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1.

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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2.

Universidades saludables: los jóvenes y la salud/ Healthy universities: youth and health

Páez Cala, Martha Luz
| Idioma(s): Español
En el presente trabajo se efectuó una revisión de la literatura acerca de los estilos de vida de jóvenes universitarios y los principales factores de riesgo para la salud, lo cual permite concluir que los adultos jóvenes en general tienden a adoptar conductas de riesgo como el sedentarismo, el consumo abusivo de sustancias tóxicas (alcohol, cigarrillo y drogas ilegales) y dietas nutricionales incorrectas, entre otras. Algunos autores atribuyen estos factores de riesgo y estilos de vida poco saludables a las conexiones frágiles entre esta población de adolescentes y adultos jóvenes, con las redes de apoyo como son la familia y los centros educativos. Esta situación enfatiza la importancia de potenciar los centros educativos como escenarios y contextos saludables, dado que se constituyen en un sistema intermedio que vincula el sistema familiar, el académico y el grupo de pares y amigos. El promover estilos de vida saludables en los jóvenes podría reducir de manera importante la mortalidad global, lo cual se constituye en un valioso aporte a la esperanza y calidad de vida de una población...
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3.

Factors associated with breakfasting in users of a public health service/ Fatores associados à realização do café da manhã em serviço público de saúde

Freitas, Patrícia Pinheiro de; Mendonça, Raquel de Deus; Lopes, Aline Cristine Souza
| Idioma(s): Inglés
OBJECTIVE: This study identified the sociodemographic, lifestyle, dietary and anthropometric factors of users of a public health promotion service who have breakfast regularly. METHODS: This cross-sectional study included all users aged 20 years or more who joined the service between March 2007 and December 2010. Their socioeconomic and anthropometric data, dietary habits and health status were investigated. Statistical treatment included the Chi-square, Mann-Whitney, Fisher's exact and Student's t tests and Poisson regression analysis (p<0.05). RESULTS: Most of the participants (87.1%, n=528) breakfasted often, especially those aged 48.5 years or more (p=0.041). Poisson regression analysis showed association between breakfasting often and not smoking (PR=1.45, 95%CI: 1.10-1.91), having a greater number of daily meals (PR=1.15, 95%CI: 1.06-1.25), appropriate intake of deep-fried foods (PR=1.12, 95%CI: 1.01-1.25), lower fat intake (PR=0.78, 95%CI: 0.68-0.89) and smaller prevalence of excess weight (PR=0.85, 95%CI: 0.78-0.92). CONCLUSION: The positive relationship found between breakfasting often and not smoking, appropriate food and nutrient intakes and a healthier body weight shows the need of emphasizing this meal in health services as a simple and doable health promotion strategy that helps to prevent and control chronic diseases. OBJETIVO: Identificar os fatores sociodemográficos, de estilo de vida, dietéticos e antropométricos relacionados à realização do café da manhã entre os ingressos de serviço público de Promoção à Saúde. MÉTODOS: Estudo transversal com todos os usuários, com 20 anos ou mais, que ingressaram no serviço no período de março de 2007 a dezembro de 2010. Investigaram-se dados socioeconômicos, hábitos alimentares, perfil antropométrico e de saúde. Realizaram-se os testes Qui-quadrado, Mann Whitney, Exato de Fisher e t de Student, e análise de regressão de Poisson (p<0,05). RESULTADOS: Dos participantes (n=528), 87,1% realizavam frequentemente o café da manhã, sendo mais prevalente entre aqueles com 48,5 anos ou mais (p=0,041). A análise de regressão de Poisson revelou associação entre a realização frequente do café da manhã com o hábito de não fumar (RP=1,45; IC95%:1,10-1,91); maior número de refeições diárias (RP=1,15; IC95%:1,06-1,25); consumo adequado de frituras (RP=1,12; IC95%:1,01-1,25); menor ingestão de lipídios na dieta (RP=0,78; IC95%:0,68-0,89) e menor prevalência de excesso de peso (RP=0,85; IC95%:0,78-0,92). CONCLUSÃO: A relação positiva encontrada entre o consumo do café da manhã com o não tabagismo, ingestão adequada de alimentos e nutrientes, e um peso mais saudável, denota a necessidade de se enfatizar esta refeição, enquanto estratégia simples e factível de aconselhamento de promoção da saúde, de forma a contribuir para a prevenção e o controle de doenças crônicas em serviços de saúde.
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4.

Perfil de estilo de vida de pessoas com doença/ Lifestyle profile of people with cardiovascular disease

Spinel, Lígia Fonseca; Püschel, Vilanice Alves de Araújo
| Idioma(s): Portugués
Esta pesquisa teve como objetivos identificar o perfil de estilo de vida de pessoas com doença cardiovascular(DCV) em um ambulatório de especialidades no Município de São Paulo, Brasil e comparar esse perfil àscaracterísticas sociodemográficas dessas pessoas. Trata-se de um estudo exploratório-descritivo, de corte transversal.Foi utilizado o instrumento Health Promoting Lifestyle Profile (HPLP I), aplicado em 22 pessoas com DCVque estavam sendo acompanhadas. Verificou-se que os indivíduos com DCV apresentaram pior perfil no domínioexercício (média 2,18) e melhor perfil no domínio auto-realização (média 3,26). Os resultados obtidos forneceramsubsídios para o acompanhamento das pessoas atendidas na consulta de enfermagem.
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6.

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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7.

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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8.

Fit living in progress--fighting lifelong obesity patterns (FLIP-FLOP): A nurse practitioner delivered intervention.

