifestyles are assessed in relation to their overall health. Staff evaluations of health promotion training provided at Bolton Foundation Trust showed how it may prompt nurses to evaluate their own lifestyles. It could benefit healthcare organisations, as it may mean staff are supported to be healthier, happier and more productive.
Resultados  1-10 de 4.120