Ritten, Angela; Waldrop, Julee; Kitson, Joanne
| Idioma(s): Inglés
PURPOSE: To evaluate the feasibility and outcomes of a nurse practitioner (NP) delivered program, which targets obesity, in a real-world primary care setting. METHOD: A small, descriptive study was conducted in a clinic for low-income patients. Sixteen adult participants, who are obese, attended 5 individual primary care office visits, occurring every 2 weeks over 12-weeks. The NP healthcare provider delivered pre-planned behavioral interventions at each visit. Data comprised the Health Promoting Lifestyle Profile II (HPLP II), additional surveys and physical measures. RESULTS: Participants reported improvement in health responsibility, physical activity, nutrition, spiritual growth, stress management and motivation for healthy living (p<0.05). Diastolic blood pressure declined (p<0.05). Systolic blood pressure and body mass index declined non-significantly. CONCLUSION: Additional research is necessary to determine success of the program over time with larger numbers of diverse participants, healthcare providers and primary care practice sites.
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9.

Promoción de estilos de vida activos/ Promotion of active ways of life

Castro Carvajal, ]ulia Adriana
| Idioma(s): Español
El presente artículo expone la perspectiva teórica para la promoción de la actividad física en relación con la salud, implementada en el proyecto de investigación "Modelo de movilización social con énfasis en la actividad física para reducir el sedentarismo en las regiones de Antioquia, Quindío y Bogotá, D.C.", auspiciado por COLCIENCIAS y el Ministerio de Protección Social. En el modelo construido, se asumió la promoción de la actividad física como componente de los estilos de vida saludables, desde un enfoque ecológico (factores actitudinales, sociales, culturales y urbanísticos) y un análisis multinivel (individuo, grupo, comunidad, institución, ciudad), partiendo de los enfoques actuales de salud, desempeño humano y calidad de vida y las más reciéntes recomendaciones, emanadas de la evidencia científica sobre el tema. Tbis article states the theoreticalperspective for the physical activity promotion, implemented in the "Modelo de movilización social con énfasis en la actividad física para reducir el sedentarismo en las regiones deAntioquia, Quindío y Bogotá, D.C." research project, sponsored by COLCIENClAS and Ministerio de Protección Social. The physical activity prornotion was undertakcn as a component of healthy life styles in the made model, since an ecological approach (attitude, social, cultural and urban development factors) and multilevel (person, group, corn m un ity, institution, city), starting from the present health approaches, human performance and life quality and the most recent recommendations whichcome from the scientific evidences about this topic in the lastyears.
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10.

Determinantes sociales en salud y estilos de vida en población adulta en Concepción, Chile/ Social determinants of health and lifestyles in adult population Concepción, Chile

Vidal Gutiérrez, Daisy; Chamblas García, Isis; Zavala Gutiérrez, Mercedes; Muller Gilchrist, Ralph; Rodríguez Torres, María Cecilia; Chávez Montecino, Alejandra
| Idioma(s): Español
Diversos son los factores que generan disparidades en el acceso al sistema de salud y en su utilización, lo que produce desigualdades tanto en la promoción de la salud como en las posibilidades del restablecimiento y supervivencia tras una enfermedad. El propósito del estudio fue determinar la relación entre estilo de vida promotor de salud y variables psicosociales, demográficas y de salud, en las comunas de Coronel y Concepción. Material y método: Corresponde a un estudio descriptivo y correlacional, de orientación cuantitativa. La población de estudio estuvo constituida por 441 adultos, de ambos sexos, entre 20 y 65 años, asistentes en el 2011 a establecimientos de atención primaria de salud. La muestra fue no aleatoria, con cuotas sexo y edad. El instrumento utilizado fue la Escala Health-Promoting Lifestyle Profile II. El procesamiento de la información se realizó con el Programa SAS. Resultados: Se encontró asociación significativa entre estilo de vida promotor en salud y determinantes estructurales como: el lugar de residencia, edad, sexo, educación, ingresos. Se encontraron asociaciones significativas en variables psicosociales como: percepción de problemas del entorno; satisfacción con aspectos de la vida; apoyo afectivo; apoyo y confianza; autoestima y autoeficacia. Conclusiones: Los resultados permiten reafirmar la relevancia de considerar, además de los factores estructurales, los factores psicosociales en la mirada y en la intervención en salud para potenciar estilos de vida promotores de salud. Los factores psicosociales se encuentran fuertemente asociados a estilos de vida promotores de salud... There are many factors that create disparities in access and use of health systems, resulting inequalities in both health promotion and the possibilities of recovery and survival after an illness. The purpose of the study was to determine the relationship between lifestyle health promoter and psychosocial, demographic and health variables, in the communes of Coronel and Concepción. Methods: It is a descriptive and correlational study, quantitative orientation. The study population consisted of 441 adults, both sexes, between 20 and 65 years old users of primary health care in 2011. The sample was not random, with quotas for gender and age. The instrument used to measure was the Scale Health-Promoting Lifestyle Profile II. The information processing was performed with SAS program. Results: A significant association was found between the life style health promoter and structural determinants such as place of residence, age, sex, education, income. Significant associations were found in psychosocial variables such as perception of environmental problems; satisfaction with aspects of life, emotional support, support and confidence, self-esteem and self-efficacy. Conclusions: Results suggest the need of considering, besides to structural factors, the psychosocial factors at the gaze and health intervention for enhancing health promoting life styles. Psychosocial factors are strongly associated with health promoting life styles...
